Inspection Reports for Santa Barbara Memory Care

The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility did not issue a refund to a resident.

The investigation substantiated the allegation that the facility delayed processing resident checks and improperly assessed late fees, resulting in a potential overbilling discrepancy of $3,043.54. Documentation and interviews confirmed billing issues and poor communication, leading to the issuance of a citation.

The complaint was substantiated. The allegation was that the facility did not issue a refund to a resident and delayed cashing resident checks, resulting in late fees. Evidence included interviews, billing statements, and email correspondence confirming billing issues and late fee charges.

An unannounced complaint investigation was conducted due to an allegation that staff were mismanaging residents' medications.

The investigation substantiated the allegation that staff mismanaged medications, specifically that the medication Olanzapine 2.5mg was missing when Resident 1 was discharged. Documentation and interviews confirmed the medication was in facility custody but was not provided to the resident's responsible party at discharge and was delivered late to the new facility.

The complaint alleged staff were mismanaging residents' medications. The investigation found that Resident 1's medication Olanzapine 2.5mg was missing at discharge and was only delivered to the new facility 18 days later. The allegation was substantiated based on interviews and documentation.

Unannounced visit to continue investigation of a subsequent complaint regarding staff clearance and facility documentation.

The inspection found that Direct Care Staff 1 was not registered or cleared in the required systems for one day, and the facility did not have a Register of Residents available upon demand. Two citations and a civil penalty were issued.

Visit was a follow-up to a complaint investigation. The complaint was substantiated by findings of staff clearance and documentation deficiencies.

A Case Management visit was conducted to address deficiencies noted during a Complaint investigation visit on 04/16/2025, specifically concerning the acceptance of a non-conserved resident without a dementia diagnosis in the locked memory care facility.

The licensee accepted a non-conserved individual who does not have a dementia diagnosis and does not require the level of care provided by the facility, posing an immediate health and safety risk to residents in care.

The visit was conducted to address deficiencies noted during Complaint Control #29-AS-20250310083615 investigation visit conducted on 04/16/2025.

The visit was conducted to verify the Chapter 7 Bankruptcy Report filed by Pacifica Senior Living as reported by the media.

The meeting confirmed that despite multiple lawsuits against Pacifica Senior Living and its properties, there was no financial impact on the facilities, residents, or staff. Management communicated that Pacifica Senior Living was no longer the management company for the communities, and there were no vendor issues or other pending lawsuits against the entities.

This Case Management visit was conducted to address deficiencies noted during a complaint investigation visit on 3/19/2025, specifically to discuss the reporting of a resident death as required by regulation 87211(a)(1)(A).

The licensee failed to report the death of a resident on 3/3/2025 to the Community Care Licensing Division until 3/11/2025, which was identified as an oversight and poses an immediate health and safety risk to residents in care.

The visit was conducted following a complaint investigation (Complaint Control #29-AS-20250310083615) regarding the failure to report a resident's death within the required timeframe. The deficiency was substantiated.

An unannounced annual required inspection was conducted to assess compliance with licensing regulations for the memory care facility.

The inspection found deficiencies including failure to properly associate three staff members to the facility prior to employment, failure to notify the department of a resident's hospice placement within five business days, and improper storage of food items posing potential health and safety risks.

The inspection was an unannounced complaint investigation visit conducted due to an allegation that a resident became septic as a result of neglect at the facility.

The investigation substantiated the allegation that the facility failed to ensure the resident's medication needs were met, resulting in untreated chronic conditions and sepsis. The facility did not properly manage the resident's diabetes and medication regimen, contributing to the resident's decline and hospitalization.

The complaint alleged neglect resulting in a resident becoming septic while in care. The investigation found that the facility failed to provide necessary medications and care, leading to untreated chronic conditions and sepsis. The allegation was substantiated.

