Inspection Report Summary
Most inspections found no deficiencies, including the most recent report on September 17, 2025, which was perfect and dismissed all complaint allegations as unfounded. Earlier complaint investigations were mostly unsubstantiated, with no evidence supporting claims about pest control, resident rights, or facility conditions. However, several deficiencies were cited in 2024 related to resident supervision, timely response to call buttons, food storage practices, floor cleanliness, medication errors, and failure to follow eviction procedures. These issues posed potential health and safety risks but were isolated incidents rather than ongoing problems, and the facility corrected some deficiencies promptly. The overall trend shows improvement, with recent reports free of deficiencies and complaints mostly unsubstantiated.
Deficiencies (last 3 years)
Deficiencies (over 3 years)
2.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
43% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
60% occupied
Based on a September 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 60
Capacity: 100
Deficiencies: 0
Date: Sep 17, 2025
Visit Reason
The inspection visit was conducted to investigate a complaint alleging that the facility did not have a certified administrator, was not in good repair, was not kept free of pests, and did not provide scheduled activities to residents.
Complaint Details
The complaint was investigated and determined to be unfounded, meaning the allegations were false, could not have happened, or were without reasonable basis. The complaint was dismissed.
Findings
The investigation found the allegations to be unfounded based on documentation review and a visual inspection of the facility, with no observed noncompliance.
Report Facts
Capacity: 100
Census: 60
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Martin Vega | Licensing Program Analyst | Conducted the complaint investigation |
| Brenda Chan | Licensing Program Manager | Named in report as Licensing Program Manager |
| Rupinder Singh | Resident Services Director | Met with during inspection and received signed report copy |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 100
Deficiencies: 0
Date: Aug 20, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by complaints alleging that the facility did not safeguard resident’s property resulting in missing money, did not report an incident, and that staff were violating resident's personal rights.
Complaint Details
The complaint investigation was conducted following allegations that the facility did not safeguard resident’s property resulting in missing money, did not report an incident, and staff violated resident's personal rights. The findings were unsubstantiated and unfounded, meaning the allegations were not supported by evidence or were false.
Findings
The investigation found the allegations to be unsubstantiated or unfounded based on interviews, record reviews, and facility tour. There was no preponderance of evidence to prove the alleged violations occurred.
Report Facts
Complaint Control Number: 24
Complaint Control Number Suffix: 20250516180037
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Martin Vega | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings. |
| Rupinder Singh | Resident Services Director | Met with Licensing Program Analyst during the investigation. |
| Brandon Montelongo | Administrator | Facility administrator named in the report. |
Inspection Report
Annual Inspection
Census: 63
Capacity: 100
Deficiencies: 0
Date: Feb 20, 2025
Visit Reason
The inspection was an unannounced required annual inspection conducted by the Licensing Program Analyst to evaluate compliance with regulatory standards.
Findings
The facility was found to be clean, in good repair, and free of hazards. Resident rooms and common areas were adequately furnished and maintained. Medications and chemicals were properly stored, and staff and resident files were up to date. No deficiencies were issued during this inspection.
Report Facts
Fire extinguisher service date: Feb 3, 2025
Hot water temperature: 120
Refrigerator temperature: 40
Freezer temperature: -5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Montelongo | Administrator / Executive Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Martin Vega | Licensing Program Analyst | Conducted the inspection |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 100
Deficiencies: 0
Date: Aug 21, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff was overcharging a resident in care.
Complaint Details
Allegation: Staff is overcharging resident in care. The allegation was investigated and found to be unsubstantiated due to lack of sufficient evidence.
Findings
The investigation included interviews and record reviews. The resident in question was found to be independent and residing in the independent section of the facility. There was no preponderance of evidence to prove the alleged violation, and the allegation was determined to be unsubstantiated. No deficiencies were cited during the visit.
Report Facts
Capacity: 100
Census: 55
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Montelongo | Administrator | Notified of licensing visit and attended the visit |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Date: Aug 9, 2024
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff did not ensure that a resident was properly clothed.
Complaint Details
The complaint alleging that staff did not ensure that a resident was properly clothed was investigated and found to be unfounded, meaning the allegation was false, could not have happened, or was without reasonable basis.
Findings
The investigation found that the resident in question was in the Independent living area, which is not subject to complaint investigations by State Licensing. The complaint was determined to be unfounded, with no deficiencies cited.
Report Facts
Capacity: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Montelongo | Administrator | Met with during the investigation and named in the report |
| Martin Vega | Licensing Program Analyst | Conducted the complaint investigation |
| Sarah Hurt | Licensing Program Analyst | Arrived at the facility to conduct the investigation |
Inspection Report
Complaint Investigation
Census: 100
Capacity: 100
Deficiencies: 0
Date: Aug 9, 2024
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that staff were not keeping the facility free of pests.
Complaint Details
The complaint alleging staff not keeping the facility free of pests was investigated and found unsubstantiated.
Findings
The investigation found that the facility had addressed the pest issue in a timely manner, with treatment completed within one week of notification. The allegation was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 100
Census: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Montelango | Administrator | Met with Licensing Program Analysts during the investigation and named in findings |
| Sarah Hurt | Licensing Program Analyst | Conducted the complaint investigation |
| Martin Vega | Licensing Program Analyst | Assisted in conducting the complaint investigation |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 100
Deficiencies: 0
Date: Jul 16, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility was not meeting residents' dietary needs and that staff were violating residents' personal rights.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to meet residents' dietary needs and violation of residents' personal rights, but evidence was insufficient to confirm these claims.
Findings
The investigation found the allegations to be unsubstantiated after interviews, records review, and observation during the visit. There was not a preponderance of evidence to prove the alleged violations did or did not occur.
Report Facts
Capacity: 100
Census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Montelongo | Administrator | Met with Licensing Program Analyst during the inspection and discussed findings |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation visit |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 100
Deficiencies: 0
Date: Jul 16, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that the facility was not providing a healthful environment for residents in care.
Complaint Details
The complaint alleged that the facility was not providing a healthful environment for residents in care. The allegation was investigated and found to be unsubstantiated.
Findings
Based on observations, interviews, and records review during the visit, the allegation was found to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 100
Census: 56
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Montelongo | Administrator | Met with Licensing Program Analyst during the inspection and discussed findings |
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation visit |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 100
Deficiencies: 1
Date: Jun 10, 2024
Visit Reason
The visit was conducted to address an incident where a resident (R1) went AWOL on 2024-03-03. The facility was unaware of the resident's absence and duration outside, despite the resident's file indicating they were unable to leave unassisted.
Complaint Details
The visit was complaint-related, triggered by an incident where resident R1 went AWOL on 03/03/2024. The facility was unaware of the resident's absence and duration outside. The resident's file indicated inability to leave unassisted.
Findings
A deficiency was cited due to failure to provide adequate supervision, resulting in an unsupervised dementia resident found outside lying on the ground with a pillow, blanket, and remote control, posing a potential health and safety risk.
Deficiencies (1)
Failure to provide supervision resulted in an unsupervised dementia resident found outside lying on the ground with pillow, blanket, and remote control, posing potential health and safety risk.
Report Facts
Capacity: 100
Census: 57
Deficiency count: 1
Plan of Correction Due Date: Jun 14, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Montelongo | Administrator | Met during inspection and named in report |
| Vadim Gorban | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Brenda Chan | Licensing Program Manager / Supervisor | Supervisor and Licensing Program Manager named in report |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 100
Deficiencies: 1
Date: Jun 10, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations that staff did not seek timely medical attention for a resident and failed to respond to resident call buttons in a timely manner.
Complaint Details
The complaint investigation was conducted following a complaint received on 2024-02-26. The allegation that staff did not seek timely medical attention was unsubstantiated. The allegation that staff did not respond to resident call buttons in a timely manner was substantiated.
Findings
The allegation regarding failure to seek timely medical attention was found to be unsubstantiated due to lack of preponderance of evidence. However, the allegation that staff failed to respond to resident call buttons in a timely manner was substantiated, with evidence showing a resident was left lying on the floor bleeding, posing a potential health and safety risk.
Deficiencies (1)
Facility personnel failed to respond to residents call in timely manner resulting resident laying on the floor bleeding, posing a potential health and safety risk.
