Brookdale Garden Grove

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff was rough with resident resulting in injury Failure to report

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of delivering findings for the investigation into the above identified complaint allegations. LPA met with staff Ted Dawit and explained the reason for today’s inspection. The investigation into the allegations that staff was rough with resident resulting in injury and of failure to report revealed the following: During the course of the investigation, LPA inspected the facility, interviewed staff and residents, and obtained and reviewed copies of the resident roster, staff roster, an incident report dated July 27, 2021, the facility’s investigation, Staff #1’s (S1) staff file, Staff #2’s (S2) staff file, and the facility’s report of suspected dependent adult/elder abuse dated July 26, 2021. CONTINUED Substantiatedthe state’s words, verbatim · CDSS document, Dec 30, 2025 · control 22-AS-20210726164318

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff stole money from resident Staff are going through residents personal belongings without consent

Licensing Program Analyst (LPA) Fred Arias conducted an unannounced complaint visit to finalize an investigation into the above allegations. LPA was greeted and granted entry into the facility and explained the reason for the visit. An initial investigation visit was conducted on June 06, 2025 by the Department. It was alleged staff stole money from resident and staff are going through resident's personal belongings without consent. During the investigation, the Department conducted interviews with residents in care and staff. LPA Arias reviewed records obtained. The investigation determined as follows: Regarding the allegation staff stole money from resident , it was reported staff stole $70 from resident 1 (R1). LPA interview with R1 stated $70 went missing from their money bag which was kept on their person in May 2025. R1 stated they found the money in their wallet located in the room later on and must have been misplaced. R1 stated they have more items than they need and is in prothe state’s words, verbatim · CDSS document, Oct 14, 2025 · control 22-AS-20250530152109

Allegation investigated: Facility did not maintain a clean and sanitary environment

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of investigating the above-mentioned complaint allegation. LPA met with Administrator (AD) Brisseth Arrellano, discussed the purpose of the inspection, and explained the allegation. The investigation into the allegation that facility did not maintain a clean and sanitary environment revealed the following: During the course of the investigation, LPA inspected the facility, conducted health and safety checks on residents, interviewed AD, residents, and staff, and obtained and reviewed copies of the resident roster, staff roster, and Resident #1’s (R1) Medical Records. CONTINUED Unfoundedthe state’s words, verbatim · CDSS document, Sep 30, 2025 · control 22-AS-20250924155802

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not adequately supervise resident resulting in resident's injury

Licensing Program Analyst (LPA) Celine Rodriguez conducted an unannounced continuation visit to the facility and to deliver the findings. LPA Rodriguez explained the purpose of today's visit, and met with Executive Director (ED) Brisseth Arrellano. It was alleged that staff did not adequately supervise resident resulting in resident's injury. 12 out of 12 resident interviews and 2 out of 2 staff interviews did not corroborate with the allegation. 7 out of the 12 resident interviews conducted specified that staff are well trained, knowledgeable, and that all basic needs are met, including support and supervision. Per documentation review, of resident 1’s (R1) physician report, R1 was diagnosed with dementia, and had a history of falls prior to admission, and was admitted to the facility only for medication management. On 11/4/2022, R1 sustained a fall while hospice nurse was conducting a visit, to which R1 was then prescribed medications to assist with pain, due to obtaining a bruise, hthe state’s words, verbatim · CDSS document, Sep 17, 2025 · control 22-AS-20221108163825

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: AC units in disrepair

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of investigating the above-mentioned complaint allegation. LPA met with Staff #1 (S1) Francisco Sarabia, discussed the purpose of the inspection, and explained the allegation. The investigation into the allegation of AC units in disrepair revealed the following: During the course of the investigation, LPA inspected the facility, conducted health and safety checks on residents, interviewed S1 and residents, and obtained and reviewed copies of the resident roster, staff roster, and the facility’s maintenance records. CONTINUED Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 22, 2025 · control 22-AS-20250415140543

Allegation investigated: Resident sustained a head injury due to lack of supervision Resident sustained multiple falls due to lack of supervision

