Inspection Reports for
Brookdale Loma Linda
25585 Van Leuven St, Loma Linda, CA 92354, CA, 92354
Back to Facility Profile22 Reports
Inspection Report — Feb 4, 2026
Annual Inspection
Date: Feb 4, 2026
Visit Reason
Licensing Program Analysts conducted an unannounced visit to perform a required annual inspection of the Residential Care Facility for Elderly.
Findings
The facility was generally compliant with licensing requirements, with no deficiencies cited. A technical violation was issued for leaving laundry detergent accessible to residents after use. Resident medications were properly labeled and stored, and records were complete.
Report Facts
Resident bedrooms inspected: 6
Resident medications reviewed: 6
Resident files reviewed: 8
Staff files reviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met with Licensing Program Analysts during inspection and discussed visit purpose |
| William Cruz | Maintenance Director | Accompanied Licensing Program Analysts during facility tour and inspection |
| Andrew Martinez | Licensing Program Analyst | Conducted the inspection and signed the report |
| Sarina Ramirez | Licensing Program Analyst | Participated in the unannounced inspection visit |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report — Feb 25, 2025
Annual Inspection
Date: Feb 25, 2025
Visit Reason
Licensing Program Analysts conducted an unannounced required annual inspection of the Residential Care Facility for Elderly to assess compliance with licensing regulations.
Findings
The facility was generally well maintained with no obstructions in passageways, proper emergency equipment, and adequate resident activity space. However, deficiencies were cited for insufficient nonperishable food supply for seven days and unsecured sharps in the kitchen, both posing immediate health and safety risks.
Citations (2)
Sharps were accessible and not locked in the kitchen, posing an immediate health, safety, or personal rights risk to persons in care.
Nonperishable food supply was not sufficient for a seven (7) day supply, posing an immediate health, safety, or personal rights risk to persons in care.
Report Facts
Resident medications reviewed: 6
Resident files reviewed: 10
Staff files reviewed: 8
Deficiencies cited: 2
Hot water temperature: 110.1
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met during inspection and discussed report findings |
| Sarina Ramirez | Licensing Program Analyst | Conducted inspection and cited deficiencies |
| Eldin Serrano | Licensing Program Analyst | Conducted inspection and observed corrective actions |
| Karen Clemons | Licensing Program Manager | Supervisor and Licensing Program Manager overseeing inspection |
Inspection Report — Dec 19, 2023
Annual Inspection
Date: Dec 19, 2023
Visit Reason
Licensing Program Analyst Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection.
Findings
The facility was inspected overall including physical plant, food service, care and supervision, record review, and medical related services. No deficiencies were cited during the visit.
Report Facts
Hospice waiver residents: 20
Staff files reviewed: 5
Resident files reviewed: 5
Emergency drill date: Nov 18, 2023
Executive Director certification expiration: Apr 12, 2024
Resident bathrooms inspected: 6
Resident bedrooms inspected: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met with Licensing Program Analyst during inspection |
| Magda Malcore | Licensing Program Analyst | Conducted the annual inspection visit |
| Karen Clemons | Licensing Program Manager | Named in report header and signature |
Inspection Report — Oct 16, 2023
Date: Oct 16, 2023
Visit Reason
The visit occurred to obtain signatures on amended reports and to conduct an exit interview regarding the amended LIC 9099 forms.
Findings
The Licensing Program Analyst arrived unannounced to obtain signatures on amended reports and provided copies of the amended LIC 9099 forms during an exit interview.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met with Licensing Program Analyst during the visit. |
| Rayshaun Nickolas | Licensing Program Analyst | Conducted the unannounced visit and obtained signatures on amended reports. |
| Karen Clemons | Licensing Program Manager | Named in the report header. |
Inspection Report — Feb 28, 2023
Complaint Investigation
Date: Feb 28, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2023-02-23 regarding the facility freezer being in disrepair and staff not washing hands.
Complaint Details
The complaint investigation was unsubstantiated. Although the allegations may have happened or be valid, there was not sufficient evidence to prove the alleged violations occurred.
