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Inspection visit

Routine inspection

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

Inspector’s narrative

What the inspector wrote

On 07/25/2024 at 9:00APM, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced annual 1-year required inspection. LPA met with Administrator Jeralyn May. The facility’s fire clearance was approved for one hundred (100) ambulatory/non-ambulatory residents. LPA 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 residents is maintained at 71 degrees Fahrenheit. LPA observed lighting in rooms are adequate for the comfort and safety of the residents. Hot water temperature in the shared bathrooms was measured at 110.6 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. At 1:30pm LPA reviewed 5 out 5 staff do not have First Aid nor CPR on files. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted. A copy of this report and appeal rights provided.

Citations

3 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.

  • 87705(j)Type B

    87705 Care of Persons with Dementia(j) The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. -This requirement is not met as evidenced by:S1 stated that the gate that was supposed to be lock was not lock that led to an elopement. During the time resident was led outside by Activity assistance for an activity. The staff didn’t notice that the resident had went outside the gate.

  • 1569.618(c)(3)Type B

    Based on interview and record review, the licensee did not comply with the section cited above by 5 out of 5 staff did not have first aid or CRP on files, which poses/posed a potential health, safety or personal rights risk to persons in care.

  • 87468.1(a)(6)Type A

    87468.1 Personal Rights of Residents in All Facilities(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights:(6) To leave or depart the facility at any time and to not be locked into any room, building, or on facility premises by day or night. This does not prohibit a licensee from establishing house rules, such as locking doors at night to protect residents, or barring windows against intruders, with permission from the Department.-This requirement is not met as evidenced by: -Based on observation, the licensee did not comply with the section above for locking residents inside their room in memory care unit.

FAQ · About this visit

Common questions about this visit

What happened during the July 25, 2024 inspection of PACIFICA SENIOR LIVING UNION CITY?

This was a inspection inspection of PACIFICA SENIOR LIVING UNION CITY on July 25, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to PACIFICA SENIOR LIVING UNION CITY on July 25, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "87705 Care of Persons with Dementia(j) The licensee shall have an auditory device or other staff alert feature to monito..."

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

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