Senior Care Records.

Facility Evaluation Report

Pacifica Senior Living Union City, Union City07/25/2024Licence 019200509

Capacity110
Census58
Date signed07/25/2024 03:41:43 PM
The inspector’s account

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.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction