Inspection Report
Annual Inspection
Census: 48
Capacity: 60
Deficiencies: 0
Aug 1, 2025
Visit Reason
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE) to assess compliance with licensing requirements.
Findings
The facility was found to be operating within its approved capacity, maintaining safe and clean conditions, with sufficient staffing and proper care practices. No deficiencies were cited during this inspection.
Report Facts
Resident files reviewed: 4
Staff files reviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Btittney Martinez | Executive Director | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Paola Guerrero | Licensing Program Analyst | Conducted the unannounced annual inspection visit |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 44
Capacity: 60
Deficiencies: 1
Mar 19, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-02-23 regarding staff not treating a resident with dignity or respect, resident injury due to staff neglect, unmet resident needs, illegal eviction, and refund issues.
Findings
The investigation substantiated that Staff #6 did not treat Resident #1 with dignity or respect, resulting in a deficiency citation. Other allegations including resident injury due to staff neglect, unmet resident needs, illegal eviction, and refund issues were found to be unsubstantiated due to insufficient evidence.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not treat resident with dignity or respect. Other allegations including resident injury due to staff neglect, unmet resident needs, illegal eviction, and refund issues were unsubstantiated. Staff #6 was suspended and later terminated due to inaccurate incident reporting and failure to treat the resident properly.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Staff #6 did not treat Resident #1 with dignity or respect, violating CCR 87468.1(a)(1) Personal Rights of Residents in All Facilities. | Type B |
Report Facts
Capacity: 60
Census: 44
Plan of Correction Due Date: Mar 28, 2025
Refund Amount: 1200
Non-refundable Fee: 500
Community Fee: 3500
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Ryan Gardner | Licensing Program Analyst | Assisted in the complaint investigation |
| Efren Malagon | Licensing Program Manager | Oversaw the complaint investigation |
| Brittney Martinez | Executive Director, LVN | Facility Executive Director involved in investigation and exit interview |
| Sheryl Hendricks | District Director of Clinical Services, RN | Facility Clinical Director involved in investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 60
Deficiencies: 0
Mar 4, 2025
Visit Reason
Unannounced complaint investigation visit conducted due to multiple allegations received regarding resident care at Brookdale Corona facility.
Findings
The investigation found insufficient evidence to substantiate allegations that staff failed to keep residents clean and dry, provide timely colostomy care, maintain rooms free of malodors, prevent residents from hitting others, or speak to residents appropriately. All allegations were unsubstantiated at this time.
Complaint Details
The complaint included five allegations: staff not ensuring residents are kept clean and dry, not providing timely colostomy care, not maintaining rooms free of malodors, not preventing residents from hitting others, and not speaking to residents appropriately. The investigation involved interviews with residents and staff, file reviews, and observations. All allegations were found unsubstantiated.
Report Facts
Capacity: 60
Census: 43
Staff interviews: 6
Resident interviews: 3
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittney Martinez | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Melody Brown | Licensing Program Analyst | Conducted the complaint investigation |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 36
Capacity: 60
Deficiencies: 4
Aug 26, 2024
Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by Licensing Program Analysts to assess compliance with regulations at the facility.
Findings
The facility was generally operating within approved capacity and maintained physical plant standards, but deficiencies were cited related to a non-functioning resident signal system pull cord, lack of a current first aid manual, and medications not administered according to physician directions with missing medications observed.
Severity Breakdown
Type A: 4
Deficiencies (4)
| Description | Severity |
|---|---|
| Signal system/pull cord in resident room #5 was not working. | Type A |
| No current edition of a first aid manual maintained at the facility. | Type A |
| Resident #8 had three medications not given according to physician's directions; medications missing from medication room. | Type A |
| Resident #9 had two medications missing from medication room and not given per physician's directions. | Type A |
Report Facts
Staff present: 12
Resident files reviewed: 5
Staff files reviewed: 5
Non-perishable food supply: 7
Perishable food supply: 3
Medications missing for Resident #8: 3
Medications missing for Resident #9: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittney Martinez | Executive Director | Met with Licensing Program Analysts during inspection and named in report. |
| Renese Howell-Small | Licensing Program Analyst | Conducted inspection and signed report. |
| Raquel Hernandez | Licensing Program Analyst | Conducted inspection. |
| Melody Brown | Licensing Program Analyst | Conducted inspection. |
| Karen Clemons | Licensing Program Manager | Supervisor overseeing the inspection. |
Inspection Report
Census: 37
Capacity: 60
Deficiencies: 0
Feb 27, 2024
Visit Reason
Licensing Program Analyst Ryan Gardner made an unannounced visit to conduct a Health and Safety check of the residents in care, including observation of the facility inside and outside, food supply, medications, physical plant, and residents.
