Allegation #4: Staff did not ensure that resident's room was kept in a sanitary condition.

The complaint alleges that the staff did not ensure Resident #1 (R1’s) room was kept in sanitary condition. According to reports (R1’s) room is kept clean and not in sanitary condition. No further detailed information is provided regarding this matter.

Resident #1 (R1) was admitted at Welbrook Santa Monica on June 30, 2023, according to the facility’s Admission Agreement (dated 06/20/23). (R1) voluntarily terminated residency on February 21, 2026, when (R1’s) personal belongings were removed.

On February 5, 2026, and May 7, 2026, between 11:34 AM and 01:00 PM, the Department interviewed staff members identified as Staff #1 through Staff #6 (S1-S6). Six (6) out of the six (6) staff members could not validate this claim. All staff members denied the claim and stated that they have never left (R1’s) room in an unkempt, unclean, or unsanitized condition. (S1 and S6) emphasized that the residents’ rooms receive daily cleaning by housekeeping, with caregivers on hand to ensure that the rooms remain tidy and well maintained.

On May 7, 2026, between 11:16 AM and 12:00 PM, the Department interviewed resident members identified as Resident #2 through Resident #6 (R2-R6). Five (5) out of five (5) residents could not support this claim. (R2-R6) confirmed that the rooms and common areas are consistently maintained in a clean, orderly, and sanitized condition daily. Resident #1 (R1) was unavailable for an interview.

On February 5, 2026, the Department inspected the residents’ rooms 105, 107, 108, 218, 226, and room 225 (R1’s room) and observed that all rooms were presentable, orderly, clean, and sanitized.

A review of (R1’s) Admission Agreement, (dated 06/30/26), indicated the following under Section 2 as part of the basic service, Housekeeping Services: Services for your room include vacuuming, dusting, bathroom cleaning, and changing personal bed linens as needed and within reason. This agreement was signed by (R1’s) Power of Attorney on June 30, 2025.

Based on the information gathered, there is not enough evidence to support the allegation mentioned above.

(Evaluation Report continues LIC 9099-C)

The complaint alleges that the staff are not adequately trained for their roles. It has been reported that Welbrook is facing staff shortages, and its management lacks the necessary training in memory care. Concerns have been raised about the well-being and safety of Resident #1 (R1) at this facility. No further detailed information is available regarding this matter.

On February 5, 2026, and May 7, 2026, between 11:34 AM and 01:00 PM, the Department interviewed staff members identified as Staff #1 through Staff #6 (S1-S6). Six (6) out of the six (6) staff members could not support this claim. All staff members denied the claim and stated that they had completed the mandatory Annual and Continuing Education Training. The training courses covered a variety of subjects, including Neurocognitive Disorders (NCD), Hospice care, and Residential Care Facilities for the Elderly. In total, staff members completed between 32 and 40 hours of training, which included in-person classroom sessions, hands-on shadow training, and Relias training, a comprehensive online learning management system for a continuing education platform designed for healthcare and senior care professionals.

(S1-S5) verified that there is no staffing shortage and there’s adequate staffing for all shifts. (S2-S5) reported that regular staffing consists of for morning shift 6:30 AM – 3:00 PM with (8) care staff, (2) licensed vocational nurses (1) medication technician and (2) activity directors. The evening shift 2:30 PM – 11:00 PM consists of (7) care staff, (1) licensed vocation nurse and (1) medication technician. The nocturnal shift from 10:30 PM to 7:00 AM consists of (5) care staff. (S1-S2) reported the facility handles call outs by offering staff extra hours to cover shifts. In the event of staffing crises, the facility employs personnel staff from 1Heart Caregivers Services.

Additionally, it was reported by (S2) that Resident #1 (R1) received assistance from a private care staff member provided by Santa Monica UCLA following (R1's) hospitalization in November 2025. This assistance lasted for 30 days. (S1-S2) also offered (R1) the option of a stand-by care staff member to monitor and escort (R1) at no extra charge, despite (R1) being medically assessed as not needing 1-on-1 care after hospitalization.

On May 7, 2026, between 11:16 AM and 12:00 PM, the Department interviewed resident members identified as Resident #2 through Resident #6 (R2-R6). Five (5) out of five (5) residents could not corroborate this claim. (R2-R6) presumed the staff were well trained, as they received adequate care and supervision. (R2-R6) expressed that they had not experienced staff shortages, as there were always staff available to attend to their needs. Resident #1 (R1) was unavailable for an interview.

(Evaluation Report continues LIC 9099-C)

Based on the information gathered, there is not enough evidence to support the allegation mentioned above.

Based on the information collected from the facility inspection, observations, interviews, and records analysis, the Department found no evidence to support the above allegations. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. Therefore, the allegations are Unsubstantiated.

No deficiencies were cited.

An exit interview was conducted with DAVID COLE, and copies of the reports were provided.