complaint·October 24, 2024

On 10/23/24 the facility file was reviewed and there was no request to change the Plan of Operation. On 10/23/24, LPA found that the facility’s website is advertising as a “55+ independent living” component. On 10/24/24 LPA met with S1 and asked for a copy of Plan of Operation and a copy of admission agreement. Copy of admission agreement was provided, on page 5 it states "We own Pacifica Senior Living (the "Community"), a licensed residential care facility for the elderly located at _________, which provides residence, care and services to persons 60 years of age and older." There is an Appendix P- Addendum Declining Residence & Care Services. S1 stated they have been employed since 1/2024 and the facility has serviced the 55+ population. LPA interviewed S2 who stated the prior owners had residence age 60+ and now there are residence age 55+. Based on LPAs observations and interviews which were conducted and record reviews, the preponderance of evidence standard has been met, and the Department has determined that a significant change to the plan of operation affecting the services of residents has been enacted without the approval of the Agency. Therefore the above allegation is found to be SUBSTANTIATED . California Code of Regulations (Title 22, Division 6, Chapter 8), are being cited on the attached LIC 9099D. Failure to correct deficiencies by POC due date may result in additional Civil Penalties. Exit interview was conducted and a copy of this report LIC9099, LIC9099D, and Appeal Rights were provided to Administrator Jessica Sanchez.