Report Facts
Capacity: 100
Census: 57
Deficiency Type B: 1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Montelongo | Administrator | Met with Licensing Program Analyst during investigation and discussed findings |
| Vadim Gorban | Licensing Program Analyst | Conducted complaint investigation and delivered findings |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 61
Capacity: 100
Deficiencies: 1
Date: Apr 30, 2024
Visit Reason
The visit occurred to deliver findings related to a complaint investigation opened on 2024-03-06 regarding the facility's failure to submit requested resident files by the due date.
Complaint Details
Complaint investigation was opened on 2024-03-06 due to failure to submit requested resident files. As of 2024-04-30, the facility had not submitted the files.
Findings
The facility failed to provide the requested documents for resident R1 by the due date of 2024-03-20, which poses a potential health and safety risk to residents in care. A deficiency will be cited accordingly.
Deficiencies (1)
Failure to maintain a separate, complete, and current record for each resident as required; specifically, the facility failed to provide requested documents for resident R1 in a timely manner.
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: May 3, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brandon Montelongo | Administrator | Met with Licensing Program Analyst during visit and named in report |
| Vadim Gorban | Licensing Program Analyst | Conducted the inspection and authored the report |
| Brenda Chan | Licensing Program Manager | Supervisor named in report |
Inspection Report
Complaint Investigation
Census: 61
Capacity: 100
Deficiencies: 1
Date: Apr 30, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2024-02-07 alleging inadequate food service and improper food storage at Pacifica Senior Living Fresno.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Vadim Gorban. One allegation regarding inadequate food service was unsubstantiated due to insufficient evidence. Another allegation regarding improper food storage was substantiated. The facility corrected the cited deficiency during the visit. The complaint control number is 24-AS-20240207152206.
Findings
The investigation found one allegation unsubstantiated regarding inadequate food service due to lack of preponderance of evidence. However, the allegation that staff did not store food properly was substantiated because perishable food in the refrigerator was not dated, posing a potential health and safety risk. The facility corrected the deficiency during the visit by discarding undated food and planned staff training.
Deficiencies (1)
The facility failed to follow regulation requiring procedures to protect the safety, acceptability, and nutritive values of food in storage, preparation, and service; specifically, prepared perishable food stored in the refrigerator was not dated.
Report Facts
Capacity: 100
Census: 61
Deficiencies cited: 1
Plan of Correction Due Date: May 3, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Brandon Montelongo | Administrator | Facility administrator met with LPA during the investigation and exit interview |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 100
Deficiencies: 0
Date: Apr 25, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-02-02 regarding improper dish cleaning and unsanitary food serving practices at the facility.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not ensuring dishes were cleaned properly and not serving food in a sanitary manner. Investigations included facility tours, staff and resident interviews, and observations. No violations were proven.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Observations, staff interviews, and records review indicated dishes were cleaned properly by machine and staff followed hand hygiene protocols before serving food. Therefore, all allegations were unsubstantiated.
Report Facts
Capacity: 100
Census: 62
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Rupinder Singh | Resident Services Director | Met with Licensing Program Analyst during inspection and discussed findings |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Capacity: 100
Deficiencies: 0
Date: Mar 29, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 2024-01-09 regarding facility disrepair and concerns that staff did not ensure residents were being fed.
Complaint Details
The complaint involved allegations that the facility was in disrepair and that staff did not ensure residents were fed. The investigation concluded these allegations were unsubstantiated.
Findings
The investigation found that one of three facility elevators was in repair but has since been fixed, and there were no concerns regarding residents not being fed based on records and interviews. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 100
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Brandon Montelongo | Administrator | Met with Licensing Program Analyst during investigation and exit interview |
Inspection Report
Annual Inspection
Census: 62
Capacity: 100
Deficiencies: 0
Date: Feb 26, 2024
Visit Reason
The inspection was an unannounced required annual inspection conducted to evaluate compliance with licensing regulations at the facility.
Findings
The facility was found to be clean, in good repair, and free of fire hazards. Food storage and temperatures were adequate, resident rooms were properly furnished and equipped, medications were securely stored, and staff and resident files were reviewed and found compliant. No deficiencies were issued during this inspection.
