Skip to main content

Inspection visit

Routine inspection

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

Inspector’s narrative

What the inspector wrote

On 01/27/2024 at 1:30PM, Licensing Program Analyst (LPA) Carol Fowler conducted an unannounced annual 1-year required inspection. LPA met with Robert Roby Administrator, The administrator currently holds a certificate (# 6066101740 ) that expires on 5/10/2025. The facility’s fire clearance was approved for one hundred (100) ambulatory/non-ambulatory clients. LPAs toured the facility including but not limited to apartments, bathrooms, kitchen, common area, and back yard. The facility consists of 74 total apartments. All indoor passageways are kept free of obstruction. There are no bodies of water. A comfortable temperature for clients is maintained at 70 degrees Fahrenheit. LPA observed lighting in rooms are adequate for the comfort and safety of the clients. Hot water temperature in the shared bathrooms was measured at 119.2 degrees Fahrenheit. All toilets, hand washing, and bathing are safe, sanitary and in operating condition. Hand washing poster, paper towel, and soap observed at all hand washing stations. The supply of extra hygiene was available for residents. There is a minimum of 7-days of non-perishables and 2-days of perishables foods. Smoke detectors/carbon monoxide were in operating condition during visit. Sprinkler system was last serviced on 11/1/2023. Fire extinguisher was last services on 12/6/2023. Fire drill last conducted 01/01/2024. First aid kit was observed to be complete. Continued on LIC809C. Continued from LIC809. LPA observed the following deficiencies: · At 1:37pm, LPA observed Lysol and grease express located in a unlocked cabinet in the unlocked laundry room. · At 3:20pm, LPA observed staff files not assessable. Eight (8) of Sixty-Six (66) resident records were reviewed and all were found to be complete. The following forms to be updated and submitted to CCLD by 02/2/2024: Resident Roster · LIC 308 Designation of Administrative Responsibility · LIC 309 Administrative Organization · LIC 500 Personnel Report · LIC 610E Emergency Disaster Plan (9 pages) · Liability Insurance The deficiencies were observed (see LIC809D) and cited from the California Code of Regulation, Failure to submit proof of corrections (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties. 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.

  • 87309(a)Type A

    Based on observation, the licensee did not comply with the section cited above by having unlocked disinfectants and cleaning solutions accessible which poses an immediate health and safety or personal rights risk to persons in care.

  • 87412(a)Type B

    Based on record review, the licensee did not comply with the section cited above by not having files for the staff avaliable for review which poses a potential health and safety risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 27, 2024 inspection of PACIFICA SENIOR LIVING UNION CITY?

This was a inspection inspection of PACIFICA SENIOR LIVING UNION CITY on January 27, 2024. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to PACIFICA SENIOR LIVING UNION CITY on January 27, 2024?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "Based on observation, the licensee did not comply with the section cited above by having unlocked disinfectants and clea..."

What type of inspection was this?

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

SourceView on CCLDView original report

Share this reportEmail

Next steps

If this is your facility,claim this pageand correct anything the record gets wrong. Free.

Researching this visit professionally?Book a 15-minute calland we will walk through what we have on file.

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