Brookdale Folsom

On 8/7/24, Licensing Program Analyst s (LPAs) Kevin Mknelly and Graham Gunby conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with Dianne Palmer, Health and Wellness Director. The department conducted records review and extensive interviews. The department is unable to find and or meet the preponderance, per policy. An anonymous report was received by the department on 5/6/24, with limited details alleging S1 has been under the influence of illegal drugs and alcohol while working at Brookdale – Folsom RCFE. Multiple attempts to identify and contact the reporting party were unsuccessful. Current and former staff, as well as residents were interviewed and reported that S1 is a very good employee UnsubstantiatedRead the full finding— CDSS inspection report, August 7, 2024 · control 59-AS-20240506111114

Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to deliver investigative findings to a complaint received on 4/8/24. LPA met with receptionist who stated the Administrator was temporarily unavailable and allowed LPA to complete today's report in the private dining room. LPA met with the Administrator, Shari Kranig, later during today's inspection. In April and May 2024, the Department interviewed the Administrator, the Resident Care Coordinator, multiple facility staff ("am" and "pm" shifts), hospice personnel (2) and resident’s family member. The Department reviewed documentation pertaining to resident (R1), including hospice care notes, physician's report, care plan, and staff training records. The results of the investigation are as follows: cont on 9099C-1... SubstantiatedRead the full finding— CDSS inspection report, July 22, 2024 · control 59-AS-20240408112425

Licensing Program Analyst (LPA) Angela Hood arrived unannounced at the care home today, 3/6/24, and met with the Executive Director, Kristine Clawson, to open a complaint investigation and deliver findings into the above stated allegation. During today's visit, LPA obtained documentation pertinent to the investigation and conducted a medication count for 3 residents. ************************************************Continued on LIC9099-C************************************************* Substantiated— CDSS inspection report, March 6, 2024 · control 59-AS-20240304081051

On 2/21/24, Licensing Program Analyst (LPA) Kevin Mknelly LPA Mknelly arrived and met with Executive Director to deliver investigation findings. LPA reviewed staff records, facility records, and conducted interviews. LPA finds that facility met Tittle 22 requirements. LPA interviewed the Director and reviewed R1's admission agreement. R1 resided at the facility for 1 day and decided to move out. Resident moved out but continues to have until March 4 under their 30 day notice. The licensee has committed to reimburse more than is required. This agency has investigated the above complaint allegations. We have found that the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. Exit interview conducted and report provided. UnfoundedRead the full finding— CDSS inspection report, February 21, 2024 · control 59-AS-20240214150905

Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced on 10/04/2023 to deliver complaint finding Community Care Licensing received on 07/18/2023. LPA met with Health and Wellness Director, Sharisse Toves, and explained the purpose of the visit. Throughout the course of the investigation, the Department conducted interviews with facility staff and reviewed pertinent documentation such as, residents’ (R1 and R2) physician’s report, service plan, SOC 341, staff schedule, and police report. Continue on LIC9099-C. Unsubstantiated— CDSS inspection report, October 4, 2023 · control 59-AS-20230718132033

Licensing Program Analyst (LPA) Sarena Keosavang arrived at the facility unannounced on 08/16/2023 to deliver complaint findings. LPA met with Executive Director (ED), Kristine Clawson, and explained the purpose of the visit. Throughout the course of the investigation, LPA conducted interviews and reviewed pertinent documentation such as, resident’s (R1) physician’s report, pre-placement appraisal, service plan, assessments, incident reports, medication administration records, medication orders, admission agreement, and hospice notes relevant to the allegation listed above. Continuation on LIC9099-C. UnsubstantiatedRead the full finding— CDSS inspection report, August 16, 2023 · control 25-AS-20230117155935

