Pacifica Senior Living South Coast

On May 26, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to deliver the complaint findings. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Executive Director Yaylene Mazariegos was present and also assisted on today's visit. During the course of the investigation, LPA interviewed resident and interviewed staff. LPA also reviewed and obtained pertinent documents to this complaint such as resident records, including medication administration records. Regarding the allegation, staff did not ensure medication was stored locked and inaccessible to residents, the following has been concluded: During the course of the investigation, LPA inspected the facility's medication room and ten resident bedrooms. During a tour of Resident #1 (R1's) bedroom, R1 disclosed that she stores her insulin injection in her refrigerator. LPA then observed an insulin injection pen to be stored in R1's refrigeRead the full finding— CDSS inspection report, May 26, 2026 · control 22-AS-20260316142102

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 facility did not bring the change in cognitive functions to the resident’s physician. During the investigation, LPA conducted interviews with staff and resident in care. LPA reviewed records obtained. The investigation determined as follows: Regarding the allegation facility did not bring the change in cognitive functions to the resident’s physician, it was reported the facility did not seek an updated physician’s report for Resident (R1) with a current diagnosis. Interview with R1 stated they have seen their primary care physician (PCP) a couple of times since their readmission to the facility on February 27, 2026. UnfoundedRead the full finding— CDSS inspection report, May 15, 2026 · control 22-AS-20260320094728

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 are not abiding to the admission agreement. During the investigation, LPA conducted interviews with staff and resident in care. LPA reviewed records obtained. The investigation determined as follows: Regarding the allegation staff are not abiding to the admission agreement, it was reported resident 1 (R1) was informed rent is going to increase on January 1, 2026. LPA interview with Admininstrator (AD) Yaylene Mazariegos stated a rate increase letter was issued and provided to R1 on October 22, 2025. LPA interview with R1 stated they received a copy of the rate increase letter. LPA record review revealed R1's admission agreement states on page 11 "We shall give ninety (90) days' prior written notice to you of any change in the Base MonthlRead the full finding— CDSS inspection report, November 13, 2025 · control 22-AS-20251104160452

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an uannnouced visit to conduct a complaint investigation. LPA was greeted and granted entry into the faciliy by Executive Director Yaylene Mazariegos and explained the reason for the visit. The Department received the complaint on 03/13/2025 and LPA Mendivil conducted the initial 10 day visit on 03/21/2025. LPA Mendivil toured facility and interviewed residents and staff. LPA obtained copies of staff schedule and resident roster. Regarding the allegations facility does not have adequate staffing and facility does not provide adequate hygiene supplies the investigation revealed the following: The facility is licensed for 98 residents and currently has a census of 18 residents in assisted living and 16 residents in memory care. UnsubstantiatedRead the full finding— CDSS inspection report, March 21, 2025 · control 22-AS-20250313151337

An unannounced Complaint Investigation was conducted on this day by Licensing Program Analyst (LPA) Claudia Gutierrez regarding the allegations mentioned above. LPA met Executive Director (ED) Yaylene Mazariegos. It is alleged staff prevented Resident 1’s (R1’s) medical professional from caring for R1. Inteviews were conducted with four facility residents, one witness, and R1’s Responsible Party (RP). R1 could not be interviewed as they have since passed away. During their interview, R1’s medical professional, Witness 1 (W1) stated they were never denied visitation or access to R1 by the facility or its' staff, and stated the facility staff was very receptive during the time they cared for R1. During their inteview, R1's RP denied having any knowledge of staff preventing R1's medical professional from caring for R1. During today’s visit, four additional facility residents were interviewed; four of four residents denied staff preventing medical professionals from caring for them, (Cont.Read the full finding— CDSS inspection report, March 12, 2025 · control 22-AS-20210125155304

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of investigating the above-mentioned complaint allegations. LPA met with Administrator (AD) Yaylene Mazariegos, discussed the purpose of the inspection, and explained the allegations. The investigation into the allegations that facility did not safeguard resident's cellphone which led to its theft and the facility did not follow their theft and loss policy regarding the theft of resident's cellphone revealed the following: During the course of the investigation, LPA inspected the facility, interviewed AD, staff, and residents, and obtained and reviewed copies of the resident roster, staff roster, and Resident #1’s (R1) Admission Agreement. CONTINUED UnsubstantiatedRead the full finding— CDSS inspection report, February 19, 2025 · control 22-AS-20220308092622

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced visit to the facility to deliver the findings for the complaint received on 9/27/2023. LPA De Perio explained the purpose of today's visit, was greeted by Community Relations Director (CRD) Kimberly Melendez and Business Office Manager (BOM) Yesenia Castro. Facility administrator was unable to be present during today’s visit. It was alleged that facility is not following infection control protocols. LPA De Perio conducted a total of 9 interviews, of which all 6 resident interviews, and all 3 staff interviews did not corroborate with the allegation by stating that the facility does follow infection control protocols. During the tour of the physical plant of the facility, LPA De Perio observed that the facility has an adequate supply of PPE such as disinfectants, gowns, masks and gloves. Per documentation review, the facility has an Infection Control Plan that is implemented and utilized if a resident has tested posRead the full finding— CDSS inspection report, December 21, 2023 · control 22-AS-20230927162232

