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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, 1/09/25, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct a case management visit resulting from a complaint (Complaint Control # 15-AS-20230209091605) investigated by the Department. LPA met with Executive Director (ED) Marie Lagasca-Cruz, and informed the purpose of visit. During investigation, the Resident Services Director (RSD) stated she advised R1’s sister via telephone on 1/14/23 that R1 was not well and was going to send her to the hospital. Between 1/14/23 through 1/21/23, R1 was weak, refused to eat on some days, and barely able to stand up. Other days, R1 was responsive and requested foods but ate very little. During RSD’s interview, RSD stated R1’s sister declined to have R1 sent to the hospital, but RSD did not agree. Previous Assistant Executive Director stated staff are to report concerns to the resident's doctor when families decline. There was no communication with R1’s doctor for the date of 1/14/2023, and R1 was not sent to the hospital until 1/21/2023 – a week later. Deficiency is cited per Title 22 California Code of Regulations, and listed on LIC809D. Failure to submit proof of correction by plan of correction due date, and any repeat violation within 12 month period may result in civil penalty. Deficiency and plan and proof of correction were discussed with the ED. Exit interview conducted. Appeal Rights, LIC9098 Proof of Correction form and copy of this report 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.

  • 87465(a)(2)Type A

    87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each facility......... (2) The licensee shall provide assistance in meeting necessary medical and dental needs……...-This requirement is not met as evidenced by: -Based on records review and interviews, the licensee did not comply with the section in not seeking immediate medical assistance for resident (R1) which posed an immediate risk to the health risk to person in care.

FAQ · About this visit

Common questions about this visit

What happened during the January 9, 2025 inspection of PACIFICA SENIOR LIVING UNION CITY?

This was a other inspection of PACIFICA SENIOR LIVING UNION CITY on January 9, 2025. 1 citation were issued: 1 Type A (serious).

Were any citations issued to PACIFICA SENIOR LIVING UNION CITY on January 9, 2025?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87465 Incidental Medical and Dental Care(a) A plan for incidental medical and dental care shall be developed by each fa..."

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.