Inspection Reports for Brookdale Valley View

An unannounced case management visit was conducted to follow up on an SOC 341 received by the department regarding a reported incident involving a caregiver causing a skin tear on a resident's arm.

The Licensing Program Analyst observed no health or safety concerns during the visit. The resident reported the injury was unintentional and caregivers were attempting to assist. The facility has scheduled a care plan meeting and conducted an in-service on transfers in response to the resident's decline.

The visit was triggered by a complaint (SOC 341) received on 08/29/2025 regarding a caregiver causing a skin tear on Resident 1's arm. The resident initially was unaware of the caregiver involved and later reported different names. The injury was not intentional.

An unannounced visit was conducted to investigate a complaint alleging that the facility was mismanaging residents' medication.

The investigation found that initial medication management issues occurred for resident R1 after admission, and a prescription for resident R2 was not administered for four days due to pharmacy refill errors. The allegation was substantiated and a Type A deficiency was cited.

The complaint alleged that the facility was mismanaging residents' medication. The investigation substantiated the allegation based on interviews, record reviews, and observations.

An unannounced case management visit was conducted to follow up on incident reports received by the department on 06/23/2025 and 07/07/2025 involving allegations of caregiver misconduct and a resident fall.

The facility conducted an internal investigation into the allegation of a caregiver yelling and pushing a resident, which was closed based on interviews. Another incident involved a resident's unwitnessed fall resulting in a fractured hip, with the resident currently hospitalized post-surgery.

The visit was triggered by complaints including a report that a caregiver yelled and pushed Resident 1, with police involvement and an internal investigation. Another complaint involved Resident 2's unwitnessed fall leading to a fractured hip. The facility's internal investigation was closed based on interviews.

An unannounced complaint investigation was conducted in response to an allegation that facility staff were not keeping resident rooms at a comfortable temperature.

The investigation found that temperatures in the resident's room and common areas were within regulatory guidelines, and the allegation was deemed unfounded. Documentation showed multiple maintenance visits and provision of additional cooling measures.

The complaint alleged that facility staff were not keeping resident rooms at a comfortable temperature. The allegation was investigated and found to be unfounded, meaning it was false or without reasonable basis.

The visit was an unannounced annual required inspection conducted to evaluate compliance with licensing requirements for the facility.

The inspection found no deficiencies in the areas inspected, including resident care, physical plant, food service, medication storage and administration, and safety systems. Residents were observed participating in activities and staff responded promptly to emergency pendants.

An unannounced case management visit was conducted to follow up on an SOC 341 report regarding an incident where a staff member was alleged to have propositioned a resident.

The investigation found that the resident denied any injuries and no relations had occurred. The staff member was suspended pending investigation but was allowed to return to work on the day of the visit. The resident appeared clean, well cared for, and verbalized feeling safe at the facility. The incident requires further investigation.

The complaint involved Resident 1 reporting that Staff 1 had propositioned the resident. The resident denied any injuries and no relations occurred. Staff 1 was suspended pending investigation and returned to work on May 29, 2025.

Unannounced case management visit conducted to follow up on an incident report received by the department regarding a resident's elevated heart rate, lethargy, increased respirations, and a displaced fracture.

The incident report referred to a previous fracture from December 2024. The resident had an unwitnessed fall in December 2024 but was able to leave the facility unassisted at that time. Fall precautions such as a low bed and scoop mattress were observed during the visit. The resident had no prior falls.

Visit was triggered by an incident report dated 02/12/2025 concerning Resident 1's elevated heart rate and fracture. The report was found to reference a prior fracture from December 2024. The resident's primary diagnosis is difficulty walking. Fall precautions were in place and observed.

An unannounced complaint investigation visit was conducted in response to allegations that staff did not respond to a resident's call in a timely manner and that staff utilized an inappropriate lock on a resident's door.

The investigation found that on 02/13/2024, a resident requested staff to call 911 for knee pain, EMS arrived and transported the resident downstairs. The resident's door was locked with an exterior lock per resident request while staff was on break for approximately 10-15 minutes. The lock allowed residents to exit from inside. Based on interviews and observations, the allegations were deemed unfounded.

The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, or were without a reasonable basis.

Unannounced plan of correction visit to follow up on citations issued on 2025-01-08.

