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Inspection visit

Routine inspection

PACIFIC GROVE SENIOR LIVINGLicense 2772092419 citations on this visit
9 citations recorded

Inspector’s narrative

What the inspector wrote

On 12/16/2025, Licensing Program Analysts (LPAs) Vadim G. and Shawna D. arrived at the facility unannounced to conduct Required Annual Inspection. LPA met with Administrator (AD) Jessica Sanchez, certification number 6072416740 and expiration date 10/01/2026. LPA conducted tour inside and out of facility with AD. Residents observed at the facility during lunch. The facility was observed to be at a comfortable temperature of 67 to 80 degrees, clean, and no passageway obstructions or fire hazards observed. Fire extinguisher was observed with a service date of 05/02/2025 Dining area and Kitchen were toured. An adequate supply of perishable and non-perishable food was observed to be properly stored in walk-in freezer, walk-in refrigerator, and pantry. Food is delivered twice a week, on Tuesdays and Fridays. Refrigerator temperature was maintained at 42.0 degree F. and freezer was maintained at 20.1 degree F. Residents' rooms were toured and observed with adequately furnished with bed, dresser, and adequate lighting. LPA observed securely fastened grab bars and non-skid mat in all shower areas. Water temperature tested at 112 Degrees F. Medications were stored in a locked medication room in a medication cart. Medications records were reviewed with med errors observed and recorded. First Aid Kit was stored in medication room and observed with all required items. Adequate PPE supplies was observed. LPA toured laundry room and observed chemicals were unlocked. Continued on LIC 809C Facility courtyard was toured and observed to be free from debris although wall paint repair needed. There was outdoor seating available for the residents. Residents’ and staff files were reviewed with missing required records. Community Care Licensing (CCL) is always striving to have facility files that reflect the most accurate and up to date information for your facility. In an effort to maintain your facility file, please submit the most current and complete forms and or information as identified below: Residential Care Facility for the Elderly (RCFE): LIC 308 Designation of Facility Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan For Residential Care Facilities For The Elderly LIC 9020 Register of Facility Clients/Residents Copy of current Liability Insurance Copy of current Administrator Certificate Alternate contact information including name, telephone number, & email address. Please submit the above forms/information to Fresno CCL by: 12/20/2025 As an operator of a Community Care Licensed facility it is your responsibility to be aware of and in compliance with all regulations, including Chaptered Legislation. Go to www.ccld.ca.gov to stay updated and informed. Exit interview was conducted with the ED. Deficiencies were provided with appeal rights. A copy of this report was signed by Selena Alba, care giver, whose signature on this form confirm receipt of these reports.

Citations

9 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 1569.625(b)(2)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in 3 out of 5 staff members which poses/posed a potential health, safety or personal rdid not have in possession required staff files wich poses potentail health and safety risk to persons in care.

  • 1569.695(c)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in didster plan missed records of facility coducted emergancy disaster and fire drill accordomg to regulation ( with in each quarter which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87309(a)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in assisted living facility section observed launndry room door unlocked with detergent on the countertop, unlocked and not hidden from dementia residents which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87463(a)Type B

    Based on observation and record review, the licensee did not maintain re appraisald for R2 and R5 to comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.

  • 87465(a)(4)Type A

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in R1's medications showed a start date of 11/21/25 with 25 out of 30 pills missing indicating R1 was not administered 1 pill, which poses an immediate health, safety or personal rights risk to persons in care.

  • 87507(c)Type B

    Based on observation and records review, the licensee did not comply with the section cited above in three out of 5 reside t records reviewd missed record required in this regulation which poses a potential health, safety or personal rights risk to persons in care.

  • 87609(b)(4)Type B

    Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in records for R2 missed updated and required records for reside t home health care plan which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87618(b)(3)(B)Type B

    Based on observation, the licensee did not comply with the section cited above in reside t administrered oxygen, missing warning signgs outside door which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87633(b)(6)(A)Type B

    Based on records review, the licensee did not comply with the section cited above in one out of five records reviews missing records pertaining to required hospice care plan, which poses/posed a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 16, 2025 inspection of PACIFIC GROVE SENIOR LIVING?

This was a inspection inspection of PACIFIC GROVE SENIOR LIVING on December 16, 2025. 9 citations were issued: 1 Type A (serious) and 8 Type B.

Were any citations issued to PACIFIC GROVE SENIOR LIVING on December 16, 2025?

Yes, 9 citations were issued (1 Type A, 8 Type B). The first citation was for: "Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above in 3 out ..."

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.