Inspection Reports for GlenBrook Health Center
1950 Calle Barcelona, Carlsbad, CA 92009, United States, CA, 92009
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with the facility consistently clean, well-maintained, and compliant with safety and infection control standards. Several complaint investigations were unsubstantiated, including allegations of neglect and improper staff behavior. The most recent report from December 6, 2024, was perfect with no deficiencies cited. The facility responded effectively to incidents such as residents leaving unassisted, with no harm or safety issues identified. Overall, the record shows a stable environment with no enforcement actions or fines listed in the available reports.
Deficiencies (last 4 years)
Deficiencies (over 4 years)
0 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
Same as California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
74% occupied
Based on a December 2024 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Annual Inspection
Census: 70
Capacity: 95
Deficiencies: 0
Date: Dec 6, 2024
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements for Glenbrook Assisted Living Facility.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required safety equipment, furnishings, and documentation were present and in order.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sadie Harness | Executive Director | Met during inspection and named in relation to facility condition and compliance |
| Nacole Patterson | Licensing Program Analyst | Conducted the inspection |
| Snezana Skrbic | Wellness Coordinator | Participated in facility tour and inspection |
| David Sharp | Operations Manager | Participated in facility tour and inspection |
Inspection Report
Census: 72
Capacity: 95
Deficiencies: 0
Date: Apr 24, 2024
Visit Reason
The visit was an unannounced Case Management visit in response to a self-reported incident where a resident left the facility unassisted.
Findings
The resident was located and assisted back into the facility within 7 minutes with no injuries. No health or safety issues were identified and no deficiencies were cited or observed during the visit.
Report Facts
Time resident was missing: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sadie Harness | Administrator | Met with Licensing Program Analyst during the visit and involved in the exit interview |
| Nacole Patterson | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Jennifer Lott | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 95
Capacity: 95
Deficiencies: 0
Date: Jan 29, 2024
Visit Reason
An unannounced required one-year inspection was conducted to evaluate compliance with licensing regulations at Glenbrook Assisted Living Facility.
Findings
The inspection found the facility to be in full compliance with no deficiencies cited. The facility was clean, well-maintained, and residents were treated with dignity. Safety systems were operational and staff records were complete.
Report Facts
Hospice care waiver approved residents: 7
Food supply duration: 2
Food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and authored the report |
| Sadie Harness | Administrator | Facility administrator who granted entry and participated in the inspection |
| Kahina Hadibi | Assistant Living Director | Accompanied the Licensing Program Analyst during the facility tour |
Inspection Report
Complaint Investigation
Census: 68
Capacity: 95
Deficiencies: 0
Date: Oct 26, 2023
Visit Reason
An unannounced complaint investigation was conducted following a complaint alleging neglect/lack of supervision resulting in resident injury at Glenbrook Assisted Living Facility.
Complaint Details
The complaint alleged neglect/lack of supervision resulted in injury to Resident 1, who had a large bruise on the left arm. The allegation was unsubstantiated after interviews with staff, residents, and an outside medical provider could not verify the cause of the injury.
Findings
The investigation found no preponderance of evidence to prove the alleged neglect or lack of supervision causing injury. Interviews and record reviews did not corroborate the allegation, resulting in an unsubstantiated finding.
Report Facts
Facility capacity: 95
Census: 68
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sadie Harness | Administrator | Met with Licensing Program Analyst during complaint investigation and exit interview |
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 95
Deficiencies: 0
Date: Apr 27, 2023
Visit Reason
The visit was conducted in response to an LIC624 Incident Report regarding a resident who went AWOL from the facility without staff witnessing. The purpose was to investigate the incident and verify resident safety.
Complaint Details
The complaint involved a resident who went AWOL early morning on 04/24/2023. The resident was returned safely by police. The investigation found no evidence of failure in assessment or observation by staff.
Findings
The resident was found unharmed and wearing a 'wander guard' device after the incident. The facility had appropriate safety measures including proximity sensors and staff observation protocols. No deficiency was cited during the visit.
Report Facts
Incident date: Apr 24, 2023
Incident report submission date: Apr 25, 2023
Resident assessments: 3
Staff check interval: 2
Facility capacity: 95
Resident census: 75
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sadie Harness | Executive Director | Met during visit and participated in exit interview |
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced case management visit |
Inspection Report
Annual Inspection
Census: 60
Capacity: 95
Deficiencies: 0
Date: Jan 30, 2023
Visit Reason
Licensing Program Analyst Tammer de los Santos visited the facility to conduct an annual required licensing inspection.
Findings
The inspection verified compliance with infection control practices including universal entry screening, visitor sign-in policy, hand hygiene promotion, face coverings worn by staff, and availability of hand sanitizer and visitation area. No deficiencies were cited during the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kahina Hadibi | Director | Facility Director who granted entry and participated in exit interview. |
| Tammer de los Santos | Licensing Program Analyst | Conducted the annual required licensing inspection. |
Inspection Report
Census: 74
Capacity: 95
Deficiencies: 0
Date: May 13, 2022
Visit Reason
An unannounced case management visit was conducted following the facility's report of a resident death on May 11, 2022.
Findings
No deficiencies were cited during the visit. The Licensing Program Analyst toured the facility, conducted staff interviews, and reviewed records.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sadie Harness | Administrator | Met with Licensing Program Analyst during the visit and participated in exit interview. |
| Vicky Williamson | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Simon Jacob | Licensing Program Manager | Named in the report header. |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 95
Deficiencies: 0
Date: May 3, 2021
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that facility staff were accepting tips from residents.
Complaint Details
The complaint alleged that staff were accepting tips from residents. The investigation included interviews and record reviews and concluded the allegation was unsubstantiated.
Findings
The investigation found no evidence that staff were accepting tips from residents. The facility enforces a no tipping policy and participates in a voluntary, anonymous Resident Gift Fund sponsored by the Resident Council, which does not involve staff in collection. The allegation was unsubstantiated.
Report Facts
Facility capacity: 95
Census: 69
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Kristina Ryan | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Sadie Harness | Administrator | Facility administrator involved in investigation and receipt of report |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 70
Capacity: 95
Deficiencies: 0
Date: Apr 15, 2021
Visit Reason
An unannounced case management virtual visit was conducted due to the COVID-19 pandemic following a self-reported incident involving a resident who was hospitalized with an injury and subsequently passed away.
Findings
No deficiencies were cited during the visit after reviewing facility records and interviewing staff.
Report Facts
Capacity: 95
Census: 70
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sadie Harness | Administrator | Met with Licensing Program Analyst during the visit and involved in exit interview |
| Kristina Ryan | Licensing Program Analyst | Conducted the unannounced case management virtual visit |
| Simon Jacob | Licensing Program Manager | Named in the report header |
Inspection Report
Census: 70
Capacity: 95
Deficiencies: 0
Date: Apr 15, 2021
Visit Reason
The visit was an unannounced Case Management Visit conducted in response to the death of Resident 1 (R1).
Findings
No immediate health or safety issues were observed during the tour of the facility. No deficiencies were cited or observed at the visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sadie Harness | Administrator | Met with Licensing Program Manager during the visit and participated in the exit interview. |
| Josie Ledesma | Director of Nursing | Conducted facility tour with Licensing Program Manager. |
| Rebecca Hedgecock | Licensing Program Analyst | Conducted the unannounced Case Management Visit. |
| Icela Estrada | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Census: 70
Capacity: 95
Deficiencies: 0
Date: Apr 2, 2021
Visit Reason
An unannounced case management visit was conducted to provide technical assistance and review the facility's COVID-19 mitigation plan via a virtual FaceTime visit due to COVID-19 restrictions.
Findings
During the visit, the Licensing Program Analyst toured the facility and interviewed the Administrator. No deficiencies were issued during this visit.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sadie Harness | Administrator | Met with Licensing Program Analyst during the visit |
| Kristina Ryan | Licensing Program Analyst | Conducted the unannounced case management visit |
| Simon Jacob | Licensing Program Manager | Named in the report header |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 95
Deficiencies: 0
Date: Mar 5, 2021
Visit Reason
The visit was an unannounced Case Management visit due to an incident report received at the San Diego Regional Office on March 3, 2021.
Complaint Details
Visit triggered by an incident report received on March 3, 2021. No deficiencies were cited during this visit.
Findings
During the visit, a brief tour of the facility, a health and safety check of the residents, and record review were conducted. No deficiencies were cited during the visit, but further investigation is necessary and future visits may be required.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sadie Harness | Executive Director | Met during the visit and participated in the exit interview. |
| Alexandre Vo | Licensing Program Manager | Conducted the unannounced Case Management visit. |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Report
Sep 19, 2025
Report
Oct 17, 2024
Report
Aug 24, 2023
Report
Aug 24, 2023
Report
Aug 23, 2023
Report
Jan 16, 2020
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