Most inspections at this facility found deficiencies, primarily related to staff background clearances, training, maintenance issues, and resident care documentation. Several complaint investigations were unsubstantiated, including allegations of rough handling, neglect, and medication errors. The most serious issues involved immediate health and safety risks from inadequate incontinence care and staff without proper fingerprint clearance, both substantiated in mid-2025. The annual inspection on August 5, 2025, cited multiple deficiencies, but the most recent report on September 11, 2025, showed all previously cited issues were corrected and no new deficiencies were found, indicating improvement. No fines or enforcement actions were listed in the available reports.
Deficiencies per Year
129630
2022
2023
2024
2025
HighModerateUnclassified
Census Over Time
CensusCapacity
Inspection Report Plan of CorrectionCensus: 61Capacity: 84Deficiencies: 11Sep 11, 2025
Visit Reason
Licensing Program Analyst Kimberly Lyman made an unannounced visit to the facility for the purpose of a Plan of Correction (POC) visit, based upon deficiencies cited in prior inspections on 07/18/2025 and 08/05/2025.
Findings
All previously cited deficiencies under various Title 22 regulations and Health & Safety Codes have been cleared with proof of correction provided by the licensee. The licensee has complied with the terms of the Plan of Correction and was advised to maintain compliance on all previously cited items.
Deficiencies (11)
Description
Deficiency cited under Title 22 Regulation 87464(f)(1) pertaining to Basic Services has been cleared.
Deficiency cited under Title 22 Regulation 87303(a) pertaining to Maintenance and Operation has been cleared.
Deficiency cited under Title 22 Regulation 87355(e)(2) pertaining to Background Clearance has been cleared.
Deficiency cited under Title 22 Regulation 87204 pertaining to Limitations- Capacity and Ambulatory Status has been cleared.
Deficiency cited under H & S Code 1569.17(c)(1)(A) pertaining to Finger Print Clearance has been cleared.
Deficiency cited under Title 22 Regulation 87303(c) pertaining to Window Screens has been cleared.
Deficiency cited under Title 22 Regulation 87608(a)(3) pertaining to Postural Supports has been cleared.
Deficiency cited under H & S Code 1569.625(b)(2) pertaining to Required Training has been cleared.
Deficiency cited under H & S Code 1569.50(a)(3) pertaining to Conduct Inimical has been cleared.
Deficiency cited under Title 22 Regulation 87405(a) pertaining to Administrator Qualifications has been cleared.
Deficiency cited under Title 22 Regulation 87411 pertaining to Health Screen/ TB has been cleared.
Report Facts
Capacity: 84Census: 61
Employees Mentioned
Name
Title
Context
Kimberly Lyman
Licensing Program Analyst
Conducted the Plan of Correction visit and signed the report
The visit was an unannounced annual required inspection to evaluate compliance with licensing requirements at Sea Cliff Assisted Living Facility.
Findings
The inspection found multiple deficiencies including non-ambulatory resident housed on the wrong floor, staff without criminal record clearance, falsified health screenings, lack of required staff training, maintenance issues such as discoloration on walls and a backing-up sink, missing physician orders for bed rails, and absence of a designated backup administrator.
Severity Breakdown
Type A: 3Type B: 6
Deficiencies (9)
Description
Severity
Non-ambulatory resident residing on the second floor contrary to license conditions.
Type A
Two staff on-site without criminal record clearance.
Type A
Falsified health screening documents provided by staff.
Type A
Three residents with bed rails lack corresponding physician orders.
Type B
Three out of six staff files lacked proof of required annual training including dementia care and hospice care.
Type B
Discoloration on walls and doors and a sink backing up observed.
Type B
Sliding door screen in dining room in need of repair.
Type B
Facility lacks a designated backup administrator during the visit.
Type B
Five out of six staff without required health screening/TB assessment.