The inspection was an unannounced complaint investigation visit conducted due to multiple allegations including neglect resulting in dehydration, a fall, vaccination without consent, failure to notice a change in resident's condition, and restricting resident communication with family members.

The investigation found insufficient evidence to substantiate any of the allegations. The resident's dehydration, fall, vaccination without consent, failure to notice condition changes, and communication restrictions were all deemed unsubstantiated. Technical assistance was provided to ensure adequate staff support for resident communication.

The complaint involved allegations of neglect causing dehydration and a fall, vaccination without consent, failure to notice changes in the resident's condition, and restricting communication with family. All allegations were investigated and deemed unsubstantiated due to insufficient evidence.

An unannounced complaint investigation visit was conducted in response to allegations that staff did not provide a resident's responsible party with records after requested and did not allow visitors into the facility in a timely manner.

The investigation substantiated both allegations: the facility failed to provide requested resident records despite multiple requests, and visitors experienced long wait times, up to 45 minutes to an hour, to be admitted to the facility.

The complaint was substantiated. Staff did not provide resident's responsible party with records after multiple requests dating back to 2020 and 2022. Staff also did not allow visitors into the facility in a timely manner, with wait times up to an hour. Licensing Program Analyst Melisa Rankin conducted the investigation.

Unannounced complaint investigation visit conducted in response to multiple allegations regarding resident care at Pacifica Senior Living Santa Barbara.

The investigation found insufficient evidence to substantiate any of the allegations related to resident care, medication administration, feeding, hygiene assistance, staffing levels, and communication with resident representatives. All allegations were deemed unsubstantiated.

The complaint involved allegations that staff did not notice changes in a resident's condition, failed to assist with hygiene needs, did not administer medications as prescribed, did not feed the resident, lacked sufficient staffing, and failed to communicate with the resident's representatives. The investigation concluded these allegations were unsubstantiated due to insufficient evidence.

This was an unannounced complaint investigation visit triggered by a complaint received on 2022-12-01 regarding multiple allegations including unsafe and unsanitary environment, failure to provide clean linens, neglect resulting in resident falls and injuries, inadequate supervision, and failure to respond timely to residents' change of condition.

The investigation substantiated allegations that staff did not ensure a safe and sanitary environment and failed to provide clean linens. Several health and safety hazards were observed including old feces in hallways and bathrooms, soiled linens, and lack of cleaning logs. Other allegations related to resident falls, inadequate supervision, and failure to meet residents' needs were found unsubstantiated due to insufficient evidence.

The complaint investigation was substantiated for allegations of unsafe and unsanitary environment and failure to provide clean linens. Allegations related to resident falls resulting in injury, failure to respond timely to change of condition, inadequate supervision, and failure to meet residents' needs were unsubstantiated. The investigation included interviews, observations, and review of documents. Multiple residents required hospital care following an incident on 2022-11-26, but no serious injuries were confirmed.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-02-27 regarding activities, special diet adherence, and medication administration at Pacifica Senior Living Santa Barbara.

The investigation found insufficient evidence to substantiate the allegations. Activities were observed and residents reported satisfaction, no official special diet order was found for the resident in question, and medication administration procedures were followed with proper communication and documentation.

The complaint included allegations that staff did not ensure residents were provided activities, did not adhere to a resident's special diet as prescribed, and did not ensure medication was provided as prescribed. All allegations were deemed unsubstantiated based on observations, document reviews, and interviews.

The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-06-04 regarding staff mismanaging residents' medication, facility toilet disrepair, facility cleanliness, and staff verbal altercation in presence of residents.

All allegations were investigated through interviews, facility tour, and document review. The allegations of medication mismanagement, toilet disrepair, facility dirtiness, and staff verbal altercation were all deemed unsubstantiated based on the information obtained and observations during the visit.

The complaint included allegations of staff mismanaging residents' medication, a clogged and backed-up toilet, facility being dirty, and staff engaging in a verbal altercation in presence of residents. After investigation, all allegations were found to be unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility did not give a refund to prospective residents after they decided not to move in.