Findings
No safety hazards were observed and no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittney Martinez | Administrator | Met with Licensing Program Analyst during the visit and received the report. |
| Ryan Gardner | Licensing Program Analyst | Conducted the unannounced Health and Safety check visit. |
| Efren Malagon | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 41
Capacity: 60
Deficiencies: 0
Jul 28, 2023
Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 2020-06-05 regarding the facility staff not providing a resident's authorized representative with copies of the resident's records.
Findings
The investigation found that the individual requesting the resident's records was not legally authorized to receive them due to the status of the primary individual listed on the resident’s durable power of attorney. The complaint was deemed unsubstantiated and no deficiencies were cited during the visit.
Complaint Details
The complaint was unsubstantiated. Although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation did or did not occur.
Report Facts
Capacity: 60
Census: 41
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation and made the unannounced visit |
| Brittney Martinez | Administrator | Met with Licensing Program Analyst during the investigation |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 42
Capacity: 60
Deficiencies: 0
Jul 28, 2023
Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by the Licensing Program Analyst to assess compliance with regulations.
Findings
The facility was found to be operating within approved capacity and in safe, clean conditions with no deficiencies cited. Client files, staff files, and medication administration were reviewed and found compliant.
Report Facts
Client files reviewed: 5
Staff files reviewed: 5
Licensed capacity: 60
Current census: 42
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brittney Martinez | Facility Administrator | Met with Licensing Program Analyst during inspection and named in report |
| Mary Rico | Licensing Program Analyst | Conducted the inspection visit |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 60
Deficiencies: 0
Jul 24, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 06/05/2020 regarding staff neglect resulting in a resident's death and improper authorization for hospice placement.
Findings
The investigation found no evidence to substantiate the allegations. Interviews and record reviews indicated the resident's death was due to Cerebral Vascular Disease and hospice services were properly authorized with physician orders and power of attorney consent. No deficiencies were cited during the visit.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff neglect causing resident death and improper authorization for hospice placement. Evidence did not support these claims.
Report Facts
Facility capacity: 60
Census: 42
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Brittney Martinez | Administrator | Met with Licensing Program Analyst during the investigation |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 60
Deficiencies: 1
Jul 24, 2023
Visit Reason
An unannounced case management visit was conducted following a Department Complaint Investigation on 06/11/2020 regarding failure to provide care and services needed to meet resident R1's needs.
Findings
The investigation found that resident R1 did not receive necessary wound care and home health treatment from at least January 21, 2020, until February 5, 2020, resulting in a deficiency citation for failure to provide adequate care and supervision.
Complaint Details
The visit followed a complaint investigation (complaint control number 18-AS-20200605103755) that found R1 was not provided with needed care and services, including wound care and home health treatment.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure resident R1 received care, supervision, and services to meet their needs, posing an immediate health, safety, or personal rights risk. | Type A |
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Jul 25, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the unannounced case management visit and investigation. |
| Brittney Martinez | Administrator | Facility administrator present during the visit and exit interview. |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager overseeing the evaluation. |
Inspection Report
Complaint Investigation
Census: 38
Capacity: 60
Deficiencies: 0
May 17, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that staff were not providing access to a resident's records.
Findings
The investigation found that the party requesting the resident's records was not authorized under the resident's Durable Power of Attorney, and no release of information was signed. Documentation showed that records were provided when legally required. The complaint was determined to be unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that staff were not providing access to a resident's records. The allegation was found to be unsubstantiated as the requesting party was not authorized and no violation was proven.