Type B
Report Facts
Facility capacity: 84Current census: 63Hospice waiver capacity: 20Hospice residents: 5Staff files missing training: 3Staff without criminal clearance: 2Residents without physician orders for bed rails: 3Staff without health screening/TB: 5
Employees Mentioned
Name
Title
Context
Taylor Clark
Administrator
Facility administrator with certificate expiring 03/08/2027
Jaleesa Chavez
Assistant Administrator
Assistant Administrator for skilled nursing side present during inspection
An unannounced complaint investigation was conducted based on allegations including a broken resident's window, a resident's shirt soaked in urine, and understaffing at the facility.
Findings
The investigation substantiated that the resident's window was broken and incontinence care was not always provided timely, resulting in soiled clothing. The facility was found to be in need of window repairs and failed to maintain documentation of incontinence care. The understaffing allegation was found to be unsubstantiated as staffing levels were deemed adequate by residents and staff.
Complaint Details
The complaint investigation was substantiated for allegations regarding a broken window and inadequate incontinence care, but unsubstantiated for the allegation of understaffing.
Severity Breakdown
Type A: 1Type B: 1
Deficiencies (2)
Description
Severity
Failed to ensure incontinence care is being provided to residents, posing an immediate health and safety risk.
Type A
Facility failed to ensure it is in good repair; two windows observed in need of repair posing potential health and safety risk.
Type B
Report Facts
Capacity: 84Census: 67Deficiency count: 2Plan of Correction Due Date: Jul 19, 2025Plan of Correction Due Date: Aug 1, 2025
Employees Mentioned
Name
Title
Context
Kimberly Lyman
Licensing Program Analyst
Conducted the complaint investigation and authored the report
Taylor Clark
Administrator
Facility administrator present during investigation
An unannounced case management visit was conducted in conjunction with a complaint investigation regarding staff fingerprint clearance.
Findings
The investigation found that Staff 1 (S1) was not fingerprint cleared, constituting a violation of California Code of Regulations, Title 22, Division 6, Chapter 8, posing an immediate health and safety risk to residents.
Complaint Details
Complaint visit 22-AS-20250711132039 triggered the investigation. The deficiency was substantiated as Staff 1 was found not fingerprint cleared.
Severity Breakdown
Type A: 1
Deficiencies (1)
Description
Severity
Failure to ensure Staff 1 has a criminal background check prior to working in the facility.
Type A
Report Facts
Capacity: 84Census: 67Plan of Correction Due Date: 1
An unannounced visit was conducted to investigate a complaint alleging that staff handled residents in a rough manner.
Findings
The investigation found no evidence of rough handling by staff during transfers. Staff and resident interviews did not corroborate the allegation, and all staff confirmed adequate training on transfers. The allegation was determined to be unsubstantiated due to lack of evidence.
Complaint Details
The complaint alleged that staff handled residents in a rough manner. The allegation was found to be unsubstantiated after observations, interviews with seven staff and five residents, and review of training records.
Report Facts
Facility capacity: 84Resident census: 64Complaint control number: 22-AS-20250501152827
Employees Mentioned
Name
Title
Context
Kevin Saborit-Guasch
Licensing Program Analyst
Conducted the complaint investigation and inspection visits
Taylor Clark
Administrator
Facility administrator met during the investigation
An unannounced complaint investigation visit was conducted due to an allegation that neglect caused a resident's health to decline.
Findings
The investigation included interviews and document reviews which contradicted the complaint allegation. Medications were discontinued or dosages lowered at the family's request, and staff confirmed medication changes require a doctor's order. The allegation was deemed unfounded.
Complaint Details
The complaint alleged neglect leading to a resident's health decline. Interviews with staff and witnesses, as well as document reviews, found no evidence supporting the allegation, resulting in an unfounded determination.
An unannounced complaint investigation visit was conducted in response to an allegation that staff administered medication to a resident without authorized representative consent.
Findings
The investigation found insufficient evidence to substantiate the allegation. The facility complied with physician orders to safely taper the resident's medications following the authorized representative's request, and the resident was not under the facility's care during part of the medication period in question.