The investigation substantiated that the facility failed to refund pre-admission fees to two prospective residents who never moved in and did not sign an admission agreement. The facility manager confirmed the fees should have been refunded and was working with accounting to issue the refunds.

The complaint alleged that the facility did not refund pre-admission fees to two prospective residents who decided not to move in. The allegation was substantiated based on interviews, documentation, and confirmation from facility management.

The inspection visit was conducted as a complaint investigation following an allegation that a resident sustained injuries while in care.

The investigation found insufficient evidence to prove that the resident sustained injury due to staff neglect or abuse. The allegation was deemed unsubstantiated based on interviews with the resident and staff, review of documentation, and observation of injury photos.

The complaint alleged that on 6/20/2023, Resident 1 was observed with bruises on their hand/arm, allegedly caused by staff due to violent behavior. The resident and staff interviews, along with documentation, indicated the injuries were from falls and aggressive behaviors related to dementia. The allegation was unsubstantiated.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-09-05 regarding infection control, provision of basic supplies, cleanliness, and facility disrepair at Pacifica Senior Living Santa Barbara.

The investigation substantiated multiple allegations including failure to follow infection control procedures during a COVID-19 outbreak due to inaccessible cleaning supplies, lack of access to basic supplies such as towels and toilet paper, and ongoing plumbing and maintenance issues causing unsanitary conditions and disrepair. The facility provided evidence of corrective actions such as locksmith services and plans to fix maintenance issues.

The complaint investigation was substantiated. Allegations included failure to follow infection control procedures during a COVID-19 outbreak, lack of basic supplies due to lost keys to laundry room, facility cleanliness issues, and disrepair such as clogged toilets and broken fixtures. Evidence included staff and visitor interviews, invoices for locksmith and plumbing services, and direct observations by Licensing Program Analysts.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2023-12-12 regarding lack of a certified administrator and inadequate care and supervision of residents.

The investigation substantiated that the facility did not have a certified administrator for several months, posing an immediate health and safety risk. Additionally, staff failed to provide adequate supervision, resulting in a resident eloping from the facility, which also posed an immediate health and safety risk.

The complaint investigation was substantiated. Allegations included the facility lacking a certified administrator from July 12, 2023 to October 11, 2023 and from December 18, 2023 to present, and staff not providing adequate care and supervision, evidenced by a resident eloping on two occasions. Multiple interviews and record reviews confirmed these findings.

The visit was an unannounced complaint investigation triggered by an allegation that staff did not ensure residents received mail correspondence in a timely manner between 02/16/2024 and 02/20/2024.

The investigation found no evidence of late or undelivered mail; mail was properly stored and distributed, and staff confirmed procedures for mail handling. Interviews with residents and staff indicated mail was received timely, and the allegation was deemed unsubstantiated.

The complaint alleged that postal mail was not retrieved for Resident #1 from 02/16/2024 through 02/20/2024, with staff unavailable or lacking mailbox keys. The investigation included interviews, observations, and document reviews. No staff admitted to receiving mail for Resident #1, and there was insufficient evidence to prove the allegation, resulting in an unsubstantiated finding.

The visit was a Case Management - Annual Continuation inspection conducted to evaluate the facility's compliance and review staff records for background checks.

The Licensing Program Analyst conducted a tour of the facility and reviewed staff records. The inspection was not completed and will be continued at a later date.

An unannounced annual required inspection was conducted to assess compliance with regulations at the Pacifica Senior Living Santa Barbara facility.

The inspection found deficiencies related to fire safety due to expired fire extinguisher inspections and maintenance and operation issues due to foul odors in some resident bedrooms and bathrooms. Civil penalties were issued and plans of correction were agreed upon.

This was an unannounced complaint investigation visit triggered by allegations received on 2024-01-17 regarding lack of staffing causing unanswered facility phone calls and failure to notify an authorized representative of an incident with a resident.

