Senior Care Records.

Complaint Investigation Report

Pacifica Senior Living Union City, Union City07/20/2023Licence 019200509

Census62
Date signed07/20/2023 12:43:33 PM
The inspector’s account

having a conversation regarding R1's eyeglasses and receiving an invoice for $14. ED also stated that R1 was sent a closing invoice that refunded him $2872.58, but it doesn't itemize the refunded charges. Record review of admission agreement on page 7 section IV states facility is not responsible for furnishing or paying for eyeglasses, and page 17 section F stated facility is not responsible for the loss of any personal property unless loss or damage was caused by negligence of employees. Based on interviews it was not indicated that staff was responsible of losing the eyeglasses. The eyeglasses were found but they were broken.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Exit interview conducted and a copy of this report provided.

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