Pacifica Senior Living Poway

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: Staff did not prevent the spread of gastrointestinal illness.

Licensing Program Analyst (LPA) Correia conducted an unannounced visit to conclude a complaint investigation. LPA Correia was met by Executive Director (ED) Azemikah, identified herself, and explained the purpose of the visit. On December 15, 2025, the Department received a complaint that alleged the Licensee did not prevent the spread of an illness. The Department’s investigation consisted of staff, resident, and outside source interviews, a facility tour, and a records review. It was alleged that shortly after reopening the facility’s communal dining room, after undergoing renovations, residents in care experienced an outbreak of a gastrointestinal illness. An outside source alleged the illness was related to the food served at the facility. On the same day the complaint was filed, December 15, 2025, the ED reported the outbreak to the Department. [Continued on LIC 9099 C] Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 31, 2025 · control 08-AS-20251215130522

Allegation investigated: Staff are not meeting the residents bathing needs. Staff are not properly maintaining the residents rooms. Staff are not meeting the residents catheter needs. Staff are not meeting the residents laundry needs. Staff are not meeting the residents transferring needs. Staff are allowing the residents to be soiled. Staff do not keep the facility free from mold. Staff do not provide adequate care and supervision of the residents. Facility is insufficiently staffed.

Licensing Program Analyst (LPA) Correia conducted an unannounced visit to conclude a complaint investigation regarding the above-mentioned allegations. LPA identified herself and met with Executive Director (ED) Azemikhah to discuss the purpose of the visit. The Department's investigation included facility and staff records reviews and interviews, and a facility tour. It was alleged staff were not meeting residents’ needs of assistance with Activities of Daily Living skills (ADLs). Specifically, it was alleged facility staff did not provide adequate assistance with bathing, transfers, and housekeeping. Interviews conducted with residents revealed no concerns or issues with assistance with ADLs as mentioned above. It was also alleged that staff did not provide adequate incontinence and/or catheter care, and residents had been left soiled. Similarly, interviews with residents that required incontinence and/or catheter care revealed no issues with services provided by staff. Unsubstantiatthe state’s words, verbatim · CDSS document, Aug 25, 2025 · control 08-AS-20250815104547

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: Licensee did not serve residents food of good quality.

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced 10-day visit to initiate a complaint investigation and deliver findings regarding the above-mentioned allegation. LPA identified themselves and met with Executive Director Cameron Azemikhah, to discuss the purpose of the visit and elements of the complaint. On 05/05/2025 it was alleged that Licensee did not serve residents food of good quality. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review. Staff interviews revealed observations of various wait times, which were not observed to all be consistently long. Staff informed that two serving staff were out at the same time recently which resulted in staffing adjustments; while this affected wait times slightly, the times were not reported to be in excess of 15 minutes from when the resident ordered their food. Staff offered that possibly during high service times, pthe state’s words, verbatim · CDSS document, May 13, 2025 · control 08-AS-20250505153230

Allegation investigated: Staff did not give medications as prescribed.

Licensing Program Analyst (LPA) Juliana Barfield conducted an unannounced subsequent complaint visit regarding the above-mentioned allegation. LPA was met by, identified herself to, and discussed the purpose of the visit with Director Cameron Azemikhah. The Department's investigation consisted of record review and interviews with staff and outside sources. Resident (R1) was a total assist with medication and it was alleged that staff did not give medications as prescribed to (R1). Photographs from outside sources showed that there were two handwritten notes with the instructions to take “pills”. Review of facility email communications concluded that the event happened and a staff member was identified for placing medication with the notes in the resident room. Staff interviews revealed one job requirement for medication management is that staff are present with a resident during a medication pass. (Cont'd on 9099C) Substantiatedthe state’s words, verbatim · CDSS document, Apr 17, 2025 · control 08-AS-20230728165332

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: Questionable Death. Staff did not notify residents authorized representative of incident.

Licensing Program Analyst (LPA), David Roman, conducted an unannounced complaint investigation visit. LPA D. Roman identified himself and disclosed the purpose of the visit to Executive Director, Cameron Azemikhah. On March 17, 2025, it was reported to the Department that there was a questionable death, and staff did not notify resident's authorized representative of the incident. During today's visit, LPA D. Roman reviewed records and interviewed staff which revealed the resident in question did not reside in the Assisted Living portion of the facility. This resident did reside in the 55+ Independent Living facility in a different address, adjacent and associated to the Pacifica Senior Living Poway. The Independent Living component is not licensed through California Department of Social Services, Community Care Licensing Division. Based on the information revealed during the visit, these allegations are deemed to be unfounded. An unfounded determination means that the allegation was fthe state’s words, verbatim · CDSS document, Mar 20, 2025 · control 08-AS-20250317160123

Allegation investigated: Facility did not ensure that residents had running water. Facility did not meet resident's hygiene needs. Facility did not follow reporting requirements

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to deliver investigative findings on the above complaint allegations. LPA Correia met with Executive Director (ED) Azemikhah to whom was explained the purpose for the visit. The Department’s investigation included interviews with staff, residents, and outside sources, as well as facility records reviews. It was alleged the facility did not ensure that residents had running water and did not ensure residents hygiene needs were met. An interview with the Executive Director (ED) revealed the facility had a planned water outage scheduled for September 4, 2024, due to an upgrade in their water system. The interview also revealed several measures were put in place to ensure the residents care needs were met, including dedicated empty rooms with full water use, and offering showers a day before or after for residents whose care plan included showers during the day of the outage. Staff and resident interviews also cothe state’s words, verbatim · CDSS document, Mar 13, 2025 · control 08-AS-20240904154400

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 was not communicating their visitation policy.

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Cameron Azemikhah, Executive Director. On 4/24/23 it was alleged that the facility was not communicating their visitation policy, due to residents not being given access inside the building at night. The Department’s investigation consisted of unannounced facility visits, review of facility records, interviews with facility staff, residents, outside sources, and LPA direct observations. Staff interviews corroborated the allegation, staff informing that timeliness in assisting residents with access to the building at night had been an ongoing issue. Staff interview further revealed that the facility's phone system was inconsistent, causing some calls to not go through, resulting in staff not being aware that someone was at the door. Staff interview, confirmed by records review, shthe state’s words, verbatim · CDSS document, Feb 23, 2024 · control 08-AS-20230424144236

Allegation investigated: Staff did not meet resident's incontinence care needs

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to deliver investigative findings. LPA met with Resident Services Director, Cheyenne Tillman, and shared findings. The Department investigated the above-listed complaint allegation. The investigation consisted of observations, multiple interviews with staff, residents, and outside sources and a detailed review of relevant records. On September 29, 2023, Community Care Licensing (CCL) received a complaint alleging that staff did not meet a resident’s (R1) incontinence care needs, [an LIC 811 Confidential Names List was provided to staff to identify the resident]. (continue at LIC 9099C) Substantiatedthe state’s words, verbatim · CDSS document, Oct 20, 2023 · control 08-AS-20230929161749