Brookdale Ocean House

Each licensee shall furnish to the licensing agency such reports as the Department may require, including, but not limited to, the following:Any incident which threatens the welfare, safety or health of any resident...This requirement was not met as evidenced by Based on LPA observation and records review conducted, the licensee failed to ensure that staff or administration reported incident in complaint referenced to CDSS CCLD

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 personal rights:(3)To be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, such as withholding residents’ money....This requirement is not met as evidenced by: Based on interview and records review, the licensee failed to ensure resident's personal rights due to staff person #1 mis- appropriating residents money from Resident V1 personal bank account. This poses a personal rights risk to residents in care

Criminal Record Clearance: (e) All individualssubject to a criminal record review pursuant toHealth and Safety Code Section 1569.17(b)This requirement was not met as evidenced by Based on LPA observation and interview conducted, the licensee failed to ensure that staff Trevor Weiss was cleared or associated to the facility on 6/28/2023 and prior during employment.

87211 Reporting Requirements (a) (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. Staff did not report a special incident report that resident 1 had fallen on 10/05/2022. The violation poses a potential health and safety risk to residents in care.

87468.2 Additional Personal Rights of Residents in Privately Operated Facilities (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.Based on interviews and observation the Licensee did not ensure residents call

87303(a) Maintenance and Operation (a) The facility shall be clean, safe, sanitary, and in good repair at all times. Maintenance shall include profision of maintenance services and procedures for the safety and well-being of residents, employee and visitors. This was not met as evidence by: A hole in the bathroom ceiling (above the shower) had not been repaired and covered with a board due to a damaged water pipeline. The carpet was torn and worn out and a safety hazard LPA Martessa Brown's observations on 12/01/22.

87411(a) Personnel Requirements-General. Personnel shall at all times be sufficient in numbers and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by. Based on interviews, record review Licensee did not insure a sufficientnumber of competent staff. During 8 hours shift staff cannot assist all residents requiring assistance with daily needs. This possess potential Health & Safety risk to residents in care.

87303 Maintenance and Operationa) 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 is not met as evidenced by: Based on Interviews conducted, record review and observation. All residents and staff unanimously confirmed the allegation to be true and there is a history issues. A review of service request shows frequent service calls due to the elevator malfunction and washing machine issues. LPA observed one of the two elevators out of service, as well as two washing machines in need of service.

87303 Maintenance and Operationa) 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 as evidence by: Interviews conducted, record review and observation. All residents and staff unanimously confirmed the allegation to be true and the history of the issues. A review of service request shows frequent service calls due to the elevator malfunction. LPA observed elevator out of service.

All personnel shall be given on the job training or have related experience in the job assigned to them. This training and/or related experience shall provide knowledge of and skill in the following, as appropriate for the job assigned and as evidenced by safe and effective job performance...This requirement was not met as evidenced by: Based on client and staff interviews as well as records review, the facility failed to ensure staff had sufficient training. This posses a potential health and safety risk to clients in care.