Brookdale Monrovia

Licensing Program Analyst (LPA) Daniel Konishi conducted an unannounced initial complaint visit to investigate the allegations listed above. LPA met with Danny Vera, Exedutive Director and Ken Patrick Padilla Wellness Director and explained the purpose of the visit. Executive Director, Danny Vera arrived shortly after and LPA explained the purpose of the visit. The investigation consisted of the following: LPA obtained copies of Resident #1 (R1’s) file documents such as Face Sheet. LPA reviewed and requested copies of Resident #2 (R2’s) file documents such as Face Sheet, Physician's Report, Personal Rights, and Resident Personal Property and Valuables document. LPA interviewed the Executive Director, Wellness Director, Staff #1 (S1) to Staff # 6 (S6), Resident #1 (R1), and Resident #3 (R3) to Resident #8 (R8). LPA attempted to interview R2. However, R2 is currently at a Skilled Nursing Facility (SNF) and LPA attempted to call SNF but LPA was unable to speak with R2. LPA also obtained tRead the full finding— CDSS inspection report, October 2, 2025 · control 28-AS-20250925083433

Licensing Program Analyst (LPA) Erik Zaragoza conducted an unannounced initial complaint visit to investigate the allegations listed above. LPA met with Logan Harrison, Executive Director for the facility, and explained the purpose of the visit. The investigation consisted of the following: LPA interviewed Staff #1 - 5 (S1 - S5), Residents #1 - 7 (R1 - R7), conducted a tour of the facility, and also obtained the staff and resident rosters, tested a call light pendant of a resident, obtained the police report number for the investigation conducted by the Monrovia Police Department, and also reviewed the staff file of Staff #6 (S6). LPA attempted to interview Staff #6 however they had recently resigned. The investigation revealed the following: In regards to the allegation that "Staff speaks inappropriately to resident in care," it is alleged that S6 had been making inappropriate and belittling remarks towards R1. UnsubstantiatedRead the full finding— CDSS inspection report, February 25, 2025 · control 28-AS-20250221115902

Licensing Program Analyst (LPA) Tena Herrera conducted an unannounced initial 10-day complaint visit and met with Executive Director Logan Harrison. The purpose of today’s visit was explained. The investigation consisted of the following: Interview with Executive Director Logan Harrison (person assigned to handle admissions, discharge and refunds, and interviews with 4 residents. LPA obtained resident roster, staff roster, and Resident #1’s (R1) facility files, admission agreement, Preplacement Appraisal Information, ID and Emergency Information, and R1’s 30-day notice to vacate. (Continued on 9099-C) UnsubstantiatedRead the full finding— CDSS inspection report, November 13, 2023 · control 28-AS-20231107160807

Licensing Program Analyst (LPA) Tao conducted an unannounced 10 day complaint visit to this facility. Upon arriving at the facility, LPA met with Administrator, Logan Harrison. LPA explained the purpose of today’s visit is to discuss the above-mentioned allegations. The investigation consisted of resident interviews, staff interviews, facility tours, and review of facility records. LPA obtained resident roster, staff roster, and residents’ facility files. The investigation revealed the following: In regard to allegation “staff did not clean resident's room," it was alleged that staff did not clean resident’s room who had dog(s). Seven (7) out of seven (7) residents interviewed could not corroborate the allegation. Two (2) residents interviewed had a dog and five (5) residents interviewed did not have pets. Resident interviews revealed that staff clean resident's rooms daily and housekeeping staff conducted deep cleaning weekly. (-continued in LIC 9099 C-) UnsubstantiatedRead the full finding— CDSS inspection report, September 26, 2023 · control 28-AS-20230918163747

Licensing Program Analyst (LPA) Erik Zaragoza conducted a follow up complaint investigation regarding the allegations listed above. LPA met with the Administrator of the facility Logan Harrison and explained the reason for the visit. The investigation consisted of the following: during the initial visit conducted on 04/14/2022, LPA Joe Katrdzyhyan interviewed two (2) Staff Members, three (3) Residents, toured the room of Resident #1 (R1), and obtained copies of the Course Completion History, Training Hours and Work Schedule for Staff #1 (S1). During today's visit, LPA Zaragoza reviewed these documents and also obtained an updated Staff and Resident Roster list, Physician Reports for Residents #3 - 5 (R3 - R5) along with Resident #8 (R8), and also obtained records of trainings for Staff #3 - 7 (S3 - S7). LPA Zaragoza also interviewed S2 - S7, and also Residents #2 - 8 (R2 - R8). LPA attempted to interview R1, however R1 no longer lives in the facility. UnsubstantiatedRead the full finding— CDSS inspection report, August 31, 2023 · control 28-AS-20220407091359

Licensing Program Analyst (LPA) Erik Zaragoza conducted a follow up complaint investigation regarding the allegations listed above. LPA met with Mia Nakamatzu Business Office Manager of the facility and explained the reason for the visit. Administrator Logan Harrison arrived shortly thereafter. The investigation revealed the following: during the initial visit conducted on 08/03/2022, LPA Joe Katrdzyhyan interviewed the Administrator, four (4) staff members, five (5) residents, and also obtained copies of Resident #1's (R1) Unusual incident/injury reports, Physician Report, Personal Service Plan, DIscharge Report, Residents/Staff Roster, and Facility Progress notes. During today's visit, LPA Zaragoza reviewed these documents and also obtained an updated Staff and Resident Roster list. LPA Zaragoza also interviewed Staff #1 - 6 (S1 - S6), and also Residents #2 - 9 (R2 - R9). LPA attempted to interview R1, however R1 no longer lives in the facility. UnsubstantiatedRead the full finding— CDSS inspection report, August 25, 2023 · control 28-AS-20220928101305

Licensing Program Analyst (LPA) Christine Wong conducted an unannounced initial 10 days complaint visit and LPA met with Business Office Manager Mia Nakamatzu who allowed the entry of the facility and explained the reason of the visit. Shortly after, the Executive Director Danny Vera arrived and assisted with the visit. The investigation consisted of the following: On today's visit, LPA interviewed Executive Director, three staff (S1-S3)in the facility and one staff via telephone and six residents (R2-R7) in the facility and obtained Resident#1 (R1) documents including face sheet, admission agreement, Medication Admin Adult Report (Jan to March, 2023), Physician Report dated on 05/06/2021, Personal Service Plan dated on 06/25/2022, Progress Notes (June 2022 to Feb 2023) and LPA reviewed three residents' medication in the facility. (See LIC 9099C for continuation) UnsubstantiatedRead the full finding— CDSS inspection report, March 14, 2023 · control 28-AS-20230310090010

Licensing Program Analyst (LPA) Joe Katrdzhyan conducted an unannounced 10 day complaint visit to this facility. Upon arriving at the facility, LPA met with Executive Director / Alison Pastores who assisted with the visit. LPA explained the purpose of today’s visit is to discuss the above mentioned allegations of "Resident mistreated by staff" and "Facility staff did not safeguard resident's personal property". During today's visit, LPA interviewed Resident #1 (R1), Staff #1 (S1) and former Executive Director / Ralph Balbin (via telephone). The investigation revealed the following; Allegation: Resident mistreated by staff. The details of this allegation states that R1 is sickened by how he was treated, and cries at night because of the treatment he received from former Executive Director / Ralph Balbin. During the interview with R1, R1 denied being abused by any staff members. The allegation of R1 being UnsubstantiatedRead the full finding— CDSS inspection report, August 4, 2021 · control 28-AS-20210729090721