Senior Care Records.

Facility Evaluation Report

Brookdale Kettleman Lane, Lodi05/13/2025Licence 397005466

Capacity56
Census74
Date signed05/13/2025 06:10:13 PM
Name of licensing program analystKesha Lewis
Name of licensing program managerLiza King
The inspector’s account

Licensing Program Analysts (LPA) Kesha Lewis arrived at the facility unannounced for the purpose of conducting a case management incident inspection regarding incident reports received dated 3/31/2025 for incident that happened in on 03/31/2025. LPA explained purpose of visit to the administrator.

The incident reports were regarding a staff member threatening and resident (R1). LPA reviewed internal investigation. S1 was suspended on 3/31/2025 terminated and has not returned to the facility after 04/04/2025. All reporting was done on time and to the required departments.

Per California Code of Regulations, Title 22 NO deficiencies were observed and are being cited during today's case management inspection.

An exit interview was conducted, and a copy of this report was given.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction