Inspection Reports for Brookdale Irvine

An unannounced complaint investigation visit was conducted in response to an allegation that the facility was not providing appropriate care for a resident.

The investigation included interviews, record reviews, and observations. Resident and staff interviews did not corroborate the allegation. Incident reports showed the resident had falls requiring medical attention, but the facility had taken steps to address safety concerns. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The complaint alleged the facility was not providing appropriate care for a resident. The allegation was unsubstantiated after investigation including interviews with 8 residents and 1 staff member, review of incident reports, and observation of the resident's environment and care plan.

The inspection was an unannounced required annual inspection of the facility conducted by Licensing Program Analyst Celine Rodriguez.

The facility was found to be in compliance with all applicable regulations with no deficiencies or citations issued. Safety equipment, resident rooms, and emergency preparedness measures were all observed to be in good condition and operational.

The inspection was an unannounced case management visit to follow up on an incident reported on 2025-07-28 involving a resident's unwitnessed fall resulting in injury.

The resident sustained an accidental unwitnessed fall causing a head injury and radial head fracture. The facility responded by contacting 911 and providing designated staff assistance post-hospital discharge. No health and safety concerns or citations were noted during the visit.

The visit was triggered by a complaint regarding an incident where resident 1 sustained an unwitnessed fall on 2025-07-23 resulting in injury. The complaint was investigated and found to be an accidental fall with appropriate facility response and no citations issued.

An unannounced complaint investigation was conducted in response to an allegation that facility staff did not handle a resident properly, resulting in injury.

The investigation included six interviews with staff and residents, none of which corroborated the allegation. The resident with bruises confirmed the injuries were due to hospital treatment and blood thinner medication. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The complaint alleged improper handling of a resident by staff resulting in injury. The allegation was unsubstantiated after interviews, document review, and observations.

An unannounced complaint investigation visit was conducted in response to multiple allegations received on 2024-05-03 regarding staff response times, behavior, food service, hygiene assistance, resident needs, and safeguarding of personal belongings.

The investigation found that none of the allegations were corroborated by resident or staff interviews, record reviews, or observations. Staff were found to respond timely to call buttons, behave appropriately, provide adequate food service, assist with hygiene as needed, meet resident needs, and residents are responsible for their own belongings unless otherwise requested.

The complaint investigation was unsubstantiated as there was insufficient evidence to prove or refute the allegations. All resident and staff interviews, observations, and record reviews did not corroborate the complaints.

The inspection was an unannounced complaint investigation initiated due to an allegation that the facility failed to provide reasonable accommodation to a resident's needs and preferences.

The investigation found that the facility followed doctor's orders regarding the resident's alcohol consumption and enrolled the resident in an Alcohol Rehab Program. The allegation was determined to be unfounded, meaning it was false or without reasonable basis.

The complaint alleged that the facility failed to provide reasonable accommodation to a resident's needs and preferences. The investigation included interviews with staff and residents, review of documents, and confirmed that the facility complied with medical orders. The complaint was found to be unfounded.

The visit was an unannounced case management inspection conducted by Licensing Program Analyst Michael Tea.

The Licensing Program Analyst amended a previous report dated 09/13/2024 and reviewed the amended report with the Executive Director. An exit interview was conducted and a copy of the report was provided to the facility.

An unannounced complaint investigation visit was conducted due to an allegation that facility staff did not follow the admission agreement.

The investigation determined that the facility staff did not follow the admission agreement because the responsible party was not given notice or did not sign the updated personal service plan dated April 14, 2023, resulting in a substantiated violation.

The complaint was substantiated. The allegation that facility staff did not follow the admission agreement was found valid based on records and interviews. The responsible party was not given notice or did not sign the updated personal service plan for resident R1 between April 14, 2023, and October 20, 2023.

The inspection was conducted as an unannounced complaint investigation following a complaint received on 2024-06-19 alleging that the facility lacks sufficient staff.

