Senior Care Records.

Complaint Investigation Report

Pacifica Senior Living South Coast, Costa Mesa05/15/2026Licence 306005272

Census71
Date signed05/15/2026 03:47:25 PM
The inspector’s account

Interview with Administrator (AD) Yaylene Mazariegos stated upon R1’s readmission from the skilled nursing facility (SNF), R1’s PCP was present at the facility and administered a new exam for R1. AD added R1 arrived at the facility with a physician’s report provided by the SNF. LPA reviewed R1’s file and confirmed there was an updated physician's report signed by the PCP on March 6, 2026 with an examination date of February 27, 2026. The physician’s report did not indicate a diagnosis of dementia. LPA reviewed a prior physician's report dated also on February 27, 2026 with a diagnosis of dementia for R1. However, the physician’s report was not signed by a licensed medical professional and therefore not valid.

Based on interviews and record review, LPA is unable to corroborate the allegation. Therefore, the allegation is deemed to be UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted and a copy of the report was left with the facility representative.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction