Inspection Report
Census: 82
Capacity: 200
Deficiencies: 0
Oct 14, 2025
Visit Reason
Licensing Program Analyst Ruth Martinez made an unannounced site visit to the facility for the purpose of delivering an amended report originally issued on October 1, 2025.
Findings
The report documents the delivery of an amended licensing evaluation report with no new deficiencies or findings detailed in this document.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eric Jensen | Executive Director | Met with Licensing Program Analyst during the visit. |
| Ruth Martinez | Licensing Program Analyst | Conducted the unannounced site visit and delivered the amended report. |
| Armando J Lucero | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 74
Capacity: 200
Deficiencies: 0
Sep 9, 2025
Visit Reason
The visit was an unannounced annual required inspection conducted by Licensing Program Analyst Ruth Martinez to evaluate compliance with licensing requirements.
Findings
The inspection found no deficiencies in the areas inspected. The facility was observed to be well maintained with proper safety measures, adequate resident care, and complete documentation in resident and staff files.
Report Facts
Residents on hospice: 7
Fire extinguisher service date: Jul 19, 2025
Smoke detector and sprinkler system test date: Jul 29, 2025
Water temperature range: 106.1-109.2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eric Jensen | Executive Director | Met with Licensing Program Analyst during inspection and discussed the nature of the visit |
| Ruth Martinez | Licensing Program Analyst | Conducted the unannounced annual inspection |
Inspection Report
Census: 74
Capacity: 200
Deficiencies: 0
Sep 9, 2025
Visit Reason
Licensing Program Analyst Ruth Martinez conducted a Case Management visit to obtain information pertaining to a self-reported incident for an unwitnessed fall involving resident 1 (R1).
Findings
The facility appeared clean, organized, and safe with no imminent health or safety concerns observed. Resident 1 had a reappraisal after the incident and no citations were issued during the visit.
Report Facts
Incident report date: Aug 15, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ruth Martinez | Licensing Program Analyst | Conducted the Case Management visit |
| Eric Jensen | Administrator/Director | Facility representative met during the visit |
| Armando J Lucero | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 200
Deficiencies: 0
Apr 30, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2025-04-22 regarding unmet resident needs, facility disrepair, and failure to address safety hazards resulting in resident falls.
Findings
The investigation found conflicting information regarding the allegations. Some residents and staff confirmed that resident needs were met and the facility was in good repair with timely maintenance. No safety hazards leading to falls were observed or reported. Due to lack of preponderance of evidence, the allegations were deemed unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated due to conflicting information and insufficient evidence to prove or refute the allegations.
Report Facts
Capacity: 200
Census: 68
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eric Jensen | Administrator | Met with Licensing Program Analyst during the investigation and exit interview |
| Alvaro Ramirez Jr. | Licensing Program Analyst | Conducted the complaint investigation visit |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Capacity: 200
Deficiencies: 0
Apr 4, 2025
Visit Reason
The visit was an office meeting conducted to verify the Chapter 7 Bankruptcy Report filed by Pacifica Senior Living as reported by the media.
Findings
The meeting confirmed that despite multiple lawsuits against Pacifica Senior Living, there was no financial impact on the properties, residents, or staff. The management company was no longer managing the communities, and no vendor issues were reported. Documentation was requested to verify management changes and resident notifications.
Report Facts
Lawsuit amount: 25000000
Facility capacity: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eric Jensen | Administrator/Director | Named as facility administrator |
| Carl Knepler | Chief Executive Officer | Met during the inspection and provided information about lawsuits and management |
| Stacy Barlow | Assistant Program Administrator | Conducted the meeting to verify bankruptcy report |
| Shelley Grace | Assistant Branch Chief, CCLD | Present during the meeting |
| Craig Lundgren | Legal Counsel, CCLD | Present during the meeting |
| Marlene Nelson | Director, Quality Assurance and Risk Management | Present during the meeting |
Inspection Report
Complaint Investigation
Capacity: 200
Deficiencies: 0
Feb 25, 2025
Visit Reason
The inspection was an unannounced visit to investigate complaints alleging that staff were mismanaging residents' medications and not ensuring medications were administered as prescribed.