Findings
The investigation found that the freezer and refrigerators were in working condition and staff were observed continuously washing their hands. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Bernadette Allen | Licensing Program Analyst | Conducted the complaint investigation |
| Maritza Lujan | Administrator | Facility administrator met during investigation |
| Karen Clemons | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report — Jan 9, 2023
Date: Jan 9, 2023
Visit Reason
Licensing Program Analyst Bernadette Allen conducted an unannounced case management visit to the facility to follow up on an adult client death.
Findings
The visit involved collecting documentation and conducting staff interviews regarding the death of Client #1. There was no official death certificate or cause of death available at the time of the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Administrator | Met with Licensing Program Analyst during the visit and informed of the purpose. |
| Bernadette Allen | Licensing Program Analyst | Conducted the unannounced case management visit and interviews. |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report — Sep 22, 2022
Complaint Investigation
Date: Sep 22, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility utilizes bed rails without medical order.
Complaint Details
The complaint allegation was that the facility utilizes bed rails without medical order. The allegation was found to be unsubstantiated after investigation.
Findings
The investigation included staff and resident interviews, inspection of resident rooms, and records review. The complaint allegation was found to be unsubstantiated as there was insufficient evidence to prove the allegation.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Maritza Lujan | Administrator | Facility administrator met during the investigation |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report — Sep 15, 2022
Complaint Investigation
Date: Sep 15, 2022
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff do not communicate with the resident's responsible party.
Complaint Details
The complaint allegation that staff do not communicate with the resident's responsible party was investigated and found to be unfounded.
Findings
The investigation found that the facility calls residents' emergency contacts for unusual incidents such as changes in medications or condition, and that the resident in question is self-responsible. The complaint allegation was determined to be unfounded.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Anna Bueno | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Maritza Lujan | Administrator | Facility administrator notified of the visit and findings |
Inspection Report — Jun 16, 2022
Complaint Investigation
Date: Jun 16, 2022
Visit Reason
Licensing Program Analyst Ryan Gardner made an unannounced visit to the facility regarding complaint number 56-AS-20220513164917 to obtain signatures on amended reports.
Complaint Details
Visit was related to complaint number 56-AS-20220513164917. No substantiation status or further complaint details are provided.
Findings
The report documents the unannounced visit and the exit interview where the report was discussed and provided to the Administrator Maritza Lujan. No specific deficiencies or findings are detailed in the report.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the unannounced visit and met with the Administrator. |
| Maritza Lujan | Administrator | Met with Licensing Program Analyst during the visit and received the report. |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager in the report. |
Inspection Report — Jun 3, 2022
Complaint Investigation
Date: Jun 3, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to multiple allegations including resident falls, rough handling by staff, failure to assess injuries, lack of staff checks on residents, refusal to provide a new call pendant, and staff not responding to call buttons.
Complaint Details
The complaint investigation was initiated based on allegations received on 05/13/2022. Most allegations were deemed unfounded except for the allegation that staff were not responding to residents' call buttons, which was substantiated. The substantiated allegation involved 153 occurrences of delayed staff response to pendant calls between May 1 and May 18, 2022.
Findings
Most allegations were found to be unfounded due to lack of evidence or corrective actions taken by the facility. However, the allegation that staff were not responding to residents' call buttons was substantiated, with 153 occurrences of delayed responses over an 18-day period. One deficiency was cited related to insufficient staffing to respond to pendant calls.
Citations (1)
Personnel Requirements-General. Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. The licensee did not comply by taking over an hour to respond to pendant calls 153 times over an 18-day span.
Report Facts
Deficiencies cited: 1
Delayed response occurrences: 153
Staff present: 53
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Karen Clemons | Licensing Program Manager | Oversaw the complaint investigation. |
| Maritza Lujan | Administrator | Facility administrator met with the Licensing Program Analyst during the investigation. |
Inspection Report — Apr 28, 2022
Complaint Investigation
Date: Apr 28, 2022
Visit Reason
An unannounced complaint investigation was conducted regarding allegations of insufficient staffing to meet residents' needs.
