Welbrook Senior Living Santa Monica

Based on observation,interviews,and record review, the licensee did not comply with the section cited above in 4 out of 4 staff members did not have proof of trainings in their file for S1,S2,S3,and S4, nor could the administration staff provide proof of trainings for any staff members which poses/posed a potential health, safety or personal rights risk to persons in care.

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following… (2) To be accorded safe, healthful and comfortable accommodations...This requirement was not met as evidenced by: Based on interviews and records review. Licensee did not ensure the safety of (R1) who wandered out of the facility, unsupervised by staff. R1 Sustained a serious injury during elopement from facility on 2/2/24.. This violation poses a potential health and safety risk to clients in care.

87705 (e)(7) Care of Persons with Dementia(e) Licensees that use delayed egress devices on exterior doors... shall meet the following requirements…(7) Delayed egress devices shall not substitute for trained staff...to meet the care and supervision needs of all residents, including staff needed to escort residents who need supervision to leave the facility.This requirement was not met as evidenced by: Based on interviews, and record review staff were not on 2nd floor where R1 eloped from at time of incident and did not hear the alarm.This violation poses a potential health and safety risk to clients in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above. Staff #3 did not have a health screening nor TB test results on file. This violation which poses a potential health, safety or personal rights risk to persons in care.

Based on observation and record review, the licensee did not comply with the section cited above. LPA identified resident #2 & #4 both diagnosed with dementia did not have current medical assessment & reappraisal. Last assessments were done in 2022. This violation which poses/posed a potential health, safety or personal rights risk to persons in care.

Based on observation, interview, and record review, the licensee did not comply with the section cited above. Staff #3 #4 #5 did not have First Aid/CPR certificate on file. This violation which poses a potential health, safety, or personal rights risk to persons in care

Based on observation and record review, the licensee did not comply with the section cited above. LPA identified staff #6 not have criminal record clearance transfer. Staff did not have an LIC 9162 on file nor transfered on CDSS Guardian. This violation which poses an immediate health, safety or personal rights risk to persons in care.