Report Facts
Facility capacity: 60
Census: 38
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Goldenberg | Licensing Program Analyst | Conducted the complaint investigation |
| Maritza Lujan | Administrator | Provided information regarding release of records |
| Brittney Martinez | Executive Director | Met with investigator during the visit |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 60
Deficiencies: 0
Mar 8, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate the allegation that facility staff abandoned a resident.
Findings
The investigation found no evidence to substantiate the allegation that the facility staff abandoned the resident. The resident was sent to the hospital multiple times but was accepted back with a medical diagnosis. No deficiencies were cited during the visit.
Complaint Details
The complaint alleged that facility staff abandoned a resident by not allowing the resident to return due to a medical diagnosis. The allegation was deemed unsubstantiated based on the evidence reviewed.
Report Facts
Facility capacity: 60
Census: 42
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jennifer Sanchez Lazaro | Business Office Coordinator | Met with Licensing Program Analyst during the visit |
| Efren Malagon | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 42
Capacity: 60
Deficiencies: 1
Mar 8, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2021-02-04 regarding resident care issues at Brookdale Corona facility.
Findings
The investigation found one substantiated deficiency related to failure to inform the resident's responsible party about updates to the personal service plan. Other allegations regarding residents being left in soiled diapers, removal of a resident's cane, and failure to provide resident records were unsubstantiated.
Complaint Details
The complaint included allegations that a resident was left in soiled diapers for a prolonged time, the resident's cane was taken away by facility staff, and the facility did not provide a copy of the resident's records to the responsible party. The allegation that the responsible party was not provided with a detailed explanation of additional care services was substantiated. The other allegations were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to comply with regulation 87463(c) by not informing resident's responsible party of reappraisal/personal service plan updates dated 10/10/2020. | Type B |
Report Facts
Capacity: 60
Census: 42
Deficiencies cited: 1
Plan of Correction Due Date: Mar 10, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Jennifer Sanchez Lazaro | Business Office Coordinator | Met with Licensing Program Analyst during investigation |
| Maritza Lujan | Administrator | Facility administrator named in the report |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 48
Capacity: 60
Deficiencies: 0
Oct 4, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that staff do not provide proper food service to residents in care.
Findings
The investigation included interviews with residents and staff, a tour of the facility, and review of documentation. It was found that residents receive three meals and snacks daily, meals are served timely and at correct temperatures, and the allegation was unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged improper food service to residents. The allegation was investigated and found unsubstantiated.
Report Facts
Facility capacity: 60
Resident census: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ryan Gardner | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Jennifer Sanchez Lazaro | Business Office Coordinator | Met with Licensing Program Analyst during the investigation |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 47
Capacity: 60
Deficiencies: 0
Jun 14, 2022
Visit Reason
The visit was an unannounced annual inspection limited to infection control, conducted as a required one-year review.
Findings
The facility was found to be successfully incorporating COVID-19 infection control best practices, including availability of hand sanitizer, stocked bathrooms, posted signage for infection control, and an abundant supply of PPE. Staff have been fit tested for N95 masks as confirmed by the Executive Director.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joe Chavez | Maintenance Director | Met with Licensing Program Analyst during inspection and discussed infection control practices. |
| Brittany Martinez | Executive Director | Confirmed staff have been fit tested for N95 masks and received the exit interview report. |
| Jennifer Semin | Licensing Program Analyst | Conducted the inspection and authored the report. |
| Efren Malagon | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 60
Deficiencies: 2
May 25, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff failed to address a resident's change in medical condition and failed to seek timely medical attention for the resident while in care.
Findings
The investigation found that staff administered 'as needed' medication to the resident but failed to notify the facility nurse when the medication was ineffective. The facility nurse did not notify the resident's physician or responsible party of the change in condition in a timely manner. These allegations were substantiated based on interviews and documentation.