The investigation found that the facility was understaffed based on interviews with staff and residents. Four out of four staff stated the facility is understaffed, and one out of nine residents agreed. The complaint was substantiated, indicating a valid violation.

The complaint was substantiated. The allegation that the facility lacks staff was found valid based on staff interviews and evidence gathered during the investigation.

The inspection was an unannounced visit conducted for the purpose of the Required Annual Inspection of the facility.

The facility was generally found to be in good repair with operational safety equipment and adequate supplies. However, deficiencies were issued for missing Health Screening Reports in staff records and the absence of a required complaint poster accessible to residents.

An unannounced complaint investigation was conducted regarding allegations that facility staff charged for services not rendered.

The investigation included interviews with residents and staff, review of resident files and reports, and determined that the allegation was unsubstantiated due to insufficient evidence to prove the violation occurred. No deficiencies were cited.

The complaint alleged that facility staff charged for services not rendered. Interviews revealed that Resident 2 interfered with Resident 1's personal services, but staff attempted to provide the services despite interference. Resident 1 reported satisfaction with services. The allegation was found unsubstantiated.

The visit was an office meeting related to a substantiated complaint alleging that facility staff sexually assaulted a resident in care. The meeting included review of the complaint, importance of immediate action on inappropriate behaviors, and quality assurance procedures.

The investigation found that during the employment of staff member S1, despite complaints of inappropriate behaviors and intoxication, management failed to exercise proper supervision, initiate disciplinary action, and allowed S1 to continue working. This posed a potential health and safety risk to residents. Additional deficiencies included failure to ensure personnel were physically and mentally capable, and failure of the administrator to perform required duties.

Complaint 22-AS-20221003131319 alleging facility staff sexually assaulted resident in care. Complaint was substantiated on June 2, 2023.

The visit was an unannounced complaint investigation triggered by an allegation that a resident sustained an injury from a fall while in care.

The investigation concluded that there was insufficient evidence to prove or refute the allegation, and therefore the complaint was deemed unsubstantiated. The resident had multiple hospitalizations and care plan updates, and the facility was transparent with the resident's decision-maker about the need for a higher level of care.

The complaint alleged that a resident sustained an injury from a fall while in care. The investigation included interviews, hospital records, and facility documents. The allegation was found unsubstantiated due to lack of preponderance of evidence.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-07-26 regarding allegations about improper notice and explanations of rate increases, incorrect billing for medications, and failure to follow medication doctor's orders.

The investigation found that the allegations were unsubstantiated. Interviews and record reviews showed that proper notices and explanations regarding rate increases were provided, medication billing was consistent with physician orders, and medications were managed according to doctor's instructions.

The complaint included allegations that staff did not give proper notice or explanations to the resident's designated representative about rate increases, incorrectly billed the resident for medications, and did not follow the resident's medication doctor's orders. The complaint was deemed unsubstantiated after investigation.

This unannounced inspection was conducted to investigate multiple complaints received regarding medication supply running out, lack of staffing, residents not receiving paid services, lack of care and supervision resulting in a resident's death, failure to report incidents, and falsification of records at the facility.

The investigation substantiated allegations that the facility allowed residents' medication supply to run out and had insufficient staffing resulting in long wait times for assistance. Other allegations regarding residents not receiving paid services, lack of care resulting in a resident's death, failure to report incidents, and falsification of records were found to be unsubstantiated or unfounded.

The complaint investigation was substantiated for allegations that the facility allowed residents' medication supply to run out and lacked sufficient staffing. The allegations that residents were not receiving services paid for, lack of care and supervision resulting in a resident's death, failure to report incidents, and falsification of records were unsubstantiated or unfounded.

An unannounced visit was made to deliver an amended report dated 07/26/2023 in conjunction with complaint 22-AS-20230724102229.

The Licensing Program Analyst met with the Executive Director, conducted an exit interview, and provided a copy of the report at the time of exit.

Visit was related to complaint 22-AS-20230724102229; no substantiation status stated.