This unannounced inspection is being conducted by Licensing Program Analyst (LPA) Sean Haddad for the purpose of delivering findings for the investigation into the above identified complaint allegations. LPA met with Brisseth Arrellano, discussed the purpose of the inspection, and explained the allegations. The investigation into the allegations that resident sustained a head injury due to lack of supervision and resident sustained multiple falls due to lack of supervision revealed the following: During the course of the investigation, LPA inspected the facility, conducted health and safety checks on residents, interviewed Administrator (AD) Jeri Miles, residents, staff, and witnesses, and obtained and reviewed copies of the resident roster, staff roster, Resident #1’s (R1) Progress Notes, R1’s Physician’s Report dated November 29, 2023, R1’s Personal Service Plan dated January 1, 2024, R1’s Personal Service Plan dated August 30, 2024, R1’s Personal Service Plan dated January 1, 2024,the state’s words, verbatim · CDSS document, Mar 24, 2025 · control 22-AS-20250205085503

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff falsified the resident's Physician Report Resident was unlawfully retained in Memory Care

Licensing Program Analysts (LPAs) Alvaro Ramirez, Jr. and Brandon Lopez conducted an unannounced visit to deliver findings on the above allegations received on June 05, 2024. LPAs were greeted and granted entry into the facility and met with Administrator (AD) Jeri Miles. LPAs explained the reason for the visit. This Department has investigated the complaint alleging that facility staff falsified the resident's Physician Report. Resident 1 (R1) was admitted to the facility on September 22, 2023. Documents reviewed included the Physician Report (LIC602) dated February 12, 2024, for R1. Per Physician report R1’s diagnoses are Hypertension and Major Depressive Disorder. Per Physician report dated February 12, 2024, R1 does not have a diagnosis of Dementia and is able to leave the facility unassisted. During the investigation LPA reviewed documents including the Physician Report dated February 11, 2024, for R1. Per Physician report dated February 11, 2024, R1 has a diagnosis of Dementia anthe state’s words, verbatim · CDSS document, Feb 13, 2025 · control 22-AS-20240605094352

Allegation investigated: Staff do not ensure the facility is free from mold

On this day, Licensing Program Analyst (LPA) Kevin Saborit-Guasch made an unannounced visit to the facility for the purpose of following up on the investigation of the allegation listed above. LPA was greeted and granted entry by facility administrator Jeri Miles after stating the purpose of the visit and listing the allegation investigated. An initial complaint investigation was conducted on November 18, 2024. During the visit, LPA accompanied by facility maintenance director Francisco Sarabia conducted a tour of the physical plant's both levels, including the main lobby, staff break room, laundry room, water heater closet, water softener room, television room and library, dwelling unit wings, hallways and staircases on both the ground level and upper level. Three occupied units were inspected during the visit on both levels. The facility's central courtyard and rose garden were also visited. The memory care was also inspected including the common area and four shared units and the sethe state’s words, verbatim · CDSS document, Feb 5, 2025 · control 22-AS-20241112102106

Allegation investigated: Facility did not provide all requested records to authorized representative Facility did not allow resident to participate in care planning Facility did not allow resident to choose healthcare provider

Licensing Program Analyst (LPA) Alvaro Ramirez, Jr. conducted an unannounced visit to deliver findings on the above allegations received on April 17, 2024. LPA was greeted and granted entry into the facility and met with Administrator (AD) Jeri Miles. LPA explained the reason for the visit. This Department has investigated the complaint alleging that facility did not provide all requested records to authorized representative. Resident 1 (R1) was admitted to the facility on September 22, 2023. Documents reviewed included the Physician Report (LIC602) dated February 12, 2024 for R1. Per Physician report R1’s diagnoses are Hypertension and Major Depressive Disorder. During the investigation LPA reviewed documents including the Progress Notes dated September 22, 2023 through March 01, 2024. During the visit on November 25, 2024 LPA reviewed additional Progress notes dated March 01, 2024 through April 03, 2024. R1 was discharged from the facility on April 03, 2024. CONTINUED ON LIC9099-C...the state’s words, verbatim · CDSS document, Nov 25, 2024 · control 22-AS-20240417072007

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: -Staff did not provide adequate supervision, resulting in a resident wandering away from the facility. -Staff did not adequately notify resident’s authorized representative of a change in resident's placement. -Staff inappropriately placed resident in a locked unit.