Complaint Details
The allegation that staff administered medication to a resident without authorized representative consent was unsubstantiated due to insufficient evidence.
Report Facts
Medications resident was receiving at SNF: 9Medications resident was receiving at assisted living facility: 6Medication dosage reduction: 0.25
Employees Mentioned
Name
Title
Context
Joseph Alejandre
Licensing Program Analyst
Conducted the complaint investigation visit.
Brandon Lopez
Licensing Program Analyst
Assisted in conducting the complaint investigation visit.
Taylor Clark
Administrator
Facility administrator who provided information during the investigation.
Sheila Santos
Licensing Program Manager
Named as Licensing Program Manager overseeing the investigation.
An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations at the Sea Cliff Assisted Living Facility.
Findings
The inspection found several deficiencies including administration of diabetic insulin injections by non-appropriately skilled staff, missing criminal clearance transfers for multiple staff, lack of current CPR/First Aid certificates for some staff, broken sink cabinet door in a resident room, and hazardous items accessible to residents. Some deficiencies were corrected during the visit, and plans of correction were required for others.
Severity Breakdown
Type A: 4Type B: 2
Deficiencies (6)
Description
Severity
Resident #7 and #8 were administered diabetic insulin injections daily by a non-appropriately skilled professional.
Type A
Staff #1-#5 did not have criminal clearance transfer requests on file or revealed in the CDSS Guardian Background System.
Type A
Staff #2-#5 did not have current CPR/First Aid certificates on file.
Type B
Room #164 had a sink cabinet door broken and requiring repair.
Type B
Room #174 and #218 had sharp scissors accessible to residents in care.
Type A
Room #206 had cleaning powder bleach accessible to residents in care.
Type A
Report Facts
Capacity: 84Census: 61Hospice residents: 1Deficiencies cited: 6POC Due Date: Dec 8, 2024POC Due Date: Dec 9, 2024POC Due Date: Dec 21, 2024
Employees Mentioned
Name
Title
Context
Taylor Clark
Administrator
Named in relation to the inspection and exit interview
Nisha Koirala
Med-Tech
Met with Licensing Program Analyst during inspection
An unannounced complaint investigation visit was conducted in response to an allegation that a resident sustained an unexplained fracture while in care due to neglect.
Findings
The investigation found no evidence to corroborate the allegation of neglect by staff resulting in the resident's falls and injuries. The allegation was deemed unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that Resident 1 sustained an unexplained fracture due to neglect. The resident had multiple unwitnessed falls resulting in fractures and hospitalizations. The investigation reviewed medical and incident reports and interviewed the administrator. It was determined that the resident was not a fall risk and emergency services were timely initiated.
Report Facts
Facility capacity: 84Census: 51
Employees Mentioned
Name
Title
Context
Alvaro Ramirez Jr.
Licensing Program Analyst
Conducted the complaint investigation visit and exit interview
Taylor Clark
Administrator
Facility administrator interviewed during the investigation
An unannounced complaint investigation visit was conducted in response to an allegation that a resident's dietary needs were not being met.
Findings
The investigation revealed that the resident in question was not a resident of Sea Cliff Assisted Living but of Sea Cliff Healthcare Center Skilled Nursing, which is regulated by a different agency. The complaint was found to be unfounded, meaning the allegation was false or without reasonable basis.
Complaint Details
The complaint alleging that a resident's dietary needs were not being met was investigated and found to be unfounded.
Report Facts
Capacity: 84Census: 51
Employees Mentioned
Name
Title
Context
Jenifer Tirre
Licensing Program Analyst
Conducted the complaint investigation
Taylor Clark
Administrator
Met with Licensing Program Analyst during investigation
An unannounced complaint investigation was conducted to investigate the allegation that facility staff failed to meet residents' needs.
Findings
The investigation found insufficient evidence to substantiate the allegation. Interviews with staff, residents, and review of records indicated that Resident #1 needs assistance with incontinence care but is generally able to manage independently and sometimes refuses help. No health or safety issues were observed during the visit.