Complaint Details
The complaint investigation was substantiated. Allegations included failure to address a resident's change in medical condition and failure to seek timely medical attention. The preponderance of evidence supported these findings.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Failure to ensure residents are regularly observed for changes in condition and to notify the resident's physician and responsible party of such changes. | Type A |
| Failure to notify the resident's physician in a timely manner regarding a change in condition for a resident with dementia. | Type A |
Report Facts
Capacity: 60
Census: 45
Plan of Correction Due Date: May 26, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Semin | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Efren Malagon | Licensing Program Manager | Oversaw the complaint investigation |
| Jennifer Lazaro | Business Office Coordinator | Met with Licensing Program Analyst during investigation and exit interview |
| Carol Ann LeRose | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 45
Capacity: 60
Deficiencies: 1
May 25, 2022
Visit Reason
The inspection was a case management visit conducted in conjunction with complaint control number 18-AS-20200629144235 to review compliance with reporting requirements related to incidents threatening resident welfare.
Findings
The facility failed to submit special incident reports (SIRs) for several incidents documented in Resident 1's file, which poses a potential risk to residents in care. A deficiency was cited for this failure to meet reporting requirements.
Complaint Details
The visit was conducted in conjunction with complaint control number 18-AS-20200629144235. The deficiency involved failure to submit required incident reports, posing a potential risk to residents.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to submit special incident reports (SIRs) for incidents threatening resident welfare as required by licensing regulations. | Type B |
Report Facts
Capacity: 60
Census: 45
Deficiency count: 1
Plan of Correction Due Date: Jun 1, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jennifer Semin | Licensing Program Analyst | Conducted the case management visit and cited the deficiency |
| Jennifer Lazaro | Business Office Coordinator | Met with Licensing Program Analyst during the visit |
| Efren Malagon | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Capacity: 60
Deficiencies: 2
Jul 28, 2021
Visit Reason
This unannounced visit was conducted to investigate a complaint alleging that a resident wandered away due to lack of supervision.
Findings
The investigation substantiated the complaint that Resident 1 left the facility unsupervised on 07/20/2021. The facility failed to meet the requirement to monitor exits, as evidenced by the resident walking out without facility knowledge.
Complaint Details
Complaint was substantiated based on evidence that Resident 1 left the community unsupervised on 07/20/2021.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| The licensee shall have an auditory device or other staff alert feature to monitor exits, if exiting presents a hazard to any resident. | Type A |
| The facility has failed to meet this requirement as evidenced by Resident 1 walking out of the facility without facility knowledge. | Type A |
Report Facts
Capacity: 60
Plan of Correction Due Date: Jul 29, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Goldenberg | Licensing Program Analyst | Conducted the complaint investigation visit |
| Maritza Lujan | Executive Director | Facility representative met during investigation and involved in discussion of allegations |
| Nedra Brown | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 32
Capacity: 60
Deficiencies: 0
Jun 2, 2021
Visit Reason
An unannounced annual inspection was conducted with an emphasis on infection control to evaluate the facility's compliance with Community Care Licensing guidelines.
Findings
The inspection found no deficiencies; the facility demonstrated adequate infection control measures including sufficient hand hygiene supplies, cleaning provisions, and a designated infection control lead. The facility also has plans for COVID-19 testing, isolation, and monitoring.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maritza Lujan | Executive Director | Met with Licensing Program Analyst during the inspection |
| Amy Goldenberg | Licensing Program Analyst | Conducted the unannounced annual inspection |
| Nedra Brown | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 37
Capacity: 60
Deficiencies: 0
Dec 23, 2020
Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 2020-12-18 regarding inadequate food service.
Findings
The complaint was investigated through interviews with the reporting party and the administrator. The complaint was found to be unfounded, meaning the allegation was false or without reasonable basis, and no deficiencies were cited.
Complaint Details
The complaint was determined to be unfounded and dismissed after investigation.
Report Facts
Capacity: 60
Census: 37
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Natalie Gayoso | Licensing Program Analyst | Conducted the complaint investigation |
| Maritza Lujan | Administrator | Facility administrator interviewed during the investigation |
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