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an unannounced visit to deliver complaint findings regarding the allegations listed above. LPA was greeted and granted entry into the facility by front desk receptionist and met with Administrator (AD) Jeri Miles and Brisseth Rivera, Health Wellness Director and discussed purpose of the visit. The department received a complaint on 2/26/2024. LPA Quiroz conducted the initial 10 day visit on 03/06/2024 and follow up visit on 4/3/2024. During the course of the investigation LPA Quiroz interviewed staff, residents and other witnesses. LPA Quiroz obtained copies of resident records but not limited to physician reports, needs and services plans, progress notes, identification form, Admission agreement and Provider medical orders. Regarding the allegation that "Staff did not provide adequate supervision resulting in a resident wandering away from the facility,” the investigation revealed the following: Resident 1 (R1) phthe state’s words, verbatim · CDSS document, Jun 21, 2024 · control 22-AS-20240226102932

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility is not adhering to resident's Admission Agreement.

Licensing Program Analysts (LPAs) Jessica Cho and Edward Kim arrived at the facility unannounced to initiate the 10-day complaint investigation into the above allegation. LPAs stated the purpose of the visit to Business Office Manager (BOM) Patricia Jimenez, and Executive Director (ED) Jeri Miles was also adivsed of the visit upon arrival. During the course of the investigation, LPAs interviewed staff and obtained copies of pertinent documentation for Resident #1 (R1) which includes: Resident Roster, Personnel Report, Face Sheet, Physician's Report, Residency Agreement, Physician Certification Letter, March/April 2024 Rent Receipts, Visitor Sign-In/Out Sheets, and Notes. The following was determined: It is alleged that the facility is not adhering to the resident's admission agreement. Based on the review of the staff's notes, R1 was admitted to the hospital on March 27, 2024 and has not returned to the facility since. Two out of the two staff interviews revealed that R1's Responsble Pthe state’s words, verbatim · CDSS document, Apr 23, 2024 · control 22-AS-20240417114300

Allegation investigated: Facility did not provide requested records to authorized representative

Licensing Program Analyst (LPA) Ruth Martinez made an unannounced visit to conduct the required 10-day visit to begin the investigation into the allegation listed above. LPA met with Jeri Miles, Executive Director, and explained the reason for the visit. It is alleged the facility did not provide requested records to authorized representatives. Based on interview with 2 of 2 staff revealed that they received a request on March 11, 2024, for copies of resident records that included from admission to current. Staff indicated that requestor was not the authorized presentative and facility did not receive an updated change of POA until March 14, 2024. Staff indicated that they started working on request the same day the update was received, and documents were forwarded to the legal department for processing. Copies of pertinent documents revealed that on March 15, 2024, there was Continued on LIC9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 20, 2024 · control 22-AS-20240319093642

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: -Resident was inappropriately pushed while in care -Residents sustained unexplained injuries while in care -Staff speak inappropriately towards a resident while in care -Residents sustains multiple falls while in care

On today’s date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an unannounced visit to the facility to follow up on allegations listed above. LPA Quiroz was greeted and granted entry by Front Desk Receptionist and met with Patricia Jimenez, Business Office Manager and discussed purpose of today's visit. The 10 day visit was conducted by LPA Quiroz on 12/08/2020 virtually due to COVID-19 Pandemic. A follow up investigation visit was conducted by LPA Quiroz on 8/8/2023. During the course of this investigation, LPA Quiroz conducted interviews with interviewees consisting of staff, clients, witnesses and reviewed documentation but not limited to Personnel Report LIC 500, staff schedules,resident roster, Physician Reports, Identification Forms and Needs and Services Plans. It is alleged that “Resident was inappropriately pushed while in care,” “Residents sustained unexplained injuries while in care,” “Staff speak inappropriately towards a resident while in care” and “Residents sustthe state’s words, verbatim · CDSS document, Nov 7, 2023 · control 22-AS-20201201100053