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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604544
Report Date: 02/20/2025
Date Signed: 02/27/2025 11:38:23 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
11/27/2024 and conducted by Evaluator Alyssa Ramirez
COMPLAINT CONTROL NUMBER: 08-AS-20241127142322
FACILITY NAME:PACIFICA SENIOR LIVING BONITAFACILITY NUMBER:
374604544
ADMINISTRATOR:REBECCA TOVESFACILITY TYPE:
740
ADDRESS:3434 BONITA ROADTELEPHONE:
(619) 476-9444
CITY:CHULA VISTASTATE: CAZIP CODE:
91910
CAPACITY:145CENSUS: 130DATE:
02/20/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Dining Services Director Abraham BotelloTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Licensee did not allow resident to have visitors
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alyssa Ramirez conducted an unannounced complaint visit to deliver findings on the above allegations. LPA met with Dining Services Director Abraham Botello and discussed the purpose of the visit and elements of the complaint.

Community Care Licensing (CCL) has investigated the above allegations. The investigation consisted of records review, interviews with facility staff, clients and outside agency.

It was reported to CCL that licensee did not allow resident to have visitors.

Regarding the allegation, it was reported that a former staff was told they could not visit a resident (R1) at the facility. Interviews with facility staff revealed that no one was denied access to visiting residents at the facility and clarified that former staff can visit as long as they are abiding by facility visitor policy.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Alyssa Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 08-AS-20241127142322
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 LIVING BONITA
FACILITY NUMBER: 374604544
VISIT DATE: 02/20/2025
NARRATIVE
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Reporting Party (RP) reported that they became notified that they were not allowed to visit the facility when the resident (R1) called them to inform them that facility management told them that RP was not allowed to visit the facility. RP said that the following day they were contacted by facility management to discuss concerns. RP said the facility accused them of visiting outside of visiting hours, going in staff only areas and not signing in and out of the visitors log. It was agreed that RP was allowed to visit the facility as long as visitor policy was followed. RP denied ever being denied access at the facility and denied ever being turned away at the facility. Interview with outside source/R1’s responsible party (OS2), revealed that they were aware of the situation and stated that the issue had been resolved. OS2 stated that it was unclear if the RP had been denied access to the facility or facility was just suspicious of RP’s motive. Interview with R1 revealed that facility management said that RP was not allowed to visit the facility, although it was unclear if RP would be denied access to the facility or it was asked that RP only visit when abiding by visitor rules. R1 reported that RP has been to visit since this and stated that there have been no other issues with visitors.

Based upon the foregoing, the above listed allegations are unsubstantiated. This finding means that the preponderance of the evidence standard has not been met and the allegations are not valid. No deficiencies were cited today.



An exit interview was conducted with Botello. A copy of this report along with licensee rights (LIC 9058, 3/22) was provided to Botello whose signature below verifies receipt of these rights.

SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Alyssa Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2