Inspection Report Summary
Most inspections found no deficiencies, with the facility consistently meeting safety, environmental, and operational standards. Several complaint investigations were unsubstantiated, including allegations related to resident care, emergency procedures, and personal rights. Some isolated deficiencies appeared in earlier reports, such as unsecured hazardous cleaning supplies in January 2023 and improper medication storage in October 2023, both posing health and safety risks, but no fines or enforcement actions were listed in the available reports. The most recent report from July 9, 2025, was clean with no deficiencies cited. This suggests improvement over time, with the facility addressing prior issues and maintaining compliance in recent inspections.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 104
Capacity: 128
Deficiencies: 0
Jul 9, 2025
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate compliance with licensing requirements.
Findings
The facility was found to be in compliance with no deficiencies cited. The inspection included a tour of resident apartments and common areas, review of staff and resident records, and verification of safety and environmental conditions.
Report Facts
Staff records reviewed: 6
Resident records reviewed: 6
Fire extinguisher last serviced: Feb 6, 2025
Disaster drill last conducted: May 12, 2025
Emergency disaster plan last reviewed: Apr 21, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rachael Davis | Executive Director | Met with Licensing Program Analyst during inspection and facility tour |
| A. Gomez | Licensing Program Analyst | Conducted the inspection visit |
| William Grady | Administrator/Director | Facility Administrator named in report header |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 128
Deficiencies: 0
Jun 5, 2025
Visit Reason
Unannounced complaint investigation visit conducted in response to allegations received on 2025-01-31 regarding resident care concerns including cleanliness, soiled clothing, and feeding assistance.
Findings
The investigation included interviews with residents and file reviews, with no specific resident identified. All residents expressed satisfaction with care, and no concerns were observed. The allegations were unsubstantiated due to lack of preponderance of evidence. No deficiencies were cited.
Complaint Details
The complaint involved multiple allegations about staff not ensuring residents' rooms were kept clean, leaving residents in soiled clothing for extended periods, and not providing feeding assistance. The complaint was found to be unsubstantiated.
Report Facts
Capacity: 128
Census: 105
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alona Gomez | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Rachael Davis | Executive Director | Met with Licensing Program Analyst during investigation |
| Navjinder Kaur | Health & Wellness Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 128
Deficiencies: 0
Aug 7, 2024
Visit Reason
The inspection was conducted as a result of a priority 1 complaint to perform a Health & Safety inspection.
Findings
The Licensing Program Analyst toured the facility and found no deficiencies. All safety measures including hot water temperature, food supplies, medication storage, smoke detectors, carbon monoxide detectors, first-aid kit, and fire extinguisher were in compliance.
Complaint Details
The visit was triggered by a priority 1 complaint. No deficiencies were cited during the visit.
Report Facts
Hot water temperature readings: 110.8
Hot water temperature readings: 113.2
Hot water temperature readings: 109.4
Food supply duration: 7
Food supply duration: 2
Freezer temperature: 0
Refrigerator temperature: 36
Facility capacity: 128
Facility census: 104
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rachael Davis | Executive Director | Met with Licensing Program Analyst during inspection |
| Alona Gomez | Licensing Program Analyst | Conducted the Health & Safety inspection |
| Yvonne Flores-Larios | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 102
Capacity: 128
Deficiencies: 0
Jul 19, 2024
Visit Reason
The inspection was an unannounced 1-Year Annual Required inspection conducted to evaluate the facility's compliance with regulatory standards.
Findings
The facility was toured and inspected, including resident apartments and common areas. All safety measures such as fire clearance, lighting, temperature, and emergency preparedness were found to be adequate. No deficiencies were cited during the visit.
Report Facts
Hot water temperature: 112.6
Hot water temperature: 109.2
Hot water temperature: 108.9
Freezer temperature: 0
Refrigerator temperature: 36
Fire extinguisher last serviced: Feb 6, 2024
Disaster drill last conducted: Jul 18, 2024
Emergency disaster plan last reviewed: Oct 19, 2023
Staff records reviewed: 6
Staff with current first-aid training: 6
Resident records reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rachael Davis | Executive Director | Met with Licensing Program Analyst during inspection and toured facility |
| Alona Gomez | Licensing Program Analyst | Conducted the inspection visit |
| Yvonne Flores-Larios | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Capacity: 128
Deficiencies: 0
Nov 1, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to multiple allegations regarding personal rights violations at Brookdale Diablo Lodge.
Findings
The investigation reviewed multiple allegations including inadequate record keeping, failure to address medical condition changes, injuries from falls, failure to follow care plans, improper incident reporting, inadequate care and supervision, and questionable death. After interviews and document reviews, all allegations were found to be unsubstantiated or unfounded due to lack of preponderance of evidence.
