Welbrook Santa Monica

Type of visit: Prelicensing

Licensing Program Analyst (LPA), Regina Cloyd, conducted an announced visit to the facility for purpose of a pre-licensing evaluation. An application was submitted to CCLD for a Change of Ownership for a Residential Care Facility for the Elderly to serve residents age range 60 and over. The facility is approved for fifty (50) non-ambulatory residents of which fifteen (15) may be bedridden in any rooms on the first floor. The facility has a hospice waiver for fifteen residents with total care. It currently has one bedridden resident and eight residents receiving hospice services. Structure: The facility consists of two floors with fifteen (15) bedrooms on the first floor and thirty-five (35) bedrooms on the second floor. There is an outdoor patio area near the dining room. The facility has multiple offices and storage rooms, three activity areas, two medication rooms, a salon, dining room, kitchen, laundry room, break room, janitor closets, mechanical room, and utility room. The community is clean, sanitary, and in good repair. Indoor passageways, stairways, inclines, ramps, open porches, and other areas of potential hazard are free of obstructions and well-lit. All window screens are clean and in good repair. Physical Plant: Seven (7) bedrooms (102, 112, 206, 213, 222, 226, and 231) were inspected and found to be appropriately furnished for single occupancy. All rooms have a bed, nightstand, lamp, television, closet space, and overhead lighting. Rooms were clean, contained working fixtures, central air and heating, and a Vigil signal alert system. VOIP phone services are an option in every room. All bathrooms were functional and contained the required grab bars and non-slip material on the shower floor. Hot water temperature measured between 105 to 120-degree Fahrenheit. Emergency Phone Numbers, Exit Plan & Menu: The Emergency Disaster Plan with emergency phone numbers are posted & readily available for review near the concierge. The facility sketch and exit plan are mounted near every exit. Fire extinguishers were observed on both floors and in the kitchen. Food Service: Dishes, cups, flatware, and emergency food supply are stored in a secure commercial kitchen. Smoke Detectors: Santa Monica Fire Department conducted its inspection on 05/30/26. Continue to LIC809-C. Toxins: Locked and stored in the laundry room, janitorial room, cleaning carts, and kitchen. Medications, First-Aid Kit & Book: A first aid kit has been inspected which has at least the following: thermometer, tweezers, scissors, antiseptic, bandages, gauze and current first aid manual, which are throughout the facility. Clients & Staff Files: Five resident records were reviewed and contained the required admission agreement, medical assessments, and pre-appraisals/plan of care. Five staff records were reviewed and contained the required criminal record clearances and health screenings. Reading Material, Games, Equipment & Materials: The facility has three activity areas to engage in interactive jeopardy games, listen to music, and host family gatherings. Fire clearance: Rooms approved for non-ambulatory/bedridden, approval of delayed egress or delayed egress with secured (locked) perimeter was approved on 06/30/26. Continue to LIC809-C. Component III: Conducted at the Pre-Licensing visit, information provided about how to operate the facility within substantial compliance. An exit interview was conducted and a copy of this report has been furnished to the applicant. Accordingly, LPA will submit a copy of this facility evaluation report to the Central Applications Bureau (CAB) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application.the state’s words, verbatim · CDSS document, Sep 11, 2026

Type of visit: Office

COMPONENT II interview has been conducted and identification of the ApplicantA and dministrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Applicant and Administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant and Administrator’s understanding of following areas: 1. Facility Operation: License Type, Client/Resident Populations, and Program 2. Admission Policies 3. Staffing Requirements & Training 4. Personal Rights 5. Restrictive/Prohibited Health Conditions 6. General Provisions 7. Emergency Preparedness 8. Complaints & Reporting 9. Pre-licensing Facility Grounds Inspection and Operational Readiness Congratulations, you have successfully completed the COMPONENT II Interview.the state’s words, verbatim · CDSS document, Aug 11, 2026