Inspection Reports for Brookdale Loma Linda

The visit was an unannounced complaint investigation conducted in response to allegations received on 09/20/2022 regarding resident care concerns at the facility.

Based on observations, interviews with residents and staff, and review of pertinent documents, the allegations were found to be unsubstantiated due to lack of preponderance of evidence to prove the alleged violations occurred.

The complaint included allegations that a resident sustained a bruise from staff, staff did not respond timely to call pendants, staff did not treat residents with dignity and respect, and staff did not change residents' diapers in a timely manner. Interviews with residents and staff, as well as observations, did not substantiate these allegations.

Licensing Program Analysts conducted an unannounced required annual inspection of the Residential Care Facility for Elderly to assess compliance with licensing regulations.

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.

An unannounced complaint investigation was conducted based on allegations received on 2024-11-21 regarding staff handling residents roughly, disrespectful treatment, and leaving residents unattended for multiple hours.

The investigation substantiated the allegations that staff member S#1 handled residents roughly, treated a resident disrespectfully, and left residents unattended for long periods. The Executive Director followed proper reporting procedures and suspended the staff member pending internal investigation.

The complaint investigation was substantiated based on staff and resident interviews confirming rough handling, disrespect, and leaving residents unattended. The preponderance of evidence standard was met and Title 22 regulations, Personal Rights 87468.1(a) were cited.

An unannounced complaint investigation visit was conducted in response to an allegation that facility staff inappropriately touched a resident in care.

The investigation included file reviews and interviews with staff and residents. Four staff members and five residents were interviewed, with no evidence found to substantiate the allegation. The allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that facility staff inappropriately touched a resident in care. The investigation found no substantiating evidence after interviews and record review.

An unannounced complaint investigation visit was conducted in response to allegations received on 2024-01-26 regarding staff threatening a resident with eviction and lack of dignity in resident relationships.

The investigation found insufficient evidence to substantiate the allegations that facility staff threatened a resident with eviction or that a resident was not accorded dignity in relationships with other residents. The allegations were determined to be unsubstantiated based on observations, document reviews, and interviews.

The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 07/30/2021 regarding medication refill timeliness, failure to report changes to resident's Power of Attorney, and charging residents for additional services.

The investigation found that medications were refilled in a timely manner by staff or family as per care plans, changes to residents' Power of Attorney were properly reported, and the facility charged fees for medication management services as agreed in admission documents. The allegations were unsubstantiated due to insufficient evidence to prove violations.

The complaint was unsubstantiated. Allegations included untimely medication refills, failure to report changes to Power of Attorney, and improper charging for additional services. Interviews with staff and residents, and document reviews did not support the allegations.

Unannounced complaint investigation visit conducted due to allegations that facility staff did not dispense resident's medication as prescribed.

The investigation substantiated the complaint that the facility did not dispense resident medications as prescribed, with specific residents missing medication doses on multiple dates. The facility was cited for violation of California Code of Regulations, Title 22, Division 6, Chapter 8, Section 87465(c)(2), posing a health and safety risk.

The complaint was substantiated. Facility staff failed to dispense prescribed medications to Resident #1 on 7/23/2021, 7/25/2021, and 7/26/2021, and Resident #2 on 5/21/2022. Medication was reported missing and not administered as prescribed, confirmed by interviews, document review, and witness statements.

Licensing Program Analyst Magda Malcore made an unannounced visit to the facility to conduct a required annual inspection.

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.

The visit occurred to obtain signatures on amended reports and to conduct an exit interview regarding the amended LIC 9099 forms.

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.

The visit was an unannounced complaint investigation initiated due to allegations received on 09/22/2023 regarding facility cleanliness, staff behavior, and confidentiality breaches.

The investigation found all allegations unsubstantiated due to lack of corroborating evidence or witnesses, despite some resident confirmations and observations of carpet stains consistent with assisted devices.

The complaint included allegations that the facility carpet was not clean, staff yelled at a resident, and staff disclosed a resident's medical diagnosis to other residents. All allegations were found unsubstantiated after interviews and file reviews.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2023-04-13 regarding kitchen cleanliness, presence of mold, and proper food storage at the facility.

The investigation found the allegations that staff did not keep the kitchen clean and that the kitchen had mold to be unsubstantiated. However, the allegation that staff did not properly store food was substantiated, with uncovered food items observed in the kitchen refrigerator/freezer posing potential health risks.

The complaint investigation was unannounced and based on allegations received on 2023-04-13. The allegations regarding kitchen cleanliness and mold were unsubstantiated, while the allegation regarding improper food storage was substantiated. A Plan of Correction was developed and reviewed with the Licensee/Administrator Marlin Fish.

An unannounced complaint investigation was conducted regarding allegations including inadequate staffing, staff yelling at residents, unclean facility conditions, and failure to bathe/shower residents.

The investigation found all allegations to be unsubstantiated based on staff and resident interviews, facility tour, and document review. No deficiencies were cited at this time.

The complaint investigation was unsubstantiated; while allegations may have been valid, there was not a preponderance of evidence to prove violations occurred.

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.

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.

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.

Licensing Program Analyst Bernadette Allen conducted an unannounced case management visit to the facility to follow up on an adult client death.

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.

An unannounced complaint investigation was conducted in response to an allegation that the facility utilizes bed rails without medical order.

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.

The complaint allegation was that the facility utilizes bed rails without medical order. The allegation was found to be unsubstantiated after investigation.

An unannounced complaint investigation was conducted in response to an allegation that staff do not communicate with the resident's responsible party.

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.

The complaint allegation that staff do not communicate with the resident's responsible party was investigated and found to be unfounded.

Licensing Program Analyst Ryan Gardner made an unannounced visit to the facility regarding complaint number 56-AS-20220513164917 to obtain signatures on amended reports.

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.

Visit was related to complaint number 56-AS-20220513164917. No substantiation status or further complaint details are provided.

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.

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.

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.

An unannounced complaint investigation was conducted regarding allegations of insufficient staffing to meet residents' needs.

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.

The allegation of insufficient staffing to meet residents' needs was investigated and deemed unsubstantiated due to lack of preponderance of evidence.

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.

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.

Licensing Program Analyst Javier Prieto made an unannounced visit to conduct an annual inspection with an emphasis on infection control.

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.

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.

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.

The visit was conducted as part of a change of ownership application and pre-licensing inspection for a Residential Care Facility for the Elderly.

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.