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Inspection visit

Follow-up on corrections

BROOKDALE BROOKHURSTLicense 3060029621 citation on this visit
1 citation recorded

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Michael Tea made an unannounced visit on this day for the purposes of delivering findings into allegations of sexual abuse. On this day LPA was greeted and met with Business Office Manager (BOM) Danielle Chairez. Executive Director (ED) John Goodwin arrived shortly after. On August 9, 2024, the Department received a self reported incident of suspected sexual abuse from the facility regarding Resident 1 (R1) and Staff 1 (S1). A health and safety visit was conducted by the Department on August 12, 2024, and an investigation initiated. The investigation determined as follows: R1 moved into the facility on May 26, 2024. Per Physician Report dated May 10, 2024, R1 is able to self manage activities of daily living (ADLs) such as bathing, toileting, and dressing and is able to communicate their needs. R1’s personal service assessment dated May 06, 2024, also notates facility’s assessment that resident is independent in ADLs and has an intact cognitive response. Per incident report received, R1 reported S1 engaged in sexually explicit conversations with them on multiple occasions over a period of approximately two months. In addition to engaging in sexually explicit conversations, R1 reported S1 showed them sexually explicit images on their personal phone including nude photographs of individuals they were dating and images of S1’s genitalia. Sometime in early August, R1 reported to a facility Med Tech (MT1) that S1 entered their room without knocking. R1 requested S1 not enter their room as they did not request any services and did not want assistance from S1. MT1 spoke with S1 and instructed them not to provide services to R1. The following day MT1 heard R1 yelling from their room at S1. S1 was observed leaving R1’s room. Interviews with three of three residents confirmed R1 had disclosed to them inappropriate interactions between themselves and S1. Per interview with R1, S1 would often enter their room without knocking including when R1 was in the shower. R1 reported S1 would ask to help dress R1 despite R1 being assessed independent in that ADL. R1 further disclosed they had awoken once (date unknown) to S1 watching them sleep and informing them they had taken photos of R1 while they sleep because they look so pretty. Case management report continued on LIC 809-C On August 1, 2024, Westminster Police Department conducted a visit to the facility to look into the allegations listed. Per review of records obtained, S1 when interviewed by police admitted making inappropriate comments and showing sexually explicit photographs to R1. S1 denied touching or attempting any sexual acts with R1. On August 07, 2024, the facility determined S1’s actions warranted termination for violation of facility harassment policies. The day of S1’s termination, S1 emailed ED Goodwin resigning from their position. Based on interviews conducted and records reviewed, S1 engaged in behavior which violated R1’s personal rights. The following is being cited per California Code of Regulations, Title 22, Division 6. An exit interview was conducted with Executive Director (ED) John Goodwin and a copy of this report, LIC809-D, appeal rights and confidential names list was provided to ED Goodwin .

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87468.1(a)(1)Type A

    87468.1(a)(1)- Personal Rights of Residents in all facilities. To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement is not met as evidence by: Based on interviews with residents, staff and documents reviewed, S1 engaged in inappropriate conversations and showed sexually explicit photographs to R1 and repeatedly entered their room without knocking which poses an immediate safety and personal rights risk to persons in care.

FAQ · About this visit

Common questions about this visit

What happened during the December 24, 2024 inspection of BROOKDALE BROOKHURST?

This was a other inspection of BROOKDALE BROOKHURST on December 24, 2024. 1 citation were issued: 1 Type A (serious).

Were any citations issued to BROOKDALE BROOKHURST on December 24, 2024?

Yes, 1 citation was issued (1 Type A, 0 Type B). The first citation was for: "87468.1(a)(1)- Personal Rights of Residents in all facilities. To be accorded dignity in their personal relationships wi..."

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.