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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 10/21/24 at approximately 2:15 pm, Licensing Program Analyst (LPAs) K. Nguyen and L. Alexander conducted a case management visit pertaining to a letter received by the Oakland CCL ASC Regional Office from the facility. LPAs met with Executive Director(ED), Marie Lagasca and explained the purpose of the visit. On July 11, 2024, the Oakland CCL ASC Regional Office received from the facility a letter of intent to delicense the third floor of the physical plant and convert those units for Independent Individuals who are 55 years of age and older. The letter did not specifically request approval from CCL and had insufficient detail pertaining to how the co-mingling of Independent aged 55+ renters, and licensed RCFE Assisted Living residents, would be managed to ensure the Health & Safety of the Assisted Living residents. LPAs interviewed the ED, stated that the facility has not and are not accepting any independent living resident at this time. The ED informed the LPAs that the facility is advertising for 55+ independent persons but nit accepting any for residency, per need for approval from CCL. On 10/16/24 LPM Jeremy Fong and on 10/21/24 LPA Kelly Nguyen and ED confirmed that the facility’s website is advertising for independent renters aged 55 and older, which constitutes a change to the Plan of Operation without having obtained approval from Community Care Licensing. The deficiency was 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

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.

  • 87208Type B

    “…Any significant changes in the plan of operation…shall be submitted to the licensing agency for approval."This requirement is not met as evidenced by: Based on observations, interviews and record review, the licensee did not comply with the section cited above in by changing the plan of operation without CCLD approval which poses a potential health, safety or personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the October 21, 2024 inspection of PACIFICA SENIOR LIVING UNION CITY?

This was a other inspection of PACIFICA SENIOR LIVING UNION CITY on October 21, 2024. 1 citation were issued: 1 Type B.

Were any citations issued to PACIFICA SENIOR LIVING UNION CITY on October 21, 2024?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "“…Any significant changes in the plan of operation…shall be submitted to the licensing agency for approval."This require..."

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.