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Inspection visit

Incident investigation

PACIFICA SENIOR LIVING UNION CITYLicense 0192005092 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

On 8/16/2021 at 1:01PM, Licensing Program Analysts (LPAs) G. Luk and G. Clark arrived unannounced to conduct a case management inspection in regards to incident report received on 8/9/2021. LPAs met with Executive Director, Rammy Kaur. Incident report dated 8/9/2021 revealed that R1 AWOL and facility notified law enforcement and R1's responsible party. R1 was found by police and was taken to Kaiser Hospital. Interview with S1 revealed that R1 left the facility during the evening time when staff was exiting the building. S1 stated R1 was found by the police and taken to Kaiser Hospital. Family member took R1 back home and returned to the facility on Friday. During record review, LPAs observed that physician's report dated 4/1/2021 stated that R1 cannot leave the facility unassisted. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulation, Title 22. Failure to correct the deficiencies may result in civil penalty. Exit interview conducted. A copy of this report and appeal rights provided.

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87303(a)Type A

    Maintenance and Operation.The facility shall be clean, safe, sanitary and in good repair at all times....This requirement is not met as evidence by: Based on observation, licensee did not comply with the section cited above by having a low audible delayed egress doors in Memory Care Unit which poses an immediate health and safety risk to the residents in care.

  • 87705(k)(6)Type A

    Care of Persons with Dementia. Without violating Section 87468, Personal Rights, facility staff shall ensure the continued safety of residents if they wander away from the facility. This requirement is not met as evidence by:Based on record review, licensee did not comply with the section cited above due to resident AWOL which poses a potential health and safety risk to the residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the August 16, 2021 inspection of PACIFICA SENIOR LIVING UNION CITY?

This was a other inspection of PACIFICA SENIOR LIVING UNION CITY on August 16, 2021. 2 citations were issued: 2 Type A (serious).

Were any citations issued to PACIFICA SENIOR LIVING UNION CITY on August 16, 2021?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "Maintenance and Operation.The facility shall be clean, safe, sanitary and in good repair at all times....This requiremen..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.