Complaint Details
The complaint alleged that on 03/09/24, Resident #1 was observed soiled and staff would not change them due to refusal. The investigation included interviews and record reviews but found no preponderance of evidence to prove or refute the allegation; therefore, it was deemed unsubstantiated.
Report Facts
Capacity: 84Census: 52Complaint control number: 22-AS-20240311130718
Employees Mentioned
Name
Title
Context
Taylor Clark
Administrator
Met with Licensing Program Analyst during investigation
The visit was conducted as a follow-up on an investigation regarding a self-reported incident of possible sexual abuse that occurred on November 4, 2023.
Findings
The investigation included interviews and document reviews, resulting in the allegation being deemed unsubstantiated due to lack of preponderance of evidence. Staff 1 was terminated following the incident.
Complaint Details
The visit was complaint-related, investigating a self-reported incident of possible sexual abuse involving Staff 1 and Resident 1. The allegation was found unsubstantiated based on interviews and evidence reviewed.
Report Facts
Facility capacity: 84
Employees Mentioned
Name
Title
Context
Taylor Clark
Administrator
Named in relation to receiving the report of the incident and during the investigation
Jenifer Tirre
Licensing Program Analyst
Conducted the unannounced visit and investigation
Luz Adams
Licensing Program Manager
Named as Licensing Program Manager overseeing the report
The visit was a Case Management - Health Checks conducted to follow up on a self-reported incident regarding a Personal Rights Violation of a resident.
Findings
During the inspection, residents appeared safe and well-groomed with no visible injuries or imminent health and safety hazards observed. No deficiencies were cited based on the observations made during the visit.
Employees Mentioned
Name
Title
Context
Taylor Clark
Administrator
Met with during the inspection and discussed the purpose of the visit.
Jenifer Tirre
Licensing Program Analyst
Conducted the Case Management Visit and inspection.
The inspection was an unannounced complaint investigation visit triggered by allegations received on 02/13/2023 regarding inappropriate staff behavior, lack of resident assistance, and improper medication distribution at Sea Cliff Assisted Living Facility.
Findings
The investigation found conflicting reports regarding the allegations. Some staff and residents reported inappropriate verbal behavior and delayed assistance by certain staff members, while others denied such occurrences. Medication distribution was generally timely with no documented concerns in reviewed records. Overall, there was insufficient evidence to substantiate the allegations, and the complaint was deemed unsubstantiated.
Complaint Details
The complaint involved allegations that staff spoke to residents in an inappropriate manner, failed to provide assistance, and did not distribute medications as prescribed. The investigation included interviews with staff and residents, review of medication administration records, and facility internal investigations. The findings were unsubstantiated due to conflicting evidence and lack of preponderance of proof.
The inspection was conducted as an unannounced complaint investigation following allegations received on 2023-04-17 regarding insufficient staffing to meet resident needs and unsanitary conditions at the facility.
Findings
The investigation found the allegation of insufficient staffing to be unfounded based on interviews with residents and staff and review of personnel reports. The allegation of unsanitary conditions was unsubstantiated due to lack of preponderance of evidence, despite some observations of minor tidying needs.
Complaint Details
The complaint alleged insufficient staffing and unsanitary conditions. The insufficient staffing allegation was found to be unfounded, meaning false or without reasonable basis. The unsanitary allegation was unsubstantiated, meaning there was no sufficient evidence to prove or disprove the violation.
An unannounced collateral visit was conducted regarding open complaint investigations unrelated to the current licensee.
Findings
Licensing Program Analyst and Licensing Program Manager conducted interviews and gathered pertinent records related to multiple complaint control numbers. An exit interview was conducted with the Administrator and a copy of the report was provided to the facility.
Complaint Details
The visit was related to multiple open complaint investigations with control numbers: 22-AS-20220608163536, 22-AS-20211220113154, 22-AS-20211118161629, 22-AS-20211022104111, 22-AS-20210907125211, 22-AS-20210108092129, and 22-AS-20200721114435.
