Brookdale Corona.

For the allegation, Licensee is retaining a resident with a higher level of care need. LPA observed facility file for Resident #1 (R1) which indicated no higher level of care was needed. Additionally, 6 out of the 6 staff stated no higher level of care for R1 was needed. Based on the evidence gathered during today’s investigation, the allegation listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted and this report (LIC9099) along with other reports were discussed and provided to Executive Director Brittany Martinez.

Review of R1’s medical assessment dated October 7, 2025, revealed that R1 had a diagnosis of dementia, was confused but able to communicate. Interviews with residents and staff did not reveal that R1 was not provided privacy for visiting. Interviews with staff confirmed that there are rooms that can be reserved for visits in response to a request for a higher level of privacy. Based on interviews and record review, the investigation did not yield a preponderance of evidence to conclude that staff did not provide resident privacy for visiting. Based on the foregoing, the allegation is unsubstantiated. This finding means that although the allegation may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Health and Wellness Direct Erin Mckinney, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

Licensing Program Analyst (LPA) Paola Guerrero made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Facility Executive Director Btittney Martinez and was granted entry to the facility. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (60) current census (48). LPA was accompanied by Facility Executive Director, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident’s bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility.The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. Medications are kept inside Med-room inaccessible to residents in care. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Record Review: LPA reviewed four (4) resident files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Facility Executive Director Btittney Martinez.

Interview with three (3) of three (3) residents indicated that staffs at the facility are ensuring that they are kept clean and dry at all times. Six (6) of six (6) staffs interviewed stated that they are checking on their residents at least every two (2) hours to make sure that they are kept clean and dry and every hour for other residents. Six (6) of six (6) staffs interviewed revealed that there's no incident at the facility that a staff did not ensure R1 was kept clean and dry at all times. During the facility visit on 12/05/2024 and 03/04/2025, LPA Brown observed staffs at the facility checking on their incontinent residents to ensure that they are kept clean and dry. Second allegation: Staff do not ensure resident receives colostomy care in a timely manner. The investigation was conducted by LPA Melody Brown which consisted of file review, observation and interviews with relevant parties. During the investigation, LPA Brown was not able to obtain sufficient evidence to support that staffs are not ensuring that resident received colostomy care in a timely manner. LPA Brown interviewed R1 and R1 indicated that staffs at the facility are ensuring that R1 receives colostomy care in a timely manner. In addition, R1 showed LPA Brown R1's colostomy supplies in R1's dresser top drawer during the facility visit on 12/05/2024. Interview with Six (6) of six (6) staffs indicated that they are ensuring that R1 receives colostomy care in a timely manner. During the facility visit on 12/05/2024, Staff # 1 (S1) and Staff #2 (S2) provided receipt of colostomy supplies that the facility purchased for R1 when R1's Home Health did not send the colostomy supplies for R1 to ensure R1 receives colostomy care timely. Third allegation: Staff do not ensure residents room is free of malodors. The investigation was conducted by LPA Melody Brown which consisted of observation and interviews with relevant parties. The third allegation indicates that Staff do not ensure residents room is free of malodors. During the investigation, LPA Brown was not able to obtain sufficient evidence to corroborate the allegation. LPA Brown interviewed R1 and R1 indicated that staffs at the facility are cleaning R1's room two (2) to three (3) times in a day. In addition, R1 reported that staffs at the facility are keeping R1's room clean and free of malodors. Interview with three (3) of three (3) residents indicated that staffs at the facility are ensuring that their room is free of malodors. Interview with seven (7) of seven (7) staffs stated that they are making sure that all their residents room are kept clean and free of malodors. Seven (7) of seven (7) staff interviewed indicated that there's no incident at the facility that they did not keep R1's room clean and free of malodors. During the facility visit on 12/05/2024 and 03/04/2025, LPA Brown observed R1's room clean and free of malodors. ***Continuation in LIC9099C*** 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Fourth Allegation: Staff do not prevent other residents hitting resident in care. The investigation was conducted by LPA Melody Brown which consisted of observation and interviews with relevant parties. During the investigation, LPA Brown was not able to obtain sufficient evidence to support that staffs do not prevent other residents hitting resident in care. LPA Brown interviewed R1 and R1 indicated that staffs at the facility are preventing other residents from hitting R1. Interview with three (3) of three (3) residents indicated that staffs at the facility are always supervising them to ensure that no resident will hit another resident. Six (6) of six (6) staffs interviewed stated that they are checking on their residents every two (2) hours, or every one (1) hour if needed to provide the needed care and supervision of their residents. Seven (7) of seven (7) staffs interviewed reported that there's no incident at the facility that a staff did not prevent a resident hitting other residents. Seven (7) of seven (7) staff interviewed revealed that there's no incident that a staff did not prevent other residents hit R1. During the facility visit on 12/05/2024 and 03/04/2025 LPA Brown observed staffs at the facility providing care and supervision to all their residents. Also, LPA Brown noted that staffs are checking on their residents to determine if a resident requires assistance and to ensure that a resident will not hit another resident. Fifth Allegation: Staff do not ensure residents are spoken to in an appropriate manner. The investigation was conducted by LPA Melody Brown which consisted of observation and interviews with relevant parties. The fifth allegation indicates that staff do not ensure residents are spoken to in an appropriate manner. During the investigation, LPA Brown was not able to obtain sufficient evidence to corroborate the allegation. LPA Brown interviewed R1 and R1 indicated that staffs at the facility are communicating with R1 with respect, that staffs at the facility never shouted at R1 and there's no staff that spoke to R1 inappropriately. Interview with three (3) of three (3) residents indicated that staffs at the facility are kind and always ready to help, and that there's no incident that a staff spoke to them inappropriately. Seven (7) of seven (7) staffs interviewed reported that they are respecting all their residents at the facility and there's no incident that a staff spoke to a resident or to R1 inappropriately. During the facility visit on 12/05/2024 and 03/04/2025, LPA Brown observed staffs at the facility communicating with their residents with respect and no staff are speaking to a resident inappropriately. ***Continuation in LIC9099C*** 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Therefore, based on the evidence obtained during the LPA Brown's investigation, there is insufficient evidence to prove that staff do not ensure resident is kept clean and dry at all times (Allegation #1), staff do not ensure resident receives colostomy care in a timely manner (Allegation #2), staff do not ensure residents room is free of malodors (Allegation #3), Staff do not prevent other residents hitting resident in care (Allegation #4), staff do not ensure residents are spoken to in an appropriate manner (Allegation #5) are UNSUBSTANTIATED at this time. Although the allegation of staff do not ensure resident is kept clean and dry at all times (Allegation #1), staff do not ensure resident receives colostomy care in a timely manner (Allegation #2), staff do not ensure residents room is free of malodors (Allegation #3), Staff do not prevent other residents hitting resident in care (Allegation #4), staff do not ensure residents are spoken to in an appropriate manner (Allegation #5) may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED at this time. An exit interview was conducted where this report (LIC9099), was discussed and provided to ED Brittney Martinez.

