Brookdale Monrovia

(a) Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:(1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days of the occurrence of any of the events specified in (A) through (D) below. This report shall include the resident's name, age, sex and date of admission; date and nature of event; attending physician's name, findings, and treatment, if any; and disposition of the case.(D) Any incident which threatens the welfare, safety or health of any resident, such as psychological abuse of a resident by staff or other residents, or unexplained absence of any resident.This requirement is not met as evidenced by: Based on interviews and records review, the facility staff sent the LIC624 Unusual Incident Report to Licensing on 09/18/2025 for a physical altercation between Resident #1 (R1) and Resident #3 (R3) that occurred on 09/08/2025. LPA obtained facility Progress Notes which indicated that the staff had knowledge of the physical altercation between R1 and R3 on 09/08/2025. The facility failed to not report to licensing within seven days, per Title 22 reporting requirements. This poses a potential health and safety risk to persons in care.

Based on record review, the Executive Director, Staff #2 (S2), Staff #5 (S5), and Staff #6 (S6’s) file did not have the valid Health Screening and TB test result in file which poses a potential health, safety or personal rights risk to persons in care.

Based on interview, record review, the Administrator did not comply with the section cited above in that (5) out of (6) staff files reviewed did not have a valid/current First aid/CPR training certificates on fil which poses/posed a potential health, safety or personal rights risk to residents in care.

87268 Diabetes (a) The licensee shall be permitted to accept or retain a resident who has diabetes if the resident is able to perform his/her own glucose testing (...) or has it administered by an appropriately skilled professional.The requirement is not met as evidenced by: Based on interview and record review conducted with residents and staff, LPA determined that R3 is getting their blood sugar level tested by S7. Additionally, R3's physician report indicates that R3 cannot test their own glucose levels, which poses an immediate risk for clients in care.

Based on observation, the licensee did not comply with the section cited above. Room #122 shower facet is loose which poses potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above. Bathroom in first floor closer to reception desk had water temperature at 120.02 degrees F. Shower water in room 125 measured 98.1 degrees F. Room 234 water measured 121.1 degrees F which poses an immediate health, safety or personal rights risk to persons in care.