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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197606945
Report Date: 01/10/2025
Date Signed: 01/10/2025 04:37:33 PM

Document Has Been Signed on 01/10/2025 04:37 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:BROOKDALE CENTRAL WHITTIERFACILITY NUMBER:
197606945
ADMINISTRATOR/
DIRECTOR:
SANJAY KABADIFACILITY TYPE:
740
ADDRESS:8101 S PAINTER AVETELEPHONE:
(562) 698-0596
CITY:WHITTIERSTATE: CAZIP CODE:
90602
CAPACITY: 92TOTAL ENROLLED CHILDREN: 0CENSUS: 67DATE:
01/10/2025
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:00 PM
MET WITH:Logan Harrison, Executive DirectorTIME VISIT/
INSPECTION COMPLETED:
04:40 PM
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Licensing Program Analyst (LPA) Noemi Galarza made unannounced case management visit regarding a self reported incident on the relocation of 22 residents from Brookdale Santa Monica Gardens # 197606682, 851 2ND St. Santa Monica, CA 90403 to Brookdale Central Whittier due to mandatory evacuation orders from Fire Advisory. LPA met with Executive Director Logan Harrison and explained the purpose of the visit. A physical plant tour of the facility was conducted to check the health and safety of the 22 evacuee residents.

The following observations were made:
  • All relocated residents have designated rooms that include bathrooms and beds with bedding/linen, hygiene supplies. Medical equipment i.e., wheelchairs, hospital beds, walkers were observed. A Hoyer lift for one resident will be delivered by tomorrow.
  • One (1) out of 22 residents is bedridden. Some residents are ambulatory and some are non-ambulatory. Incontinence care is being provided by Brookdale Santa Monica Gardens caregivers.
  • Medication Administration Records (MARs) and medication cart was transferred from Brookdale Santa Monica Gardens to the facility. Brookdale Santa Monica Gardens staff are handling/administering the medications of the relocated residents.
  • Two (2) caregivers, 1 med-tech, 1 dining server, 2 housekeepers, and 1 cook from Brookdale Santa Monica Gardens were temporarily assigned to work at this facility.
  • Medical records and other relevant documents are accessible via Point Click Care software. Residents were transferred basic identification/medical insurance information.
  • Review of staff rosters indicate there is sufficient staffing available to provide care for residents of both facilities.
  • The facility has sufficient 2-day perishable and 7-day non perishable food supplies. The facility dining room is able to accommodate all residents.
  • The last routine fire inspection was conducted 7/15/24. The last fire drill was conducted on 12/19/24.
  • Executive Director stated that all resident's responsible parties and families were notified of relocation via phone calls, email, and texts.
Exit interview was conducted with Executive Director Logan Harrison and a copy of the report was issued.
Lisa HicksTELEPHONE: (323) 981-3972
Noemi GalarzaTELEPHONE: (323) 981-3974
DATE: 01/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/10/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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