Facility Evaluation Report

On February 15, 2022, Licensing Program Analyst (LPA) Bethany Mirlohi met with Administrator of facility Brookdale Folsom, Kristine Clawson, at approximately 11:45 AM. LPA 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: N-95 Masks. Additionally, LPA was screened by staff upon entering the facility.

Today’s visit is a case management visit to follow-up on a complaint investigation that came into the Department on September 7, 2021 and was completed on September 10, 2021.

On September 10, 2021, the Department delivered complaint findings to the facility, which substantiated that a facility staff (S1) physically abused a resident (R1). During the investigation of the complaint, the Department reviewed video surveillance that was recorded on September 2, 2021 at 6:32 p.m., which shows S1 slapping R1 on the face as well as pulling and grabbing R1’s hair. In addition, S1 was observed on video roughly placing R1 in bed with Staff (S2) assistance.

Video surveillance was located in R1’s room which was installed by R1’s representative on the evening of September 2, 2021. The Department learned that the family of R1 installed a hidden camera out of concern for R1.