Deficiencies cited under Title 22 Regulation 87464(f)(4) pertaining to Basic Services and Title 22 Regulation 87628(a) pertaining to Diabetes have been cleared. Licensee provided proof of correction and complied with the terms of the plan of correction.

The inspection was an unannounced complaint investigation visit conducted in response to complaints alleging lack of care and supervision, and improper medication administration at the facility.

The allegation of lack of care and supervision was found to be unsubstantiated after interviews and observations. However, the allegation that the facility was not administering medications properly was substantiated, with evidence of missed diabetes-related injections and 13 missed medications in December 2023 due to lack of glucose test strips.

The complaint investigation was triggered by allegations of lack of care and supervision and improper medication administration. The lack of care allegation was unsubstantiated, while the medication administration allegation was substantiated.

An unannounced case management visit was conducted in conjunction with a complaint investigation (22-AS-20240205143436) to assess compliance with regulations regarding glucose testing by appropriately skilled professionals.

The investigation found that two staff members performed glucose checks on a resident without being appropriately skilled professionals, violating California Code of Regulations, Title 22, Division 6, Chapter 8. This posed an immediate health and safety risk to residents.

The visit was triggered by complaint 22-AS-20240205143436. The deficiency was substantiated based on staff interviews and observations.

The visit was an unannounced case management follow-up on an incident report regarding a resident who was hospitalized due to a fracture after a fall in their room.

The Licensing Program Analyst confirmed the resident was ambulatory prior to the incident and had attended a facility event. No deficiencies were cited during this visit.

The visit was conducted as a follow-up on an eviction letter received on May 6, 2024, concerning Resident #1 (R1).

The Licensing Program Analyst was informed that Resident #1 had passed away on May 30, 2024, and obtained a copy of the death report. An exit interview was conducted with the Executive Director and a copy of the report and files were provided.

The Licensing Program Analyst conducted an unannounced visit to perform the required annual inspection of the facility.

The facility was found to be well maintained with no deficiencies observed. Resident rooms and bathrooms were clean and operational, fire extinguishers were fully charged, and safety systems were functional. Staff files and resident medications reviewed showed no discrepancies.

An unannounced case management visit was conducted to follow up on incident reports submitted to the department regarding thefts reported by residents.

The investigation confirmed multiple thefts of checks and cash from residents' rooms by a staff member who admitted to the thefts and was terminated. Police responded and charges are pending. All residents with missing checks were reimbursed.

The visit was triggered by incident reports of thefts involving missing checks and cash from residents. The staff member responsible admitted to the thefts and was terminated. Police involvement and pending charges were noted.

An unannounced complaint investigation was conducted in response to allegations that facility staff were not properly trained, the facility was unsanitary, and the facility failed to safeguard resident belongings.

The investigation substantiated that staff were not properly trained as a non-skilled professional administered a vaginal suppository, and the facility was unsanitary due to failure to clean a resident's soiled floor and wheelchair. The allegation that the facility failed to safeguard resident belongings was found to be unfounded.

The complaint investigation was substantiated for allegations that facility staff were not properly trained and that the facility was unsanitary. The allegation that the facility failed to safeguard resident belongings was found to be unfounded.

An unannounced complaint investigation visit was conducted in response to allegations received on 2023-09-01 regarding dietary restrictions not being followed and delayed medical treatment for a resident.

The investigation found that the resident was not on a special diet at the time of the complaint and dietary restrictions were followed as evidenced by observations and staff interviews. The allegation of delayed medical treatment was also unfounded as the resident was assessed promptly, paramedics were called, and the resident was transported to the hospital and returned the same day with no new orders.

The complaint was deemed unfounded after investigation, meaning the allegations were false or without reasonable basis.

An unannounced complaint investigation visit was conducted in response to a complaint alleging that lack of staffing resulted in the facility not meeting residents' needs.

The investigation found that staffing issues were confirmed by all interviewed staff and residents during the alleged time frame, with evidence that Resident 1 required two-person assistance but sometimes only one caregiver was working. Staffing issues were reported to have improved by the time of complaint filing. The allegation was substantiated.

The complaint alleging lack of staffing resulting in unmet resident needs was substantiated based on interviews with staff and residents and review of documentation. The facility failed to provide the pendant response log to the department. The preponderance of evidence standard was met.

