198601778-1-10-2025-28-AS-DKOI-DCSW5A-20250110155848

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 198601778
Report Date: 01/10/2025
Date Signed: 01/10/2025 03:59:03 PM

Document Has Been Signed on 01/10/2025 03:59 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
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME:	BROOKDALE UPTOWN WHITTIER		FACILITY NUMBER:	198601778
ADMINISTRATOR/ DIRECTOR:	PRECIOSA (SUZIE) MAGPAYO		FACILITY TYPE:	740
ADDRESS:	13250 E PHILADELPHIA ST		TELEPHONE:	(562) 945-3904
CITY:	WHITTIER	STATE: CA	ZIP CODE:	90601
CAPACITY: 280	TOTAL ENROLLED CHILDREN: 0	CENSUS: 130	DATE:	01/10/2025
TYPE OF VISIT:	Case Management - Health Checks	UNANNOUNCED	TIME VISIT/ INSPECTION BEGAN:	01:35 PM
MET WITH:	Suzie Magpayo, Executive Director		TIME VISIT/ INSPECTION COMPLETED:	04:15 PM

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Licensing Program Analyst (LPA) Daniel Konishi made unannounced case management visit regarding a self-reported incident on the relocation of 16 residents from Santa Monica Gardens - License # 197606682, 851 2^nd St. Santa Monica, CA 90403 to Brookdale Uptown Whittier-License # 198601778 due to mandatory evacuation orders from Fire Advisory. LPA met with Executive Director, Suzie Magpayo from Brookdale Uptown Whittier and explained the purpose of the visit.

During the visit, LPA Daniel Konishi conducted a health and safety check and no concerns observed. LPA reviewed and obtained resident and staff rosters for both facilities, as well as Fire inspection and testing dated September 15, 2024.

Per interview with the Executive Director, 16 residents have been relocated to Brookdale Uptown Whittier. The facility has sufficient beds, hygiene supplies, beddings, linens, and everyone has a designated room. All rooms have an ensuite bathroom. The dining room is large enough to accommodate all residents. The kitchen has sufficient two-day perishable and seven-day non-perishable food supplies. Medications, MARs, and files of the Brookdale Santa Monica Gardens residents have been transferred to Brookdale Uptown Whittier and stored in a locked room. Two (2) of the Brookdale Santa Monica Gardens residents use wheelchairs. Three (3) of the Brookdale Santa Monica Gardens residents use walkers. 2 (Two) of the Brookdale Santa Monica Gardens residents use canes. Three (3) of the Brookdale Santa Monica Gardens residents require incontinence services.

The Executive Director stated both facilities use the same vendors and pharmacy which allows them to provide the same level of continued care for the residents. The Executive Director stated that both facilities use different home health agencies. The facility also has licensed LVN's on staff at Brookdale Uptown Whittier to care for insulin residents.

David Sicairos	TELEPHONE: (323) 981-3982
Daniel Konishi	TELEPHONE: 323-981-3978
	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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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
MONTEREY PARK ASC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: BROOKDALE UPTOWN WHITTIER	FACILITY NUMBER: 198601778
	VISIT DATE: 01/10/2025

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There is sufficient staffing available to provide care for resident of both facilities. Brookdale Santa Monica Gardens are providing staffing from their facility to assist residents at Brookdale Uptown Whittier. It has been verified that a routine Fire inspection and testing was completed on September 15, 2024, and the fire and disaster drill were conducted on December 19, 2024.

The Executive Director confirmed all families and responsible parties for the Brookdale Santa Monica Gardens residents have been notified about the relocation either via calls, texts, or emails. The Executive Director stated that current Brookdale Uptown Whittier residents will not be affected by this relocation and will not share rooms with Brookdale Santa Monica Gardens residents.

An exit interview was conducted and a copy of this report was provided to Executive Director, Suzie Magpayo.

SUPERVISOR'S NAME: David Sicairos	TELEPHONE: (323) 981-3982
LICENSING EVALUATOR NAME: Daniel Konishi	TELEPHONE: 323-981-3978
LICENSING EVALUATOR SIGNATURE:	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

LIC809 (FAS) - (06/04)

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