Complaint Details
The complaint investigation was unsubstantiated for all allegations including inadequate record keeping, failure to address medical condition changes, injuries from falls, failure to follow care plans, improper incident reporting, inadequate care and supervision. The allegation of questionable death was found to be unfounded based on the death certificate indicating death due to chronic congestive heart failure and coronary artery disease, unrelated to neglect by the facility.
Report Facts
Facility capacity: 128
Dates of resident falls: Multiple unwitnessed falls on 1/28/22, 3/17/22, 8/12/22, and 8/14/22
Investigation visit time: Visit began at 12:45 PM and completed at 1:30 PM on 11/01/2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lizette Francisco | Associate Governmental Program Analyst | Conducted the complaint investigation |
| Paula Arce | Life Enrichment Manager | Met with investigator during the visit |
| William Grady | Administrator | Facility administrator named in report header |
| Harpreet Humpal | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Annual Inspection
Census: 99
Capacity: 128
Deficiencies: 2
Oct 19, 2023
Visit Reason
The inspection was an unannounced 1-Year Annual Required visit conducted to evaluate compliance with regulatory requirements at the facility.
Findings
The facility was generally compliant with safety and operational standards, including fire clearance, medication storage, and staff training. However, deficiencies were noted regarding the improper storage of PRN medications in residents' apartments, posing immediate health and safety risks.
Deficiencies (2)
| Description |
|---|
| Miralax was found in Resident 4's apartment, which is not compliant with centrally stored medication requirements. |
| TUMS was found in Resident 5's apartment, which is not compliant with centrally stored medication requirements. |
Report Facts
Capacity: 128
Census: 99
Plan of Correction Due Date: Oct 20, 2023
Plan of Correction Submission Date: Nov 2, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| William Grady | Administrator | Facility administrator named in the report |
| Rachael Davis | Executive Director | Met with Licensing Program Analysts during inspection |
| Alona Gomez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Yvonne Flores-Larios | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 104
Capacity: 128
Deficiencies: 0
Jul 10, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations regarding the facility elevator backup power, staff emergency procedures during a power outage, and staff training on those procedures.
Findings
The investigation found that the facility elevator does meet backup power requirements, staff followed emergency procedures during the power outage on 07/01/2023, and staff were extensively trained on emergency procedures. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint included allegations that the facility elevator does not meet backup power requirements, staff did not follow emergency procedures during a power outage, and staff were not trained on emergency procedures during a power outage. The complaint was found to be unsubstantiated.
Report Facts
Capacity: 128
Census: 104
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| James Sampair | Licensing Program Analyst | Conducted the complaint investigation |
| Rachel Davis | Executive Director | Interviewed during investigation |
| Jinder Kaur | Health & Wellness Director | Interviewed during investigation |
| William Grady | Administrator | Facility administrator named in report |
Inspection Report
Complaint Investigation
Census: 101
Capacity: 128
Deficiencies: 0
Mar 30, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging the facility did not have proper provisions for residents in the event of a power outage.
Findings
The investigation found that the facility had implemented its Emergency Disaster Plan during the power outage and residents were provided with back-up oxygen tanks. There was insufficient evidence to substantiate the allegation, and the complaint was determined to be unsubstantiated.
Complaint Details
The complaint alleged that the facility did not have proper provisions for residents during a power outage. The allegation was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Capacity: 128
Census: 101
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lizette Francisco | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Rachael Davis | Executive Director | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 101
Capacity: 128
Deficiencies: 0
Mar 30, 2023
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 2021-11-29 alleging staff did not assist a resident with her incontinence and that the temperature was below the regulated limit.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff interviews indicated residents are checked every two hours and respond to call buttons, and temperature controls in apartments were within regulated limits with smart thermostats set between 65 and 81 degrees Fahrenheit.
Complaint Details
The complaint was unsubstantiated based on investigation findings, including staff interviews and observations of temperature controls. No violation was proven.
Report Facts
Complaint received date: Nov 29, 2021
Facility capacity: 128
Facility census: 101
Inspection start time: 1415
Inspection end time: 1720
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Lizette Francisco | Licensing Program Analyst | Conducted the complaint investigation |
| Rachael Davis | Executive Director | Met with Licensing Program Analyst during investigation |
| William Grady | Administrator | Facility administrator named in report header |
| Harpreet Humpal | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 98
Capacity: 128
Deficiencies: 1
Jan 19, 2023
Visit Reason
The inspection was conducted as a result of a Priority 1 complaint to perform a Health & Safety inspection at the facility.
