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Inspection visit

Routine inspection

PACIFIC SUN SENIOR CARELicense 3060056472 citations on this visit
2 citations recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analysts (LPAs) Jessica Cho and Ebony Bentley arrived unannounced for the purpose of conducting the Required 1 Year Inspection. LPAs observed trash and debris in a trailer parked in the driveway. LPAs observed a sign indicating facility closure due to a water leak. LPA Cho contacted Administrator (Admin) Muqeet Dadabhoy by telephone at 12:37pm and stated the purpose of the visit. Admin stated that the water leak occurred from the kitchen approximately April 2024. There were two residents residing at the time of the leak. Two residents had agreed to relocate and was placed at another facility operated by the administrator. Admin stated that he is not accepting any residents until the renovation is complete. Admin acknowledged that the Department was not notified of the leak and the alterations made inside the facility. Approximately 12:56pm, Caregiver Christopher Martinez arrived to the facility on behalf of Admin to assist LPAs with the annual inspection. LPAs conducted a tour of the facility and observed there were no residents/staff on site. LPAs observed part of the floors replaced, installation of a small bathroom which used to be a closet, renovated one large bathroom as well as expanding a bathroom and eliminating a closet in Room #6, and renovating the backyard landscape. Facility is not accepting residents at this time. The annual licensing fee remains current with a balance of $0. Admin was advised on the following: to submit a written report of any major occurrences which threatens the health, safety, and welfare of residents within 24 hours, to notify the Department when renovations or alterations being made to the facility and upon completion and prior to admitting a new resident. Based on the observations made during today's visit, deficiencies are being cited on the attached LIC9099Ds. Administrator Dadabhoy verbally authorized Caregiver Martinez to sign the report on his behalf. An exit interview was conducted with Caregiver Christopher Martinez, and a copy of this report, along with the LIC9099s, and the appeal rights were provided at exit.

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.

  • 87202(a)Type A

    Maintain fire clearance before retaining specified persons

    87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. This requirement is not met as evidenced by: Based on observation and interviews, the licensee did not comply with the section cited above in which the facility did not maintain an approved fire clearance for the installation of a new bathroom as well as the expansion of the resident's bathroom eliminating the closet which poses an immediate health, safety, or personal rights risk to persons in care.

    Read full inspector narrative
  • Report serious outbreaks and major accidents

    87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports as the Department...: (2) Occurrences, such as..., catastrophes or major accidents which threaten the welfare, safety or health of residents, personnel or visitors, shall be reported within 24 hours...to the licensing agency and to the local health officer when appropriate. This requirement was not met as evidenced by: Based on observations and interviews, the Department was not notified of the water leak and renovation 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 31, 2024 inspection of PACIFIC SUN SENIOR CARE?

This was an inspection of PACIFIC SUN SENIOR CARE on October 31, 2024. 2 citations were issued: 1 Type A (serious) and 1 Type B.

Were any citations issued to PACIFIC SUN SENIOR CARE on October 31, 2024?

Yes, 2 citations were issued (1 Type A, 1 Type B). The first citation was for: "87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and count..."

What type of inspection was this?

This was an inspection. Inspections are conducted by CCLD as part of their licensing oversight.

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