Brookdale Central Whittier

Based on record review, the licensee did not comply with the section cited above in that resident (R5's) last medical assessment on file is dated 1/11/2024, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation,, the licensee did not comply with the section cited above in that beds in rooms 106, 110, 127, 209, 247 did not have mattress pads, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that the refrigerator tray had blood from a ground beef bag that was placed on the tray to thaw on 4/17/26; the ground beef was gray in color in some areas, which posed a potential health, safety or personal rights risk to persons in care.

Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money or interfering with daily living functions such as eating, sleeping, or elimination. This requirement was not met evidenced by:During the 2/25/2026 Town Hall meeting, resident (R1) was humiliated by a staff person when they brought up incontinence wipes packs being left out and not put away by staff. This poses a potential health, safety, and personal risk to persons in care.

Maintenance and Operation. A comfortable temperature for residents shall be maintained at all times. The facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat to 30 degrees F less than the outside temperature. This requirement was not met evidenced by room inspections of 2nd floor rooms conducted on 5/23/25 and today. Room 207's thermostat read 62DF, and the room controls many rooms located in the 2nd floor. This poses a potential health, safety, and personal rights risk to persons in care.

Maintenance and Operation.The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met evidenced by:Based on observation, the dining room laminate flooring is raised and in disrepair. This poses a potential health, safety, and personal risk to persons in care.

Maintenance and Operation. All waste shall be located, stored, and disposed of in a manner that will not transmit communicable diseases or odors, pose a risk to health and safety, or provide a breeding place or food source for insects or rodents. This requirement was not met evidenced by: Based on physical plant observation and interviews conducted on 5/16/25, R1's room had a strong odor of pet feces and urine. Pet feces was observed in the patio area and pet urine was on R1's room and temporary room. This poses a potential health and safety risk to persons in care.

Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement was not met evidenced by: Based on observation, resident (R1's) room is infested with cockroaches. During 5/16/25 visit the room had dead and alive cockroaches, maggots, unswept floors, food on the floor/tables, clutter, and excessive amounts of personal belongings on the floor. This poses a potential health and safety risk to persons in care.

Maintenance and Operation (a)The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This standard is not met as evidence by: LPA conducted a tour of the second floor common bathroom and observed the fan above the sink had lint on the lid, the fan inside the shower was non-operational and the tile in the shower needs a deep cleaning (half bottom of shower grout is darker).

Maintenance and Operation. All waste shall be located, stored, and disposed of in a manner that will not transmit communicable diseases or odors, pose a risk to health and safety, or provide a breeding place or food source for insects or rodents. This requirement was not met evidenced by: Based on physical plant observation and interviews, R1's room had a strong odor of pet feces and urine. Pet feces was observed in the patio area and pet urine was on R1's room and temporary room. This poses a potential health and safety risk to persons in care.

Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement was not met evidenced by: Based on observation, resident (R1's) is infested with cockroaches. During today's visit, the room had dead and alive cockroaches, as well as maggots. This poses a potential health and safety risk to persons in care.

Reporting Requirements: Each licensee shall furnish to the licensing agency ... 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 requirement was not met evidenced by: Based on record review, on 3/9/25 staff were informed that R1 was being financially abused by social media "friends", but the facility did not submit an SOC 341 or incident report to CCL. This week staff were informed of another financial abuse incident. This poses a potential health and safety risk.

Personal Accommodations and Services. The following space and safety provisions shall apply to all facilities: The premises shall be maintained in a state of good repair and shall provide a safe and healthful environment. This requirement was not met evidenced by: Based on observation and tour of physical plant, LPA observed unswept floors, food on the floor/tables, clutter, and exessive amounts of personal belongings on the floor/ This poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that 8 out 18 rooms had water temperature above 120 DF, ranging from (125.4 DF - 137.6 DF), which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that beds in rooms 204, 205 & 209 did not have mattress pads, which poses a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that 11 chocolate pudding glass cups were observed uncovered in the refrigerator, which poses/posed a potential health, safety or personal rights risk to persons in care.

Basic Services. Basic services shall at a minimum include: Arrangements to meet health needs, including arranging transportation, as specified in Section 87465, Incidental Medical and Dental Care Services. This requirement was not met evidenced by: Based on interviews conducted and record review, the findings indicate that resident (R1) missed 2 required pre-surgery appointments during the past week, because the facility did not ensure R1 was transported to appointments via facility bus, sister community transport, Dial-A-Ride, or other alternate arrangement. This poses a potential health and safety risk to persons in care.

Maintenance and Operation .Facilities which have machines and do their own laundry shall: Have adequate supplies available and equipment maintained in good repair. This requirement was not met evidenced by: Based on interviews and observation, the 2nd floor Resident Laundry Room has a dryer that is in disrepair. During the inspection, LPAs also observed the basement washer in disrepair. Both have been in disrepair for approximately 4 weeks. This poses a potential health and safety risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that at 12:12 PM LPA observed an open large size package of hot dogs being thawed in the kitchen sink where dirty dishes are rinsed and and uncovered plates of pie desserts were observed in the refrigerator, which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that room #261 was [131.6DF], rm # 253 [127.7 DF], rm #241 [120.3 DF], rm# 236 [122.8 DF], rm #235 [123.5 DF], rm # 233 [ 124.4 DF], rm # 210 [124.4 DF, which poses an immediate health, safety or personal rights risk to persons in care.

