Staffing, personnel, and training
Cited in 4 reports, with 6 deficiencies in total.
DOWNEY RETIREMENT CENTER
11500 DOLAN AVENUE, Downey CA 90241
252 bedsLatest official report Jul 10, 2026Licensed
Additional info
- Telephone
- (562) 869-2416
- Licensee
- BROOKSHIRE PARTNERS
- Administrator
- BRANDIE MENDIBLES
- Contact
- BRANDIE MENDIBLES
- License first date
- Aug 3, 2016
- License effective date
- Aug 3, 2016
- District office
- MONTEREY PARK ASC · (323) 980-4934
- Regional office
- 28
- Clients served
- 983 - RCFE / DEMENTIA
Summary
The available records show 12 Type A and 13 Type B deficiencies for this facility.
- Most recent inspection
- Jul 10, 2026
- Most recent deficiency
- Feb 6, 2026
2 later reports, from Feb 13, 2026 through Jul 10, 2026, recorded no deficiencies, though the records do not say whether they were follow-ups.
What Type A and Type B mean
- Type A
- Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
- Type B
- Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.
Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.
At a glance
Counts cover the five-year public record. Typical figures are the median for the 212 Los Angeles County facilities licensed for 50 or more beds.
In the available public five-year record, CCLD published 44 reports for this facility: 11 inspections, 33 complaint investigations, and 0 licensing or administrative records.
Those records contain 12 Type A and 13 Type B deficiencies.
9 deficiencies have explicit official correction or clearance evidence in the loaded records.
- Official inspections
- 11
- Recorded deficiencies
- 25
- Type A deficiencies
- 12
- Type B deficiencies
- 13
- Substantiated complaints
- 4
- Repeated topics
- 3
More than the typical 7
2 in the last 12 months
Well above the typical 8
3 in the last 12 months
Well above the typical 3
2 in the last 12 months
Well above the typical 5
1 in the last 12 months
More than the typical 3
0 in the last 12 months
Last 36 months
Repeated topics
Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.
Facility condition and maintenance
Cited in 3 reports, with 3 deficiencies in total.
Medical and dental care
Cited in 2 reports, with 2 deficiencies in total.
Official report history
All preserved reports from the most recent to the oldest, sortable by report type.
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 2 unsubstantiated · 0 unfounded · 9 cited · investigated over 3 visits
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by: rooms 202,210,211,223 234 and 124 are not kept sanitary due to onging insect infestation. This poses a potiential health, safety, or Personal Rights risk to persons in care.
Official plan of correction
*NO FURTHER ACTION REQUIRED. POC CLEARED* Staff agreed to send a plan to address how the facility plans to keep these rooms sanitary and free of insects. Proof must be sent via email to LPA Ramirez.
Deadline recorded: Aug 12, 2025. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Aug 12, 2025
Correction deadline recordedDeadline Aug 12, 2025
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)
- Regulation authority
- CCR
What the official deficiency says
(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. This requirement was not met as evidenced by: based on records reviewed caregivers did not receive annual training as specified in H & S 1569.625 and 1569.69. This poses a potiential health, safety, or Personal Rights risk to persons in care.
Official plan of correction
*NO FURTHER ACTION REQUIRED. POC CLEARED*Administrator will certify plan on how caregivers will receive initial and annual training according to this regulation. Plan must be received by 7/7/25.
Deadline recorded: Aug 12, 2025. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Aug 12, 2025
Plan of correction recorded
Correction deadline recordedDeadline Aug 12, 2025
Complaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on Aug 12, 2025 · Control 28-AS-20250609093135
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by: rooms 202,210,211,223 234 and 124 are not kept sanitary due to onging insect infestation. This poses a potiential health, safety, or Personal Rights risk to persons in care.
Official plan of correction
*NO FURTHER ACTION REQUIRED. POC CLEARED* Staff agreed to send a plan to address how the facility plans to keep these rooms sanitary and free of insects. Proof must be sent via email to LPA Ramirez.
Deadline recorded: Jul 7, 2025. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Jul 20, 2025
Correction deadline recordedDeadline Jul 7, 2025
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)
- Regulation authority
- CCR
What the official deficiency says
(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. This requirement was not met as evidenced by: based on records reviewed caregivers did not receive annual training as specified in H & S 1569.625 and 1569.69. This poses a potiential health, safety, or Personal Rights risk to persons in care.
Official plan of correction
*NO FURTHER ACTION REQUIRED. POC CLEARED*Administrator will certify plan on how caregivers will receive initial and annual training according to this regulation. Plan must be received by 7/7/25.