The investigation substantiated that due to lack of staffing, facility staff were unable to answer telephone calls on multiple occasions, posing an immediate health and safety risk. Additionally, the facility failed to notify the authorized representative and Community Care Licensing Division of a resident's hospital emergency room visit.

The complaint was substantiated. The allegations included staff not answering the facility phone due to lack of staffing and failure to notify an authorized representative of a resident's hospital emergency room visit. Both allegations were confirmed based on interviews, record reviews, and observations.

An unannounced case management visit was conducted to follow up on an immediate exclusion order issued on 11/16/2023 for Staff 1 (S1).

The Licensing Program Analyst confirmed that Staff 1 had not been physically present in the facility since 12/6/2023 and was disassociated from the facility's fingerprint clearance roster during the visit. The facility was reminded that any further presence of Staff 1 would violate the exclusion order and could result in deficiencies and civil penalties.

An unannounced complaint investigation visit was conducted due to an allegation that facility staff did not issue a timely refund in the event of a resident’s death.

The investigation substantiated that the licensee failed to issue a refund within fifteen days after the resident's belongings were removed following the resident's death, violating California regulations.

The complaint alleged that facility staff did not issue a timely refund after a resident's death. The investigation found that the refund was not issued within the required 15-day period, and the allegation was substantiated.

An unannounced complaint investigation was conducted due to an allegation that the facility did not issue a prospective resident a refund of the deposit paid after deciding not to move in.

The investigation substantiated that the facility failed to issue a refund of $2,500 to the prospective resident's responsible party within the required timeframe after the resident decided not to move in. The facility withheld $500 for a preassessment but did not comply with refund policies as required by regulations.

The complaint was substantiated. The allegation was that the facility did not give a prospective resident a refund of the deposit paid after deciding not to move in. The responsible party was owed a refund of $2,500 which was not issued within 15 days as required.

An unannounced one-year Infection Control Inspection visit was conducted to assess compliance with infection control and facility regulations.

The facility was generally compliant with infection control practices, maintaining cleanliness, adequate PPE supplies, and proper resident accommodations. However, a deficiency was cited for a staff member not wearing a face covering correctly, posing an immediate health and safety risk.

The visit was a Case Management follow-up to address deficiencies noted during a required Annual Infection Control Inspection conducted on 02/21/2023.

The facility failed to submit required hospice notifications since 6/18/2021 and death reports since 9/11/2021, posing immediate health and safety risks. Deficiencies were cited related to noncompliance with California Code of Regulations hospice care waiver and reporting requirements.

An unannounced Plan of Correction (POC) visit was conducted due to the facility's failure to submit serious illness/injury reports and a plan of correction for deficiencies cited on 12/5/2022.

The facility did not submit the required serious illness/injury reports for five residents within seven days, nor did it submit the plan of correction by the due date. Civil penalties were assessed and will continue to accrue until proof of correction is received.

An unannounced Case Management – Incident visit was conducted following a report by the facility administrator of twenty-one new COVID-19 positive cases. The visit aimed to review compliance with reporting requirements related to these cases.

The facility failed to submit serious illness/injury reports to the licensing agency within seven days for all twenty-one COVID-19 cases reported on 11/28/2022, resulting in a cited deficiency and a civil penalty assessment.

The visit was complaint-related due to the report of 21 new COVID-19 positive cases. The deficiency was substantiated as the facility did not submit required reports within seven days.

The visit was a Case Management follow-up conducted to address deficiencies noted during a prior complaint investigation visit related to incidents involving multiple residents being taken to the hospital.

The licensee failed to submit 5 out of 5 serious injury/incident reports to the licensing agency within seven days of occurrence, posing an immediate health and safety risk to residents in care.