Findings
The investigation found no discrepancies between prescriptions and medication dispensed, with medication administration records and resident interviews supporting proper medication management. The allegations were unsubstantiated due to insufficient evidence.
Complaint Details
The complaint investigation was unsubstantiated. Although some residents reported occasional concerns about missing medication, no evidence was found to corroborate the allegations.
Report Facts
Facility capacity: 200
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Eric Jensen | Executive Director | Present and assisted with the complaint investigation visit |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation |
| Sheila Santos | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Original Licensing
Census: 76
Capacity: 200
Deficiencies: 0
Aug 5, 2024
Visit Reason
Licensing Program Analyst Ruth Martinez conducted an announced pre-licensing evaluation visit to the facility to assess compliance and readiness for initial licensing as an Adult Residential Facility for the Elderly.
Findings
The facility met all pre-licensing requirements including adequate resident accommodations, safety systems, emergency preparedness, and staff and resident record keeping. The Licensing Program Analyst will submit notification for final review prior to license issuance.
Report Facts
Facility capacity: 200
Census: 76
Fire panel last inspection date: Mar 13, 2024
Sprinklers last tested date: Apr 24, 2024
Smoke detectors last tested date range: Smoke detectors last tested between 20240624 and 20240628
Water temperature range Fahrenheit: 109.4-117.3
Pool gate height feet: 5
Fire extinguisher last dated: Jun 19, 2024
Fire clearance approval date: May 30, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Rossi | Executive Director | Met with Licensing Program Analyst during pre-licensing evaluation |
| Ruth Martinez | Licensing Program Analyst | Conducted the pre-licensing evaluation visit |
| Armando J Lucero | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Original Licensing
Capacity: 200
Deficiencies: 0
Jul 17, 2024
Visit Reason
The visit was conducted as part of a change of ownership application process for a Residential Care Facility for the Elderly.
Findings
The applicant and administrator participated in a COMP II telephone interview to verify identification and confirm understanding of California Code Title 22 regulations, including facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and pre-licensing readiness.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Rossi | Participant in COMP II interview and applicant/administrator. | |
| Roger Endert | Administrator | Named as facility administrator. |
| Jude De La Concepcion | Licensing Program Manager | Named in report signature section. |
| Bethany Hunter | Licensing Program Analyst | Named in report signature section. |
Inspection Report
Original Licensing
Census: 83
Capacity: 200
Deficiencies: 0
Nov 1, 2022
Visit Reason
Licensing Program Analyst Ruth Martinez conducted an announced pre-licensing evaluation visit to assess the facility's readiness for licensure as an Adult Residential Facility for the Elderly.
Findings
The facility was found to be in substantial compliance with all areas inspected, including structure, safety systems, emergency preparedness, and resident accommodations. The facility appears ready for licensure.
Report Facts
Resident capacity: 200
Resident census: 83
Non-ambulatory residents: 185
Bedridden residents: 15
Water temperature range: 105.8-115.8
Fire extinguisher inspection date: Jun 20, 2022
Fire clearance approval date: Oct 29, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Fred Paoli | Administrator | Met with Licensing Program Analyst during pre-licensing evaluation |
| Ruth Martinez | Licensing Program Analyst | Conducted the pre-licensing evaluation visit |
| Sheila Santos | Licensing Program Manager | Named as Licensing Program Manager overseeing the evaluation |
Inspection Report
Original Licensing
Census: 75
Capacity: 200
Deficiencies: 0
Aug 18, 2022
Visit Reason
The visit was conducted as part of a change of ownership application and pre-licensing readiness evaluation for a Residential Care Facility for the Elderly.
Findings
The applicant and administrator participated in a telephone interview to verify identification and confirm understanding of California Code Title 22 regulations, including facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and reporting.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Mallika Purohit | Administrator | Named as facility administrator during the evaluation. |
| Fred Paoli | Participant in COMP II interview. | |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager. |
| Bethany Hunter | Licensing Program Analyst | Named as Licensing Program Analyst. |
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