Deadline recorded: Jul 7, 2025. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Jul 20, 2025
Plan of correction recorded
Correction deadline recordedDeadline Jul 7, 2025
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)(2)(D)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees shall maintain in the personnel records verification of required staff training and orientation.(2)Documentation of staff training shall include: (D) Number of training hours per subject. This requirement was not met as evidenced by: documentation of staff training did not reflect number of training hours per subject. This poses a potiential health, safety, or Personal Rights risk to persons in care.
Official plan of correction
*NO FURTHER ACTION REQUIRED. POC CLEARED*Administrator will certify plan on how the facility will document training hours for staff. Plan must be received by 7/7/25.
Deadline recorded: Jul 7, 2025. A deadline is not proof that correction was completed.
Official record says corrected or clearedOn or before Jul 20, 2025
Plan of correction recorded
Correction deadline recordedDeadline Jul 7, 2025
Complaint
Part of the complaint whose outcome is recorded on Aug 12, 2025 · Control 28-AS-20250609093135
Food serviceType A
- Official classification
- Type A
- Official code
- 87555(b)(27)
- Regulation authority
- CCR
What the official deficiency says
(b)The following food service requirements shall apply: (27) All kitchen areas shall be kept clean and free of litter, rodents, vermin and insects. This requirement was not met as evidenced by: on 5/28/25, massive roach infestation was observed in the facility kitchen area. This poses a immediate risk to the health, safety, or personal rights of persons in care.
Official plan of correction
Staff agreed to send a plan to address how the facility plans to keep the kitchen area free from insects by 6/29/25. Proof from pest control services that the facility kitchen area is free from insects, is due by July 7, 2025. Proof must be sent via email to LPA Ramirez.
Deadline recorded: Jun 29, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jun 29, 2025
Correction not verified in available records
Facility condition and maintenanceType B
- Official classification
- Type B
- Official code
- 87303(a)
- Regulation authority
- CCR
What the official deficiency says
(a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors. This requirement was not met as evidenced by: rooms 202,210,211,223 234 and 124 are not kept sanitary due to roaches infestation not being kept under control. LPA Ramirez observation of live roach in trap. Staff not adhereing to pest control recommendations to rid theses rooms of insects.
Official plan of correction
Staff agreed to send a plan to address how the facility plans to keep these rooms sanitary. Proof must be sent via email to LPA Ramirez.
Deadline recorded: Jul 7, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 7, 2025
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87411(c)
- Regulation authority
- CCR
What the official deficiency says
(c) All RCFE staff who assist residents with personal activities of daily living shall receive initial and annual training as specified in Health and Safety Code sections 1569.625 and 1569.69. This requirement was not met as evidenced by: based on records reviewed caregivers did not receive annual training as specified in H & S 1569.625 and 1569.69.
Official plan of correction
Administrator will certify plan on how caregivers will receive initial and annual training according to this regulation. Plan must be received by 7/7/25.
Deadline recorded: Jul 7, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 7, 2025
Correction not verified in available records
Staffing, personnel, and trainingType B
- Official classification
- Type B
- Official code
- 87412(c)(2)(D)
- Regulation authority
- CCR
What the official deficiency says
(c) Licensees shall maintain in the personnel records verification of required staff training and orientation.(2)Documentation of staff training shall include: (D) Number of training hours per subject. This requirement was not met as evidenced by: documentation of staff training did not reflect number of training hours per subject.
Official plan of correction
Administrator will certify plan on how the facility will document training hours for staff. Plan must be received by 7/7/25.
Deadline recorded: Jul 7, 2025. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 7, 2025
Correction not verified in available records
Complaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations1 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 6 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 7 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations2 substantiated · 0 unsubstantiated · 0 unfounded · 2 cited
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87466
- Regulation authority
- CCR
What the official deficiency says
Observation of the Resident. The licensee shall ensure that residents are regularly observed for changes in physical, mental, emotional and social functioning and that appropriate assistance is provided when such observation reveals unmet needs.....the licensee shall ensure that such changes are documented and brought to the attention of the resident's physician and the resident's responsible person, if any. This requirement has not been met as evidenced by: Based on medical record review and interviews, staff failed to provide provide adequate care and supervision, which resulted in injuries to R1 that required hospitalization. This is an immediate health and safety risk to the residents in care.
Official plan of correction
Administrator agress to: 1. Conduct staff training on regulation 87466 and staff communication protocols regarding changes in residents conditions. 2. Submit a written plan by tomorrow how the deficiency will be corrected. 3. Submit proof that staff were trained by 9/14/2023.