An unannounced complaint investigation visit was conducted in response to allegations received on 07/24/2023 regarding pest presence and inadequate food service at the facility.

The investigation found conflicting information regarding the allegations. Pest control reports confirmed pest activity and rat traps were observed, but most residents denied seeing pests. Regarding food service, most residents reported adequate and warm food, though some noted food could be cold sometimes. Due to conflicting evidence, the allegations were deemed unsubstantiated.

The complaint investigation was unsubstantiated due to lack of preponderance of evidence to prove or refute the allegations of pests and inadequate food service.

The visit was a case management inspection conducted in conjunction with complaint 22-AS-20221220140629 to investigate compliance with licensing requirements and document provision.

The licensee failed to provide requested documents including facility internal investigation, pendant reports, resident care notes, and resident signed waiver, resulting in citations issued and a potential health and safety risk to residents.

The visit was conducted in conjunction with complaint 22-AS-20221220140629. Citations were issued due to failure to provide requested documents. Substantiation status is not explicitly stated.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-12-20 alleging failure to obtain timely medical care for a resident who sustained serious injuries after an unwitnessed fall and that the resident was left unattended for an extended period of time.

The investigation substantiated the allegations that staff failed to obtain timely medical care for a resident who fell and was left unattended from December 15 to December 17, 2022, resulting in serious injuries including blunt head trauma, concussion, lacerations, and decubitus ulcers. Staff were unaware of the facility's safety check policy requiring regular resident checks, posing an immediate health and safety risk.

The complaint was substantiated. The resident (R1) fell on December 15, 2022, and was not checked on until December 17, 2022. Staff admitted being too busy and unaware of the safety check policy. The resident sustained serious injuries and delayed medical care. An immediate civil penalty was assessed.

An unannounced Plan of Correction (POC) visit was conducted based on deficiencies cited in a prior inspection on 06/02/2023.

The previously cited deficiency under Health and Safety Code 1569.50 (a)(3) was cleared after the Executive Director conducted in-service training for staff and provided proof of training. No new citations were issued during this visit.

An unannounced complaint investigation visit was conducted following an allegation that facility staff sexually assaulted a resident in care.

The investigation substantiated that caregiver S1 engaged in sexual conduct with resident R1, constituting an act inimical to the health, safety, and welfare of the resident. Former management failed to report or discipline S1 despite prior knowledge of inappropriate behavior.

The complaint was substantiated. It was found that caregiver S1 sexually assaulted resident R1 by touching her vaginal area in a sexual manner. S1 was previously known by management to have a history of inappropriate behavior but was not disciplined or reported. S1's employment was terminated on 9/18/22.

An unannounced complaint investigation visit was conducted in response to an allegation that facility staff are not properly trained.

The investigation included record reviews and interviews with staff and residents. None of the interviews corroborated the allegation; all indicated staff were knowledgeable and well trained. Training is provided for all positions, including shadowing for tasks outside designated roles. The allegation was deemed unsubstantiated due to lack of evidence.

The complaint alleged that facility staff were not properly trained. After investigation, including 10 interviews and document reviews, the allegation was found unsubstantiated.

The inspection was an unannounced complaint investigation visit initiated due to a complaint received on 2023-02-21 alleging that residents are not being accorded with dignity and respect.

After conducting 10 interviews with staff and residents, reviewing relevant documents, and interviewing the resident council and the staff member named in the allegation, the Licensing Program Analyst was unable to substantiate the complaint due to lack of preponderance of evidence; therefore, the allegation was deemed unsubstantiated.

The complaint alleged that residents were not being accorded with dignity and respect. The investigation included interviews with 10 staff and residents, all of whom corroborated positively regarding staff behavior. The resident council praised the staff member named in the allegation. The resident involved reported no complaints. The allegation was found unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to a complaint received on 2022-11-15 regarding allegations about staffing adequacy, food service, administrator presence, and facility disrepair.

The investigation found insufficient evidence to substantiate any of the allegations. Staffing was generally adequate except for some dining room shortages covered by management, the administrator was present during operating hours, and the facility's elevator repair was timely with an alternate elevator available. No deficiencies were issued.

