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Inspection visit

Health check

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

Inspector’s narrative

What the inspector wrote

On this day, February 13, 2023, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct a health and safety inspection as a result of the Department receiving a priority 1 complaint (Complaint # 15-AS-20230209091605). LPA met with Business Office Manager Robert 'Rob' Roby, and informed the reason for visit. LPA also met with Resident Services Director Shanina Mason LPA toured the facility including but not limited to common areas, dining rooms, kitchen, medication rooms, activity rooms/areas, and shared bathrooms and common bathrooms on the first and second floors. LPA observed the medication rooms open and attended by med-techs. LPA observed the storage in Memory Care Unit and the salon in Assisted Living Unit locked. LPA randomly selected for inspection a total of 5 resident rooms on the first and second floors. LPA tested the water temperature in 2 of the bathrooms on the first floor. LPA observed the following: 1. Hot water temperature at 80 degrees Fahrenheit. 2. Unlocked Tylenol and Clobetasol cream in resident's (R1) room. Review of LIC602A Physician's Report showed R1 can not store and administer own prescription, non-prescription and PRN medications. Deficiencies are cited from Title 22 California Code of Regulations and listed on 809D. Failure to submit proof of corrections by plan of correction due dates, and any repeat violation within 12 month period may result in civil penalties. Deficiencies and plan and proof of corrections were discussed. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report 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(e)(2)Type A

    87303 Maintenance and Operation(e)(2) Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). -This requirement is not met as evidenced by:-Based on observation, the licensee did not comply with the section above for water temperature tested and measured at 80 degrees Fahrenheit which poses ummediate safety & personal right risks to persons in care.

  • 87465(h)(1)(B)Type A

    87465 Incidental Medical and Dental Care (h):(1) Medications shall be centrally stored ....:(B)Any medication is determined by the physician to be hazardous if kept in the personal possession of the person for whom it was prescribed -This requirement is not met as evidenced by:-Based on inspection, the licensee did not comply with the section above for R1's medications unlocked which pose immediate health risk to person in care.

FAQ · About this visit

Common questions about this visit

What happened during the February 13, 2023 inspection of PACIFICA SENIOR LIVING UNION CITY?

This was a other inspection of PACIFICA SENIOR LIVING UNION CITY on February 13, 2023. 2 citations were issued: 2 Type A (serious).

Were any citations issued to PACIFICA SENIOR LIVING UNION CITY on February 13, 2023?

Yes, 2 citations were issued (2 Type A, 0 Type B). The first citation was for: "87303 Maintenance and Operation(e)(2) Hot water temperature controls shall be maintained to automatically regulate the ..."

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.