Deadline recorded: Sep 8, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 8, 2023
Correction not verified in available records
Basic services and supervisionType A
- Official classification
- Type A
- Official code
- 87101(c)(3)(A)
- Regulation authority
- CCR
What the official deficiency says
Definitions. " Care and Supervision " means those activities which if provided shall require the facility to be licensed... " Care and Supervision " shall include, but not be limited to, any one or more of the following activities provided by a person or facility to meet the needs of the residents: (A) Assistance in dressing, grooming, bathing and other personal hygiene; This requirement was not met evidenced by: Per record review & photographs, caregiver staff failed to provide assistance services as indicated on Resident Appraisal dated 3/30/2021; which poses an immediate health, safety or personal rights risk to persons in care.
Official plan of correction
Administrator agreed to submit a care plan that addresses care responsibilities/protocols for residents with declining/change in health conditions. Submit POC by tomorrow.
Deadline recorded: Sep 8, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Sep 8, 2023
Correction not verified in available records
Complaint
Allegations1 substantiated · 5 unsubstantiated · 0 unfounded · 1 cited
Medication handling and storageType A
- Official classification
- Type A
- Official code
- 87465(h)(2)
- Regulation authority
- CCR
What the official deficiency says
87465 Incidental, Medical, and Dental: (h) The following requirements shall apply: (2) Centrally stored medicines shall be kept in a safe and locked place that is not accessible to persons other than employees responsible for the supervision. This requirement is not met as evidence by: Based on document review staff did not properly stored medication which poses an immediate risk to the safety, health, or personal rights to the persons in care.
Official plan of correction
Administrator will scheduel in-service by 7/8/23, will provide in-service training to Medication technicians and will submit a copy of in-service training with topic, duration of training, and sign-in log to the department by 7/14/23.
Deadline recorded: Jul 8, 2023. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Jul 8, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 4 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Part of the complaint whose outcome is recorded on May 30, 2023 · Control 28-AS-20230417092501
Resident rightsType B
- Official classification
- Type B
- Official code
- 87468.1(a)(2)
- Regulation authority
- CCR
What the official deficiency says
87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement is not met as evidenced by: 2 out of 10 Residents interviewed indicate Staff has handled them in a rough manner.
Official plan of correction
Licensee shall provide additional training to Staff in regards to the handling of Residents. LIcensee shall provide proof of training to the department by the POC date.
Deadline recorded: May 9, 2023. A deadline is not proof that correction was completed.
Citation dismissed - not a correctionOn May 9, 2023
Deficiency Dismissed Type B 05/09/2023 Section Cited CCR 87468.1(a)(2)
Plan of correction recorded
Correction deadline recordedDeadline May 9, 2023
Correction not verified in available records
Complaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 2 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 3 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 5 unsubstantiated · 0 unfounded · 2 cited · investigated over 2 visits
No deficiencies recorded in this reportComplaint
Allegations0 substantiated · 1 unsubstantiated · 0 unfounded
No deficiencies recorded in this reportComplaint
Staffing, personnel, and trainingType A
- Official classification
- Type A
- Official code
- 87411(g)(2)
- Regulation authority
- CCR
What the official deficiency says
Personnel Requirements - General (g) Prior to employment or initial presence in the facility, all employees and volunteers subject to a criminal record review shall: (2) Request a transfer of a criminal record clearance as specified in Section 87355(c) This deficiency was evidenced by the following: Records reviewed S1 was hired on 10/4/19. Facility did not request fingerprint transfer until 6/18/20. S1's fingerprints were never associated to this facility. Staff also confirmed S1 was a staff member at the facility.
Official plan of correction
Facility will certify all staff will have a fingerprint clearance and will be associated to the facility prior to employment or initial presence in the facility. It should be noted, S1 no longer works for the facility as of July 2020. Civil penalties were issued in the amount of $500.
Deadline recorded: Apr 6, 2022. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Apr 6, 2022
Correction not verified in available records
Complaint
Part of the complaint whose outcome is recorded on Aug 31, 2022 · Control 28-AS-20211207131830
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(a)(5)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care (a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following:(5) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Resident #1 did not receive their medication from Dec. 01, 2021 to Dec. 06, 2021 because facility was not able to obtain refill authorization from doctor.
Official plan of correction
Licensee shall provide additional training to all Staff responsible for medication assistance and provide proof to the department by the POC date.
Deadline recorded: Dec 14, 2021. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 14, 2021
Correction not verified in available records
Medical and dental careType A
- Official classification
- Type A
- Official code
- 87465(e)
- Regulation authority
- CCR
What the official deficiency says
Incidental Medical and Dental Care (e) For every prescription and nonprescription PRN medication for which the licensee provides assistance there shall be a signed, dated written order from a physician, on a prescription blank, maintained in the residents file, and a label on the medication. Both the physician's order and the label shall contain at least all of the following information. This requirement is not met as evidenced by: Resident #1's prescription medications were