Pacifica Royale Assisted Living Community

Allegation investigated: Staff did not ensure the elevator was not in disrepair resulting in residents being isolated

Licensing Program Analyst (LPA) Fred Arias conducted an unannounced complaint visit to finalize an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. It was alleged staff did not ensure the elevator was not in disrepair resulting in residents being isolated. LPA conducted interviews with staff and residents. LPA reviewed records obtain. The investigation determined as follows: Regarding the allegation staff did not ensure the elevator was not in disrepair resulting in residents being isolated, it was reported the elevator was broken for many months without attempting to repair and residents could not access services like food and activities. LPA observed elevator in good working order. LPA observed the elevator permit to operate issued by the California Department of Industrial Relations date August 11, 2025 valid for one year located inside the elevator. LPA observed two evacuation chairs set up in the tthe state’s words, verbatim · CDSS document, Apr 22, 2026 · control 22-AS-20260415121540

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff did not meet resident's dental hygiene needs.

Licensing Program Analyst (LPA) Fred Arias conducted an unannounced complaint visit to continue an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. An initial investigation visit was conducted on August 23, 2021 by LPA Lydia Martinez. During the visit, LPA Martinez obtained documents related to the complaint and interviewed staff. It was alleged faciity staff did not meet resident's dental hygiene needs. During the investigation, LPA Arias conducted interviews with residents in care and staff. LPA reviewed records obtained. The investigation determined as follows: Regarding the allegation facility staff did not meet resident's dental hygiene needs, it was reported during an emergency admission at a hospital in 2021, resident 1 (R1)'s dentures were found to be dirty and black with old corroded denture adhesive. Continued on LIC9099-C dated 07/01/2025 Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 1, 2025 · control 22-AS-20210823130330

Allegation investigated: Staff bathed a resident with cold water causing the resident pain. Staff made inappropriate comments to a resident. Staff did not treat a resident with dignity and respect.

Licensing Program Analyst (LPA) Fred Arias conducted an unannounced complaint visit to continue an investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit. An initial investigation visit was conducted on March 14, 2024 by LPA Celine Rodriguez. During the visit, LPA Rodriguez toured the physical plant of the facility, conducted interviews, and requested copies of pertinent records reviewed. It was alleged staff bathed a resident with cold water causing the resident pain, staff made inappropriate comments to a resident and staff did not treat a resident with dignity and respect. During the investigation, LPA Arias conducted interviews with residents in care and staff. LPA Arias reviewed records obtained. The investigation determined as follows: Regarding the allegation staff bathed a resident with cold water causing the resident pain, it was reported staff used cold water while bathing resident that caused painthe state’s words, verbatim · CDSS document, Jul 1, 2025 · control 22-AS-20240305134345

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff threatened a resident after the resident refused to take a prescribed medication

Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility and explained the reason for the visit. Administrator Edward Maslobodsky arrived during the visit. During the course of the investigation, LPA toured the facility, interviewed staff and resident as well as reviewed and obtained pertinent documentation such as physician report. Regarding the allegation that facility staff threatened a resident after the resident refused to take a prescribed medication, the investigation revealed the following: Resident 1 (R1) is prescribed Risperidone 1 MG by mouth twice daily for Schizophrenia. Resident has started refusing that medication along with other prescribed medication. Resident states refusing medication as it was prescribed by a primary care physician and not the resident's psychiatrist as well as side effects from the medication. Facility arrangedthe state’s words, verbatim · CDSS document, Jan 23, 2024 · control 22-AS-20240119113253