The inspection visit was conducted to investigate a complaint alleging that the facility was increasing residents' rent without proper notice.

The investigation found that although there was some confusion regarding billing due to rescheduling of care conferences, adequate notice was given for both personal service rate adjustments and cost-of-living rate changes. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that the facility was increasing residents' rent without proper notice. The investigation included interviews with the administrator, former Health and Wellness Director, and the alleged victim, as well as review of documentation. The allegation was found unsubstantiated.

The visit was a Case Management visit conducted by Licensing Program Analysts and the Executive Director to inform the facility about the requirement to notify the Community Care Licensing division within 30 days of a change in Administrator.

The Administrator was reminded of the regulation and reporting requirements when hiring a new Administrator. A Technical Assistance was issued. An exit interview was conducted and a copy of the report and Technical Advisory was provided.

The visit was an unannounced annual inspection focused on infection control at the facility.

The inspection found that infection control measures were in place including posted Covid signs, temperature checks, vaccination verification, hand sanitizing stations, sufficient PPE supply, and social distancing. No deficiencies were noted during the visit.

An unannounced complaint investigation visit was conducted in response to an allegation that the facility was charging fees and rent for services not provided.

The investigation substantiated the allegation, finding a billing discrepancy where Resident 1 was overcharged. The facility provided a credit during the visit, but the billing records did not accurately reflect this credit, indicating financial exploitation.

The complaint was substantiated. The allegation was that the facility charged fees and rent for services not provided. The investigation revealed a billing discrepancy for Resident 1, who was overcharged. The facility provided a credit during the visit.

Unannounced case management visit to follow up on an incident report submitted to Community Care Licensing on 11/22/2021 regarding a resident found outside the facility.

The visit confirmed that Resident 1, diagnosed with Mild Cognitive Impairment, was found outside the facility but was redirected back and placed on hourly checks. The resident was moved to a memory care unit with no adverse effects, and the Executive Director reported a gradual decline in behavior.

Licensing Program Analyst Kimberly Lyman conducted an unannounced visit for the purpose of conducting a required annual visit.

The facility appeared clean, sanitary, and well maintained with residents appearing happy and well cared for. No deficiencies were noted during the visit. COVID-19 precautions and mitigation plans were reviewed and approved.

The visit was an unannounced case management follow-up on an incident report received regarding a resident eloping from the facility.

The investigation confirmed that Resident 1 left the facility through a delayed egress door before the alarm was active, was found safe with no injuries, and appeared happy and well cared for during the visit.

The complaint involved Resident 1 eloping from the facility to McDonald's. The incident was substantiated by the facility's investigation showing the resident left through a delayed egress door at approximately 6:30 PM, before the alarm activation time.

An unannounced complaint investigation visit was conducted in response to allegations that staff were not responding to resident needs, resident dishes were left in the hallway, and staff were sleeping in common areas.

The investigation found no evidence to support the allegations. No dishes were observed in the hallway, staff were reported to pick up dishes promptly, residents with diet modifications were being properly cared for, and no staff were observed sleeping during the visit. The allegations were deemed unfounded.

The complaint investigation was initiated based on allegations of staff not responding to resident needs, resident dishes left in hallways, and staff sleeping in common areas. The allegations were found to be unfounded after interviews, observations, and documentation review.

An unannounced complaint investigation visit was conducted in response to allegations of staff neglect resulting in a resident's hospitalization and neglect of resident's calls for help multiple times.

The investigation found that the resident involved was not currently living at the facility and had only been there for respite care in May 2020. The allegations were determined to be unfounded as the resident had moved out and had not returned, and there was no evidence to support the claims.

The complaint was investigated and deemed unfounded, meaning the allegations were false, could not have happened, and/or were without a reasonable basis.

The inspection was an unannounced complaint investigation triggered by allegations of inadequate staffing and personal rights violations at the facility.

The investigation found that all interviewed staff denied the allegations of residents being covered in ants or urine, and staffing levels were consistent with the facility's schedule. The allegations were deemed unfounded as there was no evidence to support them.

The complaint investigation was initiated based on allegations of inadequate staffing and personal rights violations. The allegations were found to be unfounded after interviews, documentation review, and observation.