The visit was triggered by a complaint alleging multiple residents were taken to the hospital due to health and safety concerns on 11/26/2022. The complaint was investigated but no incidents of serious illness or injury reports were received by the licensing agency for five residents involved.

The inspection visit was an unannounced case management visit to investigate complaint #29-AS-2022110412253523 regarding facility compliance.

The facility was found deficient for failing to ensure the Administrator and staff were wearing face coverings, posing an immediate health, safety, and personal rights risk to residents.

Investigation of complaint #29-AS-2022110412253523. Deficiency substantiated based on observation of Administrator not wearing a face covering in the presence of residents.

An unannounced complaint investigation was conducted due to an allegation that the facility improperly increased resident rates, specifically concerning Resident 1 who was promised a two-year rate guarantee.

The allegation was substantiated. The facility did not comply with the admission agreement by increasing Resident 1's rate despite a two-year rate lock. The facility rescinded the rate increase during the investigation visit.

The complaint was substantiated. The investigation confirmed that Resident 1's rate was improperly increased despite a two-year rate guarantee. The facility rescinded the rate increase after the issue was raised.

An unannounced case management visit was conducted to issue deficiencies discovered during the investigation of complaint 29-AS-20220627170949.

The licensee failed to ensure a designated substitute administrator was on the premises 24 hours per day, posing a potential health and safety risk. Additionally, staff members were observed not wearing face masks properly, which posed an immediate health, safety, and personal rights risk to residents.

The visit was triggered by complaint investigation 29-AS-20220627170949. The complaint was substantiated based on observations of staff not properly wearing masks and lack of designated substitute administrator coverage.

The visit was conducted as a Case Management visit in conjunction with a complaint investigation to issue citations for deficiencies observed during the complaint investigation.

The facility failed to maintain a clean environment as evidenced by an abandoned washing machine remaining visible to residents, staff, visitors, and passersby, posing a potential health and safety risk.

The visit was triggered by a complaint (Complaint Control # 29-AS-20220627170949).

The inspection visit was conducted as a complaint investigation following allegations that the facility failed to issue a refund and failed to provide a copy of the signed Admission Agreement to the resident or the resident’s representative upon admission.

The investigation substantiated the allegations that the facility did not issue a refund within the required timeframe after the resident's death and removal of personal belongings, and failed to provide a copy of the signed Admission Agreement to the resident’s representative. These deficiencies posed potential health, safety, or personal rights risks to residents in care.

The complaint investigation was initiated based on a complaint received on 12/23/2020 alleging failure to issue a refund and failure to provide a copy of the signed Admission Agreement. The allegations were substantiated after interviews and document reviews.

The inspection visit was conducted as a complaint investigation following allegations received on 04/27/2020 regarding resident assault and inadequate staffing at the facility.

The investigation substantiated that a resident assaulted other residents and that the facility was not adequately staffed to meet residents' needs, posing immediate health and safety risks. Another allegation regarding staff not following resident admission procedures was found unsubstantiated.

The complaint investigation was substantiated for allegations that a resident assaulted other residents and that the facility was inadequately staffed. The allegation that staff did not follow resident admission procedures was unsubstantiated.

An unannounced One Year Infection Control Annual visit was conducted to evaluate compliance with infection control and licensing requirements.

The facility lacked California Department of Social Services Provider Information Notices visible to residents and had sinks without paper towels. One individual was found on the schedule without a required Criminal Record Clearance and was removed from the schedule. A citation and civil penalty were issued.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2019-10-28 regarding facility conditions and resident care concerns.

The investigation substantiated the allegation that the licensee failed to keep the facility free of rodents and/or insects due to unclean bird cages attracting flies and ants. Other allegations regarding inadequate personal hygiene supplies, unsafe accommodations, and insufficient staffing were unsubstantiated.

The complaint investigation was substantiated for the allegation of failure to keep the facility free of rodents and/or insects. Other allegations about personal hygiene supplies, accommodations, and staffing were unsubstantiated.