374600345-6-11-2026-08-AS-APAO-DVDTYP-20260625150903

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374600345
Report Date: 06/11/2026
Date Signed: 06/11/2026 11:56:54 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
06/01/2022 and conducted by Evaluator Daisy Panlilio

COMPLAINT CONTROL NUMBER: 08-AS-20220601112303

FACILITY NAME:	ATRIA ENCINITAS SOUTH		FACILITY NUMBER:	374600345
ADMINISTRATOR:	MARIANO HERNANDEZ		FACILITY TYPE:	740
ADDRESS:	504 S EL CAMINO REAL		TELEPHONE:	(760) 436-9990
CITY:	ENCINITAS	STATE: CA	ZIP CODE:	92024
CAPACITY:	0	CENSUS: 0	DATE:	06/11/2026
		UNANNOUNCED	TIME BEGAN:	11:37 AM
MET WITH:	N/A		TIME COMPLETED:	05:15 PM

ALLEGATION(S):

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Insufficent staff to meet residents' needs.
Staff did not provide showering assistance to residents
Staff did not provide incontinence care

INVESTIGATION FINDINGS:

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On 06/02/22 at 10:30AM, Licensing Program Analyst (LPA) M. Garcia-Centeno arrived unannounced to conduct an initial 10- day investigation regarding the above allegations. LPA was allowed entry into the facility by staff (S1). LPA identified herself and discussed the purpose of the visit and the nature of the allegations with Administrator (ADM). During the visit, LPA toured the facility with ADM. In addition, LPA interviewed residents in care and reviewed and obtained copies of facility records.

Continued on next page, LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026

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 3

Control Number 08-AS-20220601112303

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: ATRIA ENCINITAS SOUTH	FACILITY NUMBER: 374600345
	VISIT DATE: 06/11/2026

NARRATIVE

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Allegation: Insufficient staff to meet residents’ needs
Investigation Finding: Unsubstantiated
On 06/02/22, LPA M. Garcia-Centeno conducted interviews with reporting party (RP), staff (ADM) and obtained facility records. On 06/06/26, LPA K. Nguyen attempted to contact Pacifica Senior Living Encinitas and found the number is no longer in service. On 06/06/26, LPA K. Nguyen attempted to contact Pacifica/ Atria Encinitas South Senior Living now operating at the same address with no answers and no messages can be left. LPA conducted a Google search for the address of the complaint facility, and the address matches that of Atria Encinitas Senior Living; therefore, LPA K. Nguyen contacted the facility and found that it had no association with Pacifica Senior Living Encinitas following a change in ownership. Review of facility records confirmed that there was a change of ownership and the license for Pacifica Senior Living Encinitas closed on 01/20/23. Due to lack of obtainable information, the allegation cannot be substantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that there was insufficient staff to meet residents’ needs was found to be unsubstantiated.

Allegation: Staff did not provide shower assistance to residents
Investigation Finding: Unsubstantiated
On 06/02/22, LPA M. Garcia-Centeno conducted interviews with reporting party (RP), staff (ADM) and obtained facility records. Review of the annual inspection conducted by LPA R Serrano at the facility showed that on 03/06/22 LPA toured the facility inside and outside as well as interviewed residents in care. No deficiencies were cited during the annual inspection. On 06/06/26, LPA K Nguyen attempted to contact Pacifica Senior Living Encinitas with the phone number provided with no answers and no messages could be recorded. LPA attempted to contact RP and former staff (ADM) with the numbers provided and found that the phone services were no longer valid. Review of facility records confirmed there was a change of ownership and the facility license for Pacifica Senior Living was closed on 01/20/23. Due to lack of obtainable information, the allegation could not be substantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that staff did not provide shower assistance to residents was found to be unsubstantiated.

Continued on next page, LIC 9099-C pg2

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 08-AS-20220601112303

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: ATRIA ENCINITAS SOUTH	FACILITY NUMBER: 374600345
	VISIT DATE: 06/11/2026

NARRATIVE

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Allegation: Staff did not provide incontinence care
Investigation Finding: Unsubstantiated
On 06/02/22, LPA M. Garcia-Centeno conducted interviews with reporting party (RP), staff (ADM) and obtained facility records. Review of the annual inspection conducted by LPA R Serrano at the facility showed that on 03/06/22 LPA toured the facility inside and outside as well as interviewed residents in care. No deficiencies were cited during the annual inspection. On 06/06/26, LPA K Nguyen attempted to contact Pacifica Senior Living Encinitas with the phone number provided and found that there were no answers and no messages could be left. LPA attempted to contact RP and former staff (ADM) with the numbers provided and found that the phone service were no longer valid. Review of facility records confirmed that there was a change of ownership and that the license for Pacifica Senior Living Encinitas closed on 01/20/23. Due to lack of obtainable information, the allegation could not be substantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation that staff did not provide incontinence care was found to be unsubstantiated.

No deficiency cited during visit. Exit interview conducted and a copy of this report provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Daisy Panlilio
LICENSING EVALUATOR SIGNATURE:	DATE: 06/11/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2026

LIC9099 (FAS) - (06/04)

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