Routine inspection·February 13, 2023

Licensing Program Analyst (LPA) Alberto Lopez conducted a site visit for the Required - 1 Year inspection. Upon arriving at the facility, LPA met with Danny Vera, Executive Director and explained the purpose of the visit. The facility is licensed to serve 75 residents (41 Ambulatory and 34 Non-Ambulatory only) ages 60 and above. Non-ambulatory to be housed on second floor only. No Bedridden allowed. The facility has an approved Hospice Waiver on file for ten (10) Residents. Brookdale Monrovia does not have an approved Dementia Care Plan in their plan of operation and does not accept or care for residents with dementia. During today's visit, LPA used the infection control domain to complete the Required - 1 Year inspection. The following were observed/inspected: · COVID-19 signs are posted at the entrance. Visitors are screened in the main entrance and a log is kept. · LPA was not screened for this visit. · Infection control signs and other COVID-19 signs are posted throughout the facility in the bathrooms, kitchen, and hallway to promote handwashing, cough/sneeze etiquette, and physical distancing. · Facility does not have designated isolation room as residents all have private rooms. · 6 client rooms, common areas, bathrooms, and outdoor physical plant was inspected. · 6 client rooms were equipped with alcohol based hand sanitizer. · Four (4) centrally stored client medication records were reviewed. · Staff responsible for direct care and supervision were observed wearing masks. · Clients were not observed wearing masks but adhering to public health social distance guidelines. · Sufficient supply of perishable for 2 days & non-perishable foods for 7 days were observed. Deficiencies cited, please see 809D for details Exit interview conducted with Danny Vera, Executive Director and copy of report and appeal rights provided