Inspection Reports for Pacifica Senior Living Poway

An unannounced complaint investigation was conducted in response to multiple allegations regarding inadequate resident care, insufficient staffing, and facility maintenance issues at Pacifica Senior Living Poway.

The investigation found no substantiated evidence to support the allegations. Interviews with residents and staff, record reviews, and a facility tour indicated that residents' needs were being met, staff were properly trained, and mold issues had been addressed.

The complaint included allegations of unmet resident bathing, catheter, laundry, and transferring needs; residents being left soiled; facility mold presence; inadequate care and supervision; and insufficient staffing. The investigation determined these allegations to be unsubstantiated.

An unannounced Case Management visit was conducted by Licensing Program Analyst Debbie Correia to discuss the purpose of the visit and obtain signatures on an amended Community Care Licensing report.

No deficiencies or violations were cited in this report. The visit included discussions with the Executive Director and an exit interview, with a copy of the report and licensee appeal rights provided.

An unannounced complaint investigation was conducted in response to an allegation that the licensee did not serve residents food of good quality.

The investigation included unannounced visits, interviews with staff and residents, and records review. While sporadic issues with food temperature and wait times were noted, these were not consistent or common, and the facility promptly corrected any issues brought to their attention. The allegation was found to be unsubstantiated.

The complaint alleged that the licensee did not serve residents food of good quality. The investigation found no preponderance of evidence to prove the violation occurred, resulting in an unsubstantiated finding.

An unannounced complaint investigation visit was conducted regarding allegations that staff did not give medications as prescribed and other related complaints about resident care and facility conditions.

The investigation substantiated that staff did not assist a resident with medication administration as prescribed, posing a potential health and safety risk. Other allegations regarding room repair, sanitation, supervision, laundry service, call pendant functionality, and safeguarding personal items were found unsubstantiated.

The complaint investigation was substantiated for the allegation that staff did not give medications as prescribed to one resident. Other allegations including room repair, safeguarding personal items, sanitation, supervision, laundry service, and call pendant functionality were unsubstantiated.

An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements for the facility.

The inspection found the facility to be in full compliance with all licensing requirements. No deficiencies were observed or cited during the visit.

An unannounced complaint investigation visit was conducted in response to allegations of a questionable death and failure of staff to notify the resident's authorized representative of the incident.

The investigation revealed that the resident in question did not reside in the Assisted Living portion of the facility but in an adjacent Independent Living facility not licensed by the Department. Therefore, the allegations were deemed unfounded as they were false or without reasonable basis.

The complaint involved allegations of a questionable death and staff not notifying the resident's authorized representative. The complaint was determined to be unfounded.

An unannounced complaint investigation was conducted in response to allegations that the facility did not ensure residents had running water, did not meet residents' hygiene needs, and did not follow reporting requirements.

The investigation found that the facility had a planned water outage with measures in place to meet residents' needs, including dedicated rooms with water and water stations throughout the facility. Notifications about the outage were provided to residents and responsible parties. Based on interviews and records, the allegations were determined to be unsubstantiated.

The complaint was unsubstantiated as the preponderance of evidence standard was not met. The facility had a planned water outage on September 4, 2024, with appropriate measures and notifications in place.

An unannounced required annual inspection was conducted to evaluate compliance with licensing regulations and facility standards.

No deficiencies were observed or cited during the inspection. One technical violation and one technical assistance were issued. The facility was found to be compliant with safety, sanitation, and record-keeping requirements.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-04-24 regarding the facility not communicating their visitation policy and issues with resident access to the building at night.

The investigation substantiated that the facility failed to communicate their visitation policy effectively, resulting in residents waiting up to 1.5 hours outside to gain access at night due to inconsistent phone system and staff response. A deficiency was cited for noncompliance with the admission agreement regarding resident access. A plan of correction was developed. A second complaint regarding food service was unsubstantiated after review of records, interviews, and observations showed the facility provided varied food options and maintained proper food temperatures.

The complaint was substantiated regarding failure to communicate visitation policy and timely resident access after hours. The allegation that facility staff were not considerate of resident food preferences and did not serve hot food was unsubstantiated.

An unannounced complaint investigation was conducted following a complaint received on 2023-09-29 alleging that staff did not meet a resident's incontinence care needs.

The investigation found sufficient evidence to substantiate the allegation that staff did not meet the resident's incontinence care needs. Multiple interviews and observations indicated insufficient staffing and residents left in soiled briefs for extended periods, posing an immediate health and safety risk.

The complaint was substantiated based on evidence including interviews, observations, and records review. The allegation involved failure to meet incontinence care needs, with residents left in soiled briefs for hours and lack of repositioning for bedbound residents. High staff turnover and insufficient staffing were contributing factors.

The inspection was an unannounced complaint investigation visit triggered by an allegation received on 05/09/2023 that the facility did not refund money owed after a resident's death.

The investigation found that four residents who passed away had not received refunds within the required 15 days after their personal belongings were removed. This was due to a change of ownership and implementation of new billing software causing ledger errors. Refunds were eventually requested and processed, but delays occurred, substantiating the complaint.

The complaint was substantiated. The allegation that the facility did not refund money owed after resident's death was supported by evidence including staff interviews and facility records showing delayed refunds for four residents.

A Pre-Licensing visit was conducted to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and Health & Safety Code.

The facility was found clean, sanitary, and in good repair with all safety equipment operational. The applicant passed the pre-licensing inspection and the facility met all regulatory requirements.

The visit was conducted as part of a change of ownership application process and involved an office interview to verify the applicant/administrator's understanding of California Code Title 22 Regulations and facility operation requirements.

The applicant/administrator demonstrated understanding of licensing requirements including facility operation, admission policies, staffing, restricted health conditions, emergency preparedness, complaints and reporting, and pre-licensing readiness. No deficiencies or violations were noted in the report.