The complaint investigation addressed allegations that the facility lacked adequate staffing, did not provide adequate food service, lacked an administrator during operating hours, and was in disrepair. All allegations were deemed unsubstantiated due to lack of preponderance of evidence.

An unannounced complaint investigation was conducted in response to allegations including staff not being properly trained, staff not following physician's orders, and staff not responding to residents' call lights in a timely manner.

The allegation that staff were not properly trained was found to be unfounded. However, allegations that staff did not follow physician's orders and did not respond timely to call lights were substantiated. Specifically, a resident was served alcohol contrary to physician orders, and emergency pendant response times ranged from 23 minutes to one hour with one instance of no response, posing health and safety risks.

The complaint investigation was initiated based on allegations received on 05/06/2022. The allegation that staff were not properly trained was found to be unfounded. The allegations that staff did not follow physician's orders and did not respond to residents' call lights in a timely manner were substantiated. Evidence included conflicting physician orders, observations of alcohol being served to a resident against orders, and delayed emergency response times. The preponderance of evidence standard was met.

An unannounced complaint investigation was conducted in response to an allegation that staff did not respond to a resident's call for assistance in a timely manner.

The investigation found that staff response times to resident calls were between 23-44 minutes, exceeding the expected response time of under 15 minutes. Staff did not respond to several test pendant calls, and kitchen staff lacked pagers to hear calls, resulting in a substantiated finding of inadequate care and supervision posing an immediate health and safety risk.

The complaint alleging staff did not respond to resident's call for assistance in a timely manner was substantiated based on pendant call log reviews and staff interviews.

An unannounced complaint investigation visit was conducted in response to an allegation that staff were not meeting residents' hygiene needs.

The investigation substantiated that the facility failed to ensure a resident received scheduled showers twice a week as per their personal service plan, posing an immediate health and safety risk. Staffing shortages were noted as a contributing factor.

The complaint was substantiated based on evidence that a resident was not receiving scheduled showers two times a week as required. Staffing shortages and working alone on shifts were contributing factors.

An unannounced case management visit was conducted to perform health and safety checks at the facility.

The facility was observed to be in good repair with no immediate threats to resident health and safety. All safety equipment including smoke detectors, carbon monoxide detectors, fire extinguishers, and evacuation chairs were operational. No citations were issued.

An unannounced visit was conducted to investigate a complaint alleging that facility staff were under the influence when providing care to residents.

After reviewing records, conducting interviews, and touring the facility, the allegation was deemed unsubstantiated due to lack of preponderance of evidence to prove the alleged violation occurred.

The complaint alleged that facility staff were under the influence while providing care. The investigation included interviews with multiple staff and a resident, review of staff records, and observation. Documentation of staff training on drug-free policies and random checks were provided. The allegation was found unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to complaints received on 08/23/2022 alleging insufficient staffing to meet residents' needs and failure to abide by resident admission agreements.

The investigation found insufficient evidence to substantiate the allegation of insufficient staffing, deeming it unsubstantiated. The allegation regarding failure to abide by resident admission agreements, specifically related to pet care, was found to be unfounded and dismissed. No citations were issued during the visit.

The complaint alleged that the facility did not have sufficient staff to meet residents' needs and was not abiding by resident admission agreements, including not feeding and cleaning residents' pets. The staffing allegation was unsubstantiated due to lack of evidence, and the admission agreement allegation was unfounded and dismissed.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-07-21 alleging that staff was assisting residents while intoxicated.

The complaint was substantiated based on interviews and record review, where 6 out of 9 interviews verified that a staff member was intoxicated while assisting residents. The facility failed to provide documentation of disciplinary action despite claims of a write-up. Citations were issued per Title 22 Division 6 of the California Code of Regulations.

The complaint alleged that staff was assisting residents while intoxicated. The allegation was substantiated based on interviews and observations. The staff member admitted to going to dinner and then to work while intoxicated. Previous concerns and reports about this staff member's intoxication were noted, but no formal disciplinary records were found.