Complaint Details
The allegation of insufficient staffing to meet residents' needs was investigated and deemed unsubstantiated due to lack of preponderance of evidence.
Findings
The investigation found insufficient evidence to substantiate the allegation of inadequate staffing. Facility staff and documentation indicated sufficient staffing and additional support from Home Health and Hospice agencies.
Report Facts
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the complaint investigation |
| Jennifer Larson | Facility representative met during investigation | |
| Lucinda Adams | Administrator | Facility administrator |
| Karen Clemons | Licensing Program Manager | Named in report header |
Inspection Report — Jan 27, 2022
Annual Inspection
Date: Jan 27, 2022
Visit Reason
The Licensing Program Analyst conducted an unannounced annual inspection with an emphasis on infection control as a continuation from a previous visit on 01/25/2022.
Findings
The inspection found no deficiencies. Observations included proper infection control measures such as adequate hand hygiene supplies, cleaning provisions, proper use of face coverings, and a designated infection control lead. The facility follows Community Care Licensing guidelines for COVID-19 testing, isolation, and monitoring.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the annual inspection and made observations regarding infection control. |
| Ashley Fife | Met with the Licensing Program Analyst during the inspection. | |
| Lucinda Adams | Administrator | Named as facility administrator. |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager. |
Inspection Report — Jan 25, 2022
Annual Inspection
Date: Jan 25, 2022
Visit Reason
Licensing Program Analyst Javier Prieto made an unannounced visit to conduct an annual inspection with an emphasis on infection control.
Findings
The facility was observed to be clean and free of clutter, with COVID-19 prevention protocols being followed. No cases of COVID-19 were present at the time of inspection. The inspection was not concluded due to computer malfunctions, and a continuation inspection was scheduled.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Javier Prieto | Licensing Program Analyst | Conducted the annual inspection visit. |
| Ashley Fife | Business Manager | Met with Licensing Program Analyst during the inspection. |
| Lucinda Adams | Administrator | Named as facility administrator. |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager. |
Inspection Report — Jan 15, 2021
Original Licensing
Date: Jan 15, 2021
Visit Reason
The inspection was a pre-licensing visit conducted as an announced tele-visit due to COVID-19 to evaluate the pending facility for licensing as a Residential Care Facility for the Elderly.
Findings
The facility was found to be in good repair with no hazards observed. Safety equipment such as fire extinguishers, smoke alarms, and carbon monoxide detectors were functional. Resident rooms and common areas met requirements, including bedding, furniture, lighting, and safety features. Food storage and hygiene supplies were adequate. No corrections were needed.
Report Facts
Water temperature: 109
Freezer temperature: 0
Refrigerator temperature: 45
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lucinda Adams | Administrator | Applicant met with Licensing Program Analyst during pre-licensing inspection |
| Christine Le | Licensing Program Analyst | Conducted the announced tele-visit inspection |
| Karen Clemons | Licensing Program Manager | Named in report header |
Inspection Report — Dec 17, 2020
Original Licensing
Date: Dec 17, 2020
Visit Reason
The visit was conducted as part of a change of ownership application and pre-licensing inspection for a Residential Care Facility for the Elderly.
Findings
The applicant and administrator successfully completed the required COMP II component, demonstrating understanding of Title 22 regulations, facility operation, staff qualifications, program policies, and application document requirements.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Lucinda Adams | Administrator | Met with during the visit and participated in the licensing process. |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Bethany Hunter | Licensing Program Analyst | Named as Licensing Program Analyst on the report and participated in the COMP II call. |
Report — February 25, 2025
February 25, 2025
Report — December 19, 2023
December 19, 2023
Report — October 16, 2023
October 16, 2023
Report — January 9, 2023
January 9, 2023
Report — June 16, 2022
June 16, 2022
Report — January 27, 2022
January 27, 2022
Report — January 25, 2022
January 25, 2022
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