The California Department of Social Services Community Care Licensing conducted several unannounced visits to PACIFICA SENIOR LIVING MISSION VILLA (facility number 415601046). In the early 2021 visits, the Licensing Program Analysts (LPAs) focused on documentation and compliance with basic health‑safety protocols. The 10/01/2021 visit requested records related to the eviction of resident R1, while the 11/15/2021 annual inspection noted satisfactory infection‑control practices, adequate visitor screening documentation, and the need for staff and resident temperature logs. No deficiencies were cited, and the LPAs advised covering trash cans and maintaining daily screening logs.

In 2024, the focus shifted to staffing and medication‑administration deficiencies. During the 05/10/2024 case‑management visit, the LPA observed that only one med‑tech served both floors and that a memory‑care director, lacking required certification, had been dispensing medication. Staffing ratios were far below the required levels for a facility of this size, and the LPAs issued citations under LIC809‑D and documented multiple deficiency sections related to personnel requirements and training. The report noted that the facility had no full‑time administrator on site, which exacerbated oversight gaps. A follow‑up 05/20/2024 visit, conducted concurrently with a complaint review, observed staffing schedules and confirmed no new citations, though the LPAs requested updated weekly schedules. The 06/17/2024 annual inspection reiterated the absence of a full‑time administrator and continued concerns about staffing adequacy, though the narrative was incomplete.

Across all visits, a pattern of inadequate staffing, insufficient staff training for medication management, and incomplete documentation of screening and scheduling has emerged. While earlier inspections found no major violations, the 2024 inspections revealed serious personnel and compliance risks that have led to formal citations and the issuance of plan‑of‑correction requirements. The department’s ongoing monitoring emphasizes the need for PACIFICA SENIOR LIVING MISSION VILLA to address staffing gaps, ensure all medication handlers are properly trained, and maintain complete, up‑to‑date records of resident and staff health screenings to achieve full compliance with California’s community care licensing standards.