374604542-8-20-2026-08-AS-APAO-DXC2JT-20260826172653

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604542
Report Date: 08/20/2026
Date Signed: 08/20/2026 09:12:59 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/15/2024 and conducted by Evaluator Renita Hall

COMPLAINT CONTROL NUMBER: 08-AS-20240315143917

FACILITY NAME:	PACIFICA SENIOR RANCHO PENASQUITOS		FACILITY NUMBER:	374604542
ADMINISTRATOR:	MCDONALD, JILL		FACILITY TYPE:	740
ADDRESS:	12979 RANCHO PENASQUITOS BLVD		TELEPHONE:	(858) 215-5820
CITY:	SAN DIEGO	STATE: CA	ZIP CODE:	92129
CAPACITY:	120	CENSUS: 80	DATE:	08/20/2026
		UNANNOUNCED	TIME BEGAN:	08:43 AM
MET WITH:	Christina Coronado, Memory Care Director		TIME COMPLETED:	09:30 AM

ALLEGATION(S):

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Staff shook a resident in care.
Staff yelled at a resident in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Renita Hall, conducted an unannounced phone call to deliver findings regarding the above-mentioned allegations LPA spoke with the Memory Care Director. LPA identified herself and disclosed the purpose of the visit and elements of the findings with the Memory Care Director.

On March 15, 2024, the Department received a complaint of allegations made against staff members at formerly known as Pacifica Senior Rancho Penasquitos regarding two specific incidents: Staff shaking a resident in care and Staff yelling at a resident in care.

On March 21, 2024, LPA conducted a facility tour and collected resident and personnel records. The Department conducted an investigation into the above allegations. The staff member in question was not identified and, therefore, could not be interviewed.

Continued on 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20240315143917

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: PACIFICA SENIOR RANCHO PENASQUITOS	FACILITY NUMBER: 374604542
	VISIT DATE: 08/20/2026

NARRATIVE

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Staff interviewed stated that they had not heard of the allegations. During interviews, staff reported that Resident 1 (R1) was considered one of the more difficult residents due to behaviors. Records reviewed indicate that R1 resided at the facility from December 4, 2023, through February 29, 2024. Documentation reflects primary diagnoses including Parkinson’s disease and dementia with behavioral disturbances, as well as chronic anxiety. R1 was not available for interview due to no longer residing at the facility at the time the complaint was received.

LPA attempted to interview additional residents in the memory care unit; however, residents encountered did not engage or respond to attempts at communication, and interviews could not be conducted.
A facility tour was conducted, and no health or safety hazards were observed at the time of the visit.

Based on interviews conducted, records reviewed, and observations made, there is insufficient evidence to support the allegations. Therefore, the allegations are deemed unsubstantiated. A finding that is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

An exit interview was conducted with Memory Care Director. A copy of this report and Licensee's Rights (LIC 9058 03/22) were provided to the Memory Care Director via electronic signature on this report confirms receipt of the Licensee Rights.

SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Renita Hall
LICENSING EVALUATOR SIGNATURE:	DATE: 08/20/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/20/2026

LIC9099 (FAS) - (06/04)

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