Employees Mentioned
Name
Title
Context
Taylor Clark
Administrator
Met with Licensing Program Analyst and Licensing Program Manager during the visit.
Jenifer Tirre
Licensing Program Analyst
Conducted the unannounced collateral visit and interviews.
Alisa Ortiz
Licensing Program Manager
Conducted the unannounced collateral visit and interviews.
This unannounced inspection was conducted to follow up on a recent change in facility capacity.
Findings
The inspection confirmed the facility's updated non-ambulatory capacity of 44 on the first floor and verified ambulatory status of residents on the second floor. No health or safety deficiencies were observed or cited during the inspection.
Conducted the inspection and delivered the updated license
Taylor Clark
Administrator
Met with Licensing Program Analyst during inspection
Inspection Report Original LicensingCensus: 34Capacity: 84Deficiencies: 0Jun 22, 2022
Visit Reason
An announced pre-licensing visit was conducted to follow up on corrections identified during a prior visit on 06/15/2022 and to assess readiness for licensing of a Residential Facility Care for the Elderly.
Findings
All noted items from the previous visit on 06/15/2022 have been addressed. The facility was observed to be following COVID precaution guidelines, water temperatures were within acceptable range, staff files were securely stored, and signage was correctly placed. The facility is ready to be licensed.
Report Facts
Water temperature range: Measured between 106.3 and 119.8 degrees Fahrenheit in facility restrooms
Employees Mentioned
Name
Title
Context
Jenifer Tirre
Licensing Program Analyst
Conducted the pre-licensing visit and identified themselves during the inspection
Taylor Clark
Wellness Director
Met with Licensing Program Analyst during the visit and participated in exit interview
Ryan Roche
Administrator
Named as facility administrator
Alisa Ortiz
Licensing Program Manager
Named in report header
Inspection Report Original LicensingCensus: 34Capacity: 84Deficiencies: 3Jun 15, 2022
Visit Reason
An announced pre-licensing visit was conducted to evaluate the facility's readiness for licensing as a Residential Facility Care for the Elderly following an initial application submitted on 2022-02-11.
Findings
The facility was observed to have adequate structure, safety features, and emergency supplies, but was not ready to be licensed due to water temperature issues in several rooms, improperly secured staff files, and an incorrectly sized 'Let Us Know' poster. The licensee was instructed to correct these issues by 2022-06-22.
Deficiencies (3)
Description
Water temperature is out of compliance in rooms 155, 156, 174, and 208.
Staff files need to be located in a secure location on site.
Let Us Know Poster is not regulation size; proper size poster 20x26 must be posted near entrance.
Report Facts
Water temperature readings: 111.7Water temperature readings: 126.1Fire clearance approved capacity: 62Fire clearance approved capacity: 22
Employees Mentioned
Name
Title
Context
Ryan Roche
Administrator
Discussed purpose of visit and participated in facility tour
John Money
Director
Participated in facility tour
Taylor Clark
Wellness Director
Participated in facility tour
Soon Burnham
Sand Piper Senior Living Treasurer
Participated in facility tour
Jenifer Tirre
Licensing Program Analyst
Conducted the pre-licensing visit and authored the report
Inspection Report Original LicensingCensus: 37Capacity: 84Deficiencies: 0May 11, 2022
Visit Reason
The visit was an office evaluation related to a change of ownership (CHOW) application for the assisted living facility, including a telephone call with the Community Care Licensing analyst to confirm understanding of licensing requirements and program policies.
Findings
The applicant and administrator successfully completed Component II of the licensing process, confirming understanding of facility operation, staff qualifications, program policies, and COVID-19 mitigation plans. No deficiencies or violations were noted in the report.
Employees Mentioned
Name
Title
Context
John Money
Administrator
Applicant/administrator participating in licensing evaluation and confirming understanding of Title 22 requirements.
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