Findings
The inspection found unlocked cleaning supplies, bug spray, bleach, gardening tools, oxyclean, and comet in residents' apartments, posing an immediate health and safety risk. Other areas such as hot water temperature, food supply, medication storage, smoke detectors, and fire extinguishers were compliant.
Complaint Details
The visit was triggered by a Priority 1 complaint. The deficiency related to unlocked hazardous items was cited and poses an immediate health and safety risk to persons in care.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Unlocked cleaning supplies, bug spray, and bleach inside kitchen and bathroom cabinets in resident R1's apartment and unlocked gardening tools, oxyclean, and comet in resident R2's apartment. | Type A |
Report Facts
Census: 98
Total Capacity: 128
Deficiency count: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rachael Davis | Executive Director | Met with Licensing Program Analysts during inspection |
| Lizette Francisco | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Harpreet Humpal | Licensing Program Manager | Supervisor and Licensing Program Manager overseeing the inspection |
Inspection Report
Annual Inspection
Census: 96
Capacity: 128
Deficiencies: 1
Sep 15, 2022
Visit Reason
Unannounced infection control inspection conducted as part of the required 1-year visit to assess compliance with infection control and safety regulations.
Findings
The facility generally complied with infection control protocols including PPE use, screening, and sanitation. One deficiency was observed: two portable oxygen tanks in a resident's apartment were not secured with stands, posing a potential health and safety risk.
Deficiencies (1)
| Description |
|---|
| Two portable oxygen tanks in R1's apartment were without a stand, violating oxygen equipment safety requirements. |
Report Facts
Staff records reviewed: 5
Staff records with health screening and TB test results: 5
Facility capacity: 128
Facility census: 96
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rachael Davis | Executive Director | Met with Licensing Program Analysts during the inspection. |
| Najinder Kaur | Health and Wellness Director | Met with Licensing Program Analysts during the inspection. |
Inspection Report
Complaint Investigation
Census: 90
Capacity: 128
Deficiencies: 1
Nov 18, 2021
Visit Reason
An unannounced case management visit was conducted to deliver findings related to a complaint investigation.
Findings
A deficiency was observed where S4 was not associated with the facility or other sister facilities, violating California Code of Regulations, Title 22, posing a potential health and safety risk.
Complaint Details
The visit was complaint-related and involved a complaint investigation to deliver findings. The deficiency was substantiated as the licensee did not comply with criminal record clearance requirements by not associating S4 to the facility.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| S4 was not associated to the facility or other sister facilities, violating criminal record clearance requirements. | Type B |
Report Facts
Plan of Correction Due Date: Nov 24, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Bill Grady | Executive Director | Met with Licensing Program Analyst during the visit |
| Grace Luk | Licensing Program Analyst | Conducted the case management visit and complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Supervisor and Licensing Program Manager overseeing the visit |
Inspection Report
Complaint Investigation
Census: 90
Capacity: 128
Deficiencies: 1
Nov 18, 2021
Visit Reason
The inspection was an unannounced complaint investigation conducted due to allegations that the facility was not kept clean, staff did not assist a resident with hygiene needs, and the facility was malodorous.
Findings
The investigation substantiated the allegation that the facility was not kept clean, specifically that a resident's room was uncleaned posing a potential health and safety risk. However, allegations regarding lack of hygiene assistance and malodorous conditions were unsubstantiated due to insufficient evidence.
Complaint Details
The complaint investigation was substantiated for the allegation that the facility was not kept clean. The allegations that staff did not assist the resident with hygiene needs and that the facility was malodorous were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. Licensee did not comply by having a resident's room uncleaned which poses a potential health and safety risk. | Type B |
Report Facts
Capacity: 128
Census: 90
Deficiency Type B: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| William Grady | Executive Director | Met with Licensing Program Analyst during investigation |
| Grace Luk | Licensing Program Analyst | Conducted complaint investigation |
| Harpreet Humpal | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Routine
Census: 81
Capacity: 128
Deficiencies: 0
Jul 28, 2021
Visit Reason
The visit was an unannounced Infection Control Inspection conducted as a required 1-year routine inspection.
Findings
The inspection found the facility to be compliant with infection control standards, including proper PPE use, adequate food supply, and universal screening procedures. No deficiencies were cited during the visit.
Report Facts
PPE supply duration: 30
Food supply duration - perishable: 2
Food supply duration - non-perishable: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| William Grady | Administrator | Met with Licensing Program Analyst during inspection |
| Rachel Davis | Business Office Manager | Met with Licensing Program Analyst during inspection |
| Lizette Francisco | Licensing Program Analyst | Conducted the Infection Control Inspection |
| Harpreet Humpal | Licensing Program Manager | Named in report header |
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