Basic Services. Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications, as specified in Section 87608, Postural Supports. Based on record review and interviews conducted resident (R1) required bowel incontinence care since May 2023, due to change in condition to bed-bound. R1 has been left lying in feces and urine and was not provided incontinence care as indicated in care plans. This poses a potential health and safety risk to residents in care.

Definitions. "Care and Supervision" means those activities which if provided shall require the facility to be licensed... "Care and Supervision" shall include, but not be limited to, any one or more of the following activities provided by a person or facility to meet the needs of the residents: (A) Assistance in dressing, grooming, bathing and other personal hygiene; This requirement was not met evidenced by:Per record review & photographs, caregiver staff failed to provide grooming assistance as indicated in care plans, which poses a potential health, safety or personal rights risk to persons in care.

Personal Accommodations and Services.The following space and safety provisions shall apply.... All persons shall be protected against hazards within the facility through provision of the following:(B) Information and instruction regarding life protection and other appropriate subjects. Based on photographs and observations made the findings indicate that staff failed to remove hazardous items i.e. toothpicks, plastic knives from R1's bed, which can cause skin tears. This posed a potential health, safety or personal rights risk to persons in care.

Personal Rights of Residents in All Facilities. (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met evidenced by: Based on photograph evidence and observations made on 12/19/23, R1's bed sheets/linens were observed to be dirty with urine, feces, and food; which posed a potential health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that the kitchen sink faucets measured below 125 DF [123.4, 124.9]; which poses an immediate health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in that one (1) staff did not have current 1st Aid/CPR training on file; which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on record review, the licensee did not comply with the section cited above in that resident (R1's) furosemide 40 mg was not administered as prescribed (1/2 the pill remained in the bubble pack) and was missing Hydralazine HCL 25 mg, and R2 was missing fish oil/D3 360-1200 mg AM bubble pack, and bedtime Tylenol 325 mg bubble packs; which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that rooms 229 (120.3 DF), 235 (120.9 DF), 243 (122.3 DF), 251 (121.8 DF), 252 (122.1 DF), 257 (121.2 DF) had water temperature that exceeded above 12 DF; which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that room 117's walls were in disrepair; which poses a potential health, safety or personal rights risk to persons in care.

87468.1 Personal Rights of Residents in All Facilities.(1) To be accorded dignity in their personal relationships with staff, residents, and other persons.This requirement was not met by evidence of: Based on client and staff interviews, as well as document review, it was confirmed that S1 was rough, aggressive and inappropriate towards. which poses an potential health, safety, or personal rights risk to persons in care.

87405 Administrator - Qualifications and Duties d) The administrator shall have the qualifications specified in Sections 87405(d)(1) through (7). If the licensee is also the administrator, all requirements for an administrator shall apply. (1) Knowledge of the requirements for providing care and supervision appropriate to the residents. (2) Knowledge of and ability to conform to the applicable laws, rules and regulations. The requirement was not met as evidenced by:Administrator did not follow up with staff about R1's condiiton.

87466 Observation of the Resident-The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs. When changes such as unusual weight gains or losses or deterioration of mental ability or a physical health condition are observed, the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any.The requirement was not met as evidenced by R1 was not sent to hospital in a timely manner

Based on observation, the licensee did not comply with the section cited above in that R1 was missing medication Acetaminophen 325 mg, Resident (R2) has prescribed medications on Physician's Report, but they were not listed on the Medication Administration Report. No proof that R2 refuses medication physician orders was documented. R2 had Acetaminophen 500 mg in the room, but it was not listed on the MAR; which poses an immediate health, safety or personal rights risk to persons in care.

Based on observation, the licensee did not comply with the section cited above in that Room # 211 & # 201 had plumbing issues, and room # 231 had broken vertical blinds, which poses a potential health, safety or personal rights risk to persons in care.

Enumerated rights; severability. Residents of residential care facilities for the elderly shall have all of the following rights: To have prompt access to review all of their records and to purchase photocopies. Photocopied records shall be promptly provided, not to exceed two business days, at a cost not to exceed the community standard for photocopies. This requirement was not met by evidence of: Based on interview and record review resident (R1's) itemized bill records were not provided to authorized representative within two business days. Facility provided a copy of the itemized bill until Nov 4, approximately 2 weeks after phone request was made. This poses a potential health and safety risk.

Reporting Requirements. 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 ... below. 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 was not met by evidence of: On 10/10/21 R1 sustained a fall resulting in scrapes and bruising to the kneee, which was not reported to authorized representive or Community Care Licensing. This poses a potential health and safety risk.

87303(a) Maintenance and Operation. The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.This requirement was not met by evidence of: Based on observation during random room inspection and interviews conducted facility has had plumbing issues since Fall 2020. In addition 3 rooms [103, 115, 243], and 1st floor public restroom were observed to be in need of repairs. On 5/26/2021, the facility's 1st floor was observed to be under construction due to major plumbing issues.

Based on physical plant inspection of resident rooms and common areas a total of 5 rooms [106, 109, 129, 239, 247] out of 14 rooms inspected did not have hand sanitizer in the resident rooms which poses a potential health, safety or personal rights risk to persons in care.

Based on observation during medication review a total of 5 residents were missing prescribed medications. Wellness Director was provided a list of resident names and medications that were not found during review.