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Inspection visit

complaint

PACIFICA SENIOR LIVING UNION CITYLicense 0192005091 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On this day at approximately 2pm , Licensing Program Analyst (LPA) Luisa Fontanilla arrived unannounced to deliver findings on the above allegation and met with Robert Roby and explained the purpose of the visit. During the course of investigation, LPA obtained records and interviewed staff on 3/22/2023. On April 4, 2023, LPA interviewed Home Health Nurse who provided wound treatment to Resident 1 (R1). Based on records review and interviews conducted, R1 developed Stage 2 pressure injuries on left posterior thigh and Stage 1 pressure injury on coccyx. A home health agency was contacted to provide wound treatment to R1. Based on information obtained, the preponderance of evidence standard has been met, therefore the above allegation is found to be substantiated. California Code of Regulations Title 22 is being cited on the attached Lic 9099D.

Citations

1 citation 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.

  • 1569.269(a)(6)Type A

    §1569.269 Enumerated rights:(a) Residents of residential care facilities for the elderly shall have all of the following rights:(6) To care, supervision, and services that meet their individual needs and are delivered...This requirement is not met as evidenced by: Based on records review and interviews conducted, the licensee did not comply with the section above when R1 developed Stage 2 pressure injuries on left posterior thigh and Stage 1 pressure injury on coccyx which posed an immediate health

FAQ · About this visit

Common questions about this visit

What happened during the May 4, 2023 inspection of PACIFICA SENIOR LIVING UNION CITY?

This was a complaint inspection of PACIFICA SENIOR LIVING UNION CITY on May 4, 2023. 1 citation were issued: 1 Type A (serious).

Were any citations issued to PACIFICA SENIOR LIVING UNION CITY on May 4, 2023?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "§1569.269 Enumerated rights:(a) Residents of residential care facilities for the elderly shall have all of the following..."

What type of inspection was this?

This was a complaint inspection. Complaint inspections are triggered when someone reports a concern about the facility to CCLD.

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.