Inspection Reports for Sea Cliff Assisted Living

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.

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.

The visit was an unannounced annual required inspection to evaluate compliance with licensing requirements at Sea Cliff Assisted Living Facility.

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.

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.

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.

The complaint investigation was substantiated for allegations regarding a broken window and inadequate incontinence care, but unsubstantiated for the allegation of understaffing.

An unannounced case management visit was conducted in conjunction with a complaint investigation regarding staff fingerprint clearance.

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 visit 22-AS-20250711132039 triggered the investigation. The deficiency was substantiated as Staff 1 was found not fingerprint cleared.

An unannounced visit was conducted to investigate a complaint alleging that staff handled residents in a rough manner.

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.

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.

An unannounced complaint investigation visit was conducted due to an allegation that neglect caused a resident's health to decline.

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.

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.

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.

The allegation that staff administered medication to a resident without authorized representative consent was unsubstantiated due to insufficient evidence.

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.

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.

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.

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.

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.

An unannounced complaint investigation visit was conducted in response to an allegation that a resident's dietary needs were not being met.

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.

The complaint alleging that a resident's dietary needs were not being met was investigated and found to be unfounded.

An unannounced complaint investigation was conducted to investigate the allegation that facility staff failed to meet residents' needs.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

This unannounced inspection was conducted to follow up on a recent change in facility capacity.

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.

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.

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.

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.

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.

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.

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.