Licensing Program Analyst (LPA) Lavinia Muscan and Licensing Program Manager (LPM), Laura Munoz , arrived at the facility unannounced on 07/28/2022 to deliver complaint findings for the allegation(s) listed above. LPA and LPM conducted COVID-19 Precautionary pre screening, and wore surgical masks while at facility. LPA and LPM were screened by Front Desk. ALLEGATION: Staff dispensing Medications don't have proper Medication Training During the complaint investigation, LPA reviewed training records for all staff, including Med Tech's. In addition interviews were conducted. Training records for Med Tech's show staff have met sufficient training hours in shadowing and in-class training. This agency has investigated the complaint alleging "Staff dispensing medications do not have proper training". We have found the complaint was UNFOUNDED, meaning that the allegation is false, could not have happened, and/or is without a reasonable basis. Continued on LIC9099-C UnfoundedRead the full finding— CDSS inspection report, July 28, 2022 · control 25-AS-20220524084048

Licensing Program Analyst (LPA) Lavinia Muscan and Licensing Program Manager (LPM), Laura Munoz , arrived at the facility unannounced on 07/28/2022 to deliver complaint findings for the allegation(s) listed above. LPA and LPM conducted COVID-19 Precautionary pre screening, and wore surgical masks while at facility. LPA and LPM were screened by Front Desk. ALLEGATION: Staff did not distribute resident's self administered medications as prescribed During the complaint investigation, a review of medication documentation was conducted for 10 residents. Based on the sample review, it appears staff are administering medications as prescribed however, R1 stated in an interview that it was unclear as to whether R2 was given medications. This agency has investigated the above listed allegation(s). Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred therefore, we have found the allegation(s) to be UNSUBSRead the full finding— CDSS inspection report, July 28, 2022 · control 25-AS-20220415161750

Licensing Program Analyst (LPA) Lavinia Muscan and Licensing Program Manager (LPM), Laura Munoz , arrived at the facility unannounced on 07/28/2022 to deliver complaint findings for the allegation(s) listed above. LPA and LPM conducted COVID-19 Precautionary prescreening, and wore surgical masks while at facility. LPA and LPM were screened by Front Desk. ALLEGATION: Facility staff failed to meet resident's showering needs On 12/21/21, the hot water boiler went out. The facility did not have hot water for approximately 4 hours and was repaired on 12/21/21. Although the facility fixed the hot water within a reasobnable amount of time, there is a lack of information as to whether residents showering needs were met. This agency has investigated the above listed allegation(s). Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred therefore, we have found the allegation(s) to be UNSUBSTANTIATED. No defRead the full finding— CDSS inspection report, July 28, 2022 · control 25-AS-20220304121236

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced and met with Administrator Kristine Clawson. LPA arrived to continue investigation into complaint allegations listed above. LPA's completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Masks. Additionally, LPA was screened by staff upon entering the facility. The department investigated allegation, “Resident sustained fracture while in care.” On 8/28/21, R1 sustained an un-witnessed fall in their bathroom resulting in them fracturing their left femur. R1 was found by care staff and immediately sent out to the emergency department for medical treatment. Continuation on 9099-C. UnsubstantiatedRead the full finding— CDSS inspection report, April 14, 2022 · control 25-AS-20211001093040

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced and met with Administrator Kristine Clawson. LPA arrived to deliver findings into complaint allegations listed above. LPA's completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Masks. Additionally, LPA was screened by staff upon entering the facility. LPA investigated allegation, “Resident was left unattended on the floor for an extended period of time after falling.” LPA conducted interviews with staff and relevant parties, reviewed resident information, and reviewed video footage. LPA reviewed facility documentation in which it states resident had an unwitnessed fall on 9/6/21 and was found at approximately 7:40 am. Continuation on 9099-C. UnsubstantiatedRead the full finding— CDSS inspection report, January 10, 2022 · control 25-AS-20210910124944

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced and met with Administrator Kristine Clawson. LPA arrived to deliver findings into complaint allegations listed above. LPA's completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: Masks. Additionally, LPA was screened by staff upon entering the facility. LPA investigated allegation, “Staff did not make resident's records available to the authorized representative in a timely manner.” LPA interviewed administrator, responsible party (RP), and reviewed documents. Relevant party indicated facility did not produce resident records within the required 2 business days. Exit interview conducted. UnfoundedRead the full finding— CDSS inspection report, January 10, 2022 · control 25-AS-20211103131525