Licensing Program Analyst (LPA) Celine De Perio conducted an unannounced visit to the facility to deliver the findings. LPA De Perio explained the purpose of today's visit, and was greeted by executive director (ED) Stacie Anderson. It was alleged that facility failed to provide refund to responsible party. LPA conducted a total of 6 interviews and pertinent record reviews. An interview conducted stated that the process of issuing the refund to the resident (R1) responsible party (RP) had already been initiated. Per record review, the facility mailed out the refunded check on 07/20/23, and ED Anderson contacted R1's RP on 07/21/23 to inform about the status of the refund, to which RP acknowledged. On 07/31/23, RP of R1 confirmed and verified that the refund from the facility had been received. UnfoundedRead the full finding— CDSS inspection report, August 2, 2023 · control 22-AS-20230710105551

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced subsequent complaint visit to deliver the findings of the investigation regarding the above allegations. LPA Velazquez was greeted, granted entry into the facility and met with Executive Director Stacie Anderson and explained the purpose of the visit. During the investigation interviews were conducted with the Resident (R) 1’s family member, R1's responsible party, R1’s physician, facility staff, and residents. During the course of the investigation facility records were obtained and reviewed as well as hospital medical records. The facility records reviewed for R1 included an Admission Agreement, Durable Power of Attorney (DPOA) and Durable Power of Attorney for Healthcare documents signed by resident, Physician's Orders for medications dated March 31, 2022, Admission Orders dated January 31, 2022 Physician's Report with date of exam documented as 12/21/2021, Need and Services Plan dated January 27, 2022, ResiRead the full finding— CDSS inspection report, June 14, 2023 · control 22-AS-20220531161434

Licensing Program Analyst (LPA) Patricia Velazquez conducted a subsequent complaint visit to deliver the findings of the investigation. LPA Velazquez met with Executive Director Stacie Anderson and explained the purpose of the visit. On today's visit LPA Velazquez conducted interviews with residents and staff. LPA Velazquez also requested copies of facility and resident records. During the course of the investigation the following was revealed. LPA Velazquez conducted interviews with residents and staff. LPA Velazquez also reviewed and obtained copies of facility and resident records. The records reviewed included Resident Face Sheets, Identification and Emergency Information, Preplacement Appraisal Information, Admission Orders, Needs and Services Plan, Physician's Reports, Facility Internal Incident Report, Fax communication from the facility to Bi Rite Pharmacy, Medication Administration Records, a copy of text communication between Resident (R) #1's family member and the facility rRead the full finding— CDSS inspection report, June 14, 2023 · control 22-AS-20230418134043

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced initial 10 day complaint visit to initiate the investigation into the above allegation and to deliver the findings of the investigation. LPA Velazquez was allowed entry into the facility and met with Executive Director Stacie Anderson. On today's visit LPA Velazquez reviewed and obtained copies of facility and resident records. LPA Velazquez also conducted interviews with residents and staff. LPA Velazquez reviewed resident records which included Face Sheets, Physician's Reports, Preplacement Appraisal Information, Needs and Services Plans, Power of Attorney documents, Resident Assessments, Medication Sheets, and an Admissions Agreement. At 10:35 AM LPA Velazquez along with Resident Care Director Jennifer Thompson, L.V.N. conducted a review of medications for 3 residents. LPA Velazquez and RCD Thompson observed the following for Resident (R) #1: Myrbetriq ER 25 mg was listed on the Medication Sheet but the mediRead the full finding— CDSS inspection report, April 26, 2023 · control 22-AS-20230418134043

Licensing Program Analyst (LPA) Patricia Velazquez conducted an unannounced subsequent complaint visit to deliver the findings into the above allegations. LPA Velazquez was allowed entry into the facility and met with Executive Director Stacie Anderson and explained the purpose of the visit. On today's visit LPA Velazquez conducted interviews with residents and staff. LPA Velazquez also reviewed and requested copies of facility and resident records. During the course of the investigation the following was revealed: LPA Velazquez conducted interviews with residents and staff. LPA Velazquez also reviewed and obtained copies of facility and resident records. The records reviewed included Resident Face Sheets, Physician's Reports, Internal Incident Reports, Needs and Services Plans, Resident Narrative Charting Notes, Resident Assessments, Activities Calendars, pictures of various activities dated October 2022 - February 2023 where residents have participated that have been posted on the faRead the full finding— CDSS inspection report, March 9, 2023 · control 22-AS-20220913103113

Licensing Program Analyst (LPA) Celine De Perio made an unannounced visit to this facility. LPA De Perio met with Memory Care Director Jennifer Thompson and stated the purpose of this visit which was to deliver the final findings for the complaint received on 11/7/22 against this facility. This agency has investigated the complaint alleging that facilities elevator's permit is expired. LPA De Perio conducted interviews and record reviews, of which all stated that facility has contacted the city for a permit renewal, however per city council, there is a backlog of renewing the elevator permits. Facility conducts monthly maintenance checks for elevators, of which all inspections dated from March 2022 to December 2022 have been passed. Based on the information gathered during the investigation and review of documents obtained, LPA is unable to ascertain if the allegation occurred as reported. Although the allegation may have happened or is valid, there is not a preponderance of the evidenRead the full finding— CDSS inspection report, January 18, 2023 · control 22-AS-20221107103548