Licensing Program Analyst (LPA) Ryan Gardner made an unannounced visit to conduct a Health and Safety check of the residents in care. LPA met with Administrator Brittney Martinez and explained the reason for the visit. The Health and Safety check included overall observation of the facility inside and outside, including food supply, medications, physical plant, and the residents in care. LPA did not observe any safety hazards. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted where this report (LIC 809) was discussed, and a copy was provided to Administrator Brittney Martinez at the conclusion of the visit.

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection LPA met with Administrator Brittany Martinez and was granted entry to the facility. The facility is a forty-five (45) bedroom, forty-nine (49), bathroom facility, with a kitchen/dining area, and living area. Licensed capacity is sixty (60) current census forty-two (42). LPA was accompanied by Facility Administrator Brittany Martinez to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected client bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The hot water temperature tested within regulation at 120 degrees F. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to clients in care. There was a designated storage space for client/staff files. Medications are kept inaccessible to clients. Overall, the facility is clean, in good repair, and operating in safe conditions for clients in care. Food Service: Non-perishable and perishable food supply is sufficient for number of clients in care. Facility has a variety of food available for clients. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Record Review: LPA reviewed five (5) client files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed five (5) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Facility Administrator Brittany Martinez.

Based on evidence obtained during the investigation, the allegation listed above is deemed UNSUBSTANTIATED. A finding that the complaint is UNSUBSTANTIATED means 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. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Brittney Martinez, along with a copy of the appeal rights.

For allegation, Resident placed on hospice without proper authorization: Interviews and record reviews conducted by the Department could not corroborate that R1 was put on hospice without proper authorization. LPA reviewed R1’s physician’s order for hospice services dated 2/4/2020 signed by R1’s doctor. LPA also reviewed a document titled Notification of Initiation of Hospice Care Services, dated 2/10/2020 that authorized hospice services for R1 under the care of Brookdale Hospice. The document was acknowledged by R1’s power of attorney (POA). The staff stated that to initiate hospice services for a resident they are required to obtain a physician’s order and a signed statement from the resident’s POA. The facility completed both of these steps to ensure R1’s hospice needs were handled safely and correctly. Based on evidence obtained during the investigation, the allegations listed above are deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Brittney Martinez, along with a copy of the appeal rights.