Licensing Program Analyst Celine De Perio made an unannounced visit to conduct a case management and health and safety check at the facility.

The facility was observed to be in good repair with operational safety equipment and adequate emergency supplies. No immediate threats to resident health and safety were found, and no citations were issued.

An unannounced complaint investigation was conducted in response to allegations that staff were not properly trained on emergency procedures and that there were not enough staff to ensure the safety of residents during a fire alarm event on 08/21/2021.

The investigation found that the fire alarm on 08/21/21 was a false alarm and that the facility staff responded according to their training. Staff training records and fire drill documentation were reviewed and confirmed. Interviews with residents and staff did not substantiate the allegations of insufficient staffing or improper emergency procedures. Therefore, the allegations were deemed unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Allegations included staff not properly trained on emergency procedures and insufficient staff to ensure resident safety during a fire alarm on 08/21/21. The investigation included interviews, record reviews, and on-site inspections on 08/27/21 and 10/19/21. No evidence was found to prove the allegations.

The inspection was an unannounced visit to investigate a complaint alleging that the facility was not answering communications promptly to the resident's representatives and was not providing resident's records to the resident's representatives.

The investigation found that the facility's privacy policy requires a signed release to provide resident records. The family member who requested records was not listed as an emergency contact or authorized representative, and the facility was not required to provide the records or continue communication. The allegations were found to be unfounded.

The complaint alleged that the facility was not answering communications promptly and not providing resident records to the resident's representatives. The investigation found these allegations to be unfounded.

An unannounced required annual inspection focusing primarily on Infection Control was conducted to evaluate compliance with regulatory standards.

The facility was found to be in compliance with no deficiencies or citations issued. Infection control measures, safety equipment, emergency supplies, and resident environment were all observed to be adequate and operational.

The inspection was an unannounced complaint investigation visit initiated due to an allegation that staff were not allowing residents' privately paid personal assistants to assist residents.

The investigation found that the allegation was unfounded. The facility clarified that privately paid care companions are for companionship only and are not permitted to perform caregiving duties, which are provided by facility staff trained according to regulations.

The complaint alleged that staff were not allowing residents' privately paid personal assistants to assist residents. The allegation was investigated and deemed unfounded, meaning it was false or without reasonable basis.

The visit was an unannounced case management follow-up on incident reports submitted to Community Care Licensing involving choking and wandering incidents with residents.

The inspection found that Resident 1 choked and subsequently passed away, with no prior swallowing issues noted. Two residents were found outside the facility unassisted due to a propped open back door; the facility has since secured all doors except the front and implemented wander guards and daily checks.

The visit was triggered by complaints related to an incident where Resident 1 choked and later died, and another incident where two residents left the facility unassisted, one requiring medical attention after a fall. The facility investigation revealed a propped open back door and lack of supervision allowing residents to leave unassisted. Both residents were fitted with wander guards and the facility secured all doors except the front door.

An unannounced case management visit was conducted to follow up on a death report submitted to Community Care Licensing on 02/24/2022.

The visit included a tour of the facility, interviews with the Executive Director, and review of pertinent documentation including a physician report. The resident was found unresponsive and pronounced dead following a medical emergency and resuscitation attempt was stopped due to a Do Not Resuscitate order on file.

An unannounced complaint investigation visit was conducted in response to an allegation of illegal eviction received on 2021-11-03.

The investigation found the allegation of illegal eviction to be unfounded. The eviction was determined to be legal based on the resident's need for a higher level of care as documented by the resident's physician.

The complaint alleged illegal eviction. The investigation concluded the allegation was unfounded, meaning it was false, could not have happened, or was without reasonable basis.

This unannounced inspection was conducted for the purpose of an Annual Inspection to evaluate compliance with regulations.

The inspection found no health and safety issues; the facility was clean, organized, and compliant with regulations including COVID-19 protocols. No deficiencies were cited.