Complaint Investigation Report

157204131-1-14-2025-24-AS-SMOA-DCZRAH-20250117115107

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

This is an official report of an unannounced visit/investigation of a complaint received in our office on

09/11/2024 and conducted by Evaluator Mai Yang

COMPLAINT CONTROL NUMBER: 24-AS-20240911151955

PACIFICA SENIOR LIVING BAKERSFIELD MEMORY CARE

Facility did not seek medical attention for a resident in care

On 01/14/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to delivered complaint findings on the above allegation. LPA introduced self, stated the purpose of the visit and met with Administrator Douglas Rice.

The department conducted investigation. Based on the records reviewed and interviews conducted, on 04/20/2024, at approximately 1140 hours, R1 sustained a fall and S1 found her on the floor next to her bed. Facility staff failed to abide by the discharge instructions. Staff also failed to contact emergency medical services until approximately 1956 hours, upon R1’s daughter’s request. Therefore, the preponderance of evidence standard has been met, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6, are being cited on the attached LIC 9099D. An exit interview was conducted. A copy of this report and appeal rights was provided to the Administrator, whose signature on this form confirms receipt of this report.