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Inspection visit

Follow-up on corrections

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

Inspector’s narrative

What the inspector wrote

On this day at around 3:00 pm, Licensing Program Analyst (LPA) K. Nguyen conducted a case management visit in connection with an incident reported by the facility. LPA met with Administrator, Jeralyn May and explained the purpose of the visit. LPA interview S1 regrading the incident. 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. 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 other 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 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.