Report Facts
Food delivery frequency: 2
Hot water temperature: 107
Refrigerator temperature: 40
Freezer temperature: -5
Fire extinguisher service date: Mar 24, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jeralyn Mai | Administrator | Met with Licensing Program Analyst during inspection and participated in facility tour. |
| Vadim Gorban | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Brenda Chan | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 74
Capacity: 100
Deficiencies: 1
Date: Feb 16, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility was not properly treating for cockroaches and that facility floor surfaces were not maintained in an odorless and clean condition.
Complaint Details
The complaint investigation was unannounced and based on allegations received on 11/17/2023. The initial allegations about cockroach treatment and odor were unsubstantiated. The allegation regarding floor cleanliness was substantiated. The report includes a deficiency citation with a plan of correction due by 02/20/2024.
Findings
The investigation found the cockroach treatment and odor condition allegations unsubstantiated due to lack of preponderance of evidence. However, the allegation that facility floors were not maintained in a clean condition was substantiated based on observations and records showing no scheduled floor maintenance and presence of dirt on carpet floors, posing potential health and safety risks.
Deficiencies (1)
Facility floors were not maintained in a clean condition; no scheduled floor maintenance and carpet floors with spots of dirt throughout the facility posing potential health and safety risks.
Report Facts
Capacity: 100
Census: 74
Deficiency count: 1
Plan of Correction Due Date: Feb 20, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Jeralyn Mai | Administrator | Met with Licensing Program Analyst during investigation and findings delivery |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 100
Deficiencies: 2
Date: Dec 20, 2023
Visit Reason
The inspection was an unannounced case management visit conducted due to incidents involving a medication error and an eviction procedure complaint.
Complaint Details
The visit was complaint-related due to a medication error incident reported on 12/15/23 and a complaint regarding eviction procedures where the facility failed to notify the regional office and follow Title 22 eviction rules. The medication error was substantiated as a double dose was given. The eviction complaint was substantiated as the facility did not follow required procedures.
Findings
The inspection found that a resident received a double dose of medication, posing an immediate health and safety risk, and that the facility failed to notify the regional office of an eviction and did not follow required eviction procedures.
Deficiencies (2)
Resident received a double dose of medication: 1.0mg instead of 0.5mg of Clonazepam prescribed.
Facility did not notify Regional Office of eviction notice and did not follow Title 22 eviction procedures.
Report Facts
Medication dose: 1
Medication dose: 0.5
Deficiency count: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vadim Gorban | Licensing Program Analyst | Conducted the inspection and authored the report |
| Brenda Chan | Licensing Program Manager | Supervisor and Licensing Program Manager named in the report |
| Jeralyn Mai | Administrator | Facility Administrator met during inspection |
Inspection Report
Original Licensing
Census: 78
Capacity: 100
Deficiencies: 0
Date: Feb 7, 2023
Visit Reason
Unannounced pre-licensing inspection visit to evaluate the facility for licensing approval.
Findings
The facility met all pre-licensing requirements with no deficiencies found. Staff and residents were educated on safety, and a notice will be posted regarding detergent safety.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eddie Rangel | Administrator | Met with Licensing Program Analyst during inspection and completed Component III Orientation. |
Inspection Report
Original Licensing
Census: 78
Capacity: 100
Deficiencies: 0
Date: Feb 2, 2023
Visit Reason
An unannounced pre-licensing visit was conducted for a change of ownership at the assisted living facility.
Findings
The facility was observed to be clean, well-maintained, and safe with no fire hazards or obstructions. Medications and chemicals were securely stored, and safety equipment such as fire extinguishers and detectors were operational. However, the licensing was not completed due to a potential threat related to unsecured chemicals in the public laundry room.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eddie Rangel | Administrator | Met with Licensing Program Analysts during the pre-licensing visit and discussed the purpose of the visit. |
Inspection Report
Original Licensing
Census: 71
Capacity: 100
Deficiencies: 0
Date: Jan 9, 2023
Visit Reason
The visit was conducted as part of a change of ownership application and pre-licensing readiness evaluation for the facility.
Findings
The applicant/administrator participated in a telephone interview confirming understanding of California Code Title 22 regulations, including facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and reporting.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Eddie Rangel | Administrator | Applicant/administrator who participated in the COMP II interview and confirmed understanding of regulations. |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Bethany Hunter | Licensing Program Analyst | Named as Licensing Program Analyst who confirmed applicant/administrator's understanding. |
Report
January 28, 2026
Report
January 28, 2026
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