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Inspection visit

Follow-up

BROOKDALE DIABLO LODGELicense 0792003821 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

On 11/05/2025 at 5:00 PM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct a case management review related to complaint 15-AS-20240514173549. Upon arrival, LPA met with Executive Director, Rachel Davis, and explained the purpose of the visit. During the course of the investigation, The Department conducted interviews, and reviewed files. It was discovered R1 had several falls while at the facility occurring on 3/25/2024, 1/9/2023, and 6/10/2022 and that the facility did not update R1 care plan after subsequent falls to address R1’s change of condition and care needed. THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING INVESTIGATION: Facility did not update residents care plan when there was a change in condition The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code. Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.

Citations

2 citations recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87468.2(a)(4)Type A

    (a)In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in privately operated residential care facilities for the elderly shall have all of the following personal rights:(4)To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirment was not met as evidence by Based on interviews and record review the staff acknowledged that R1 was a fall risk as identified in (list the documents that support this) and facility staff failed to provide adequate supervision to meet R1 needs resulting in a serious injury which poses an immediate safety risk to residents in care.

  • 87463(a)Type B

    (a)The pre-admission appraisal, as specified in Section 87457, Pre-Admission Appraisal, shall be updated in writing as frequently as necessary or once every 12 months, whichever occurs first, to note significant changes in condition, as defined in Section 87101, Definitions, and to keep the appraisal accurate. For the purposes of this section, the updated pre-admission appraisal shall be referred to as the reappraisal.This requirement is not met as evidence by: Based on interviews and record review facility staff did not adhere to the requirement above of conducting a reappraisal after R1 sustained multiple falls on 6/10/2022, 1/9/2023, or 3/25/2024 to address change in condition which poses a potential safety risk to clients in care.

FAQ · About this visit

Common questions about this visit

What happened during the November 5, 2025 inspection of BROOKDALE DIABLO LODGE?

This was a other inspection of BROOKDALE DIABLO LODGE on November 5, 2025. 1 citation were issued: 1 Type B.

Were any citations issued to BROOKDALE DIABLO LODGE on November 5, 2025?

Yes, 1 citation was issued (0 Type A, 1 Type B). The first citation was for: "(a)In addition to the rights listed in Section 87468.1, Personal Rights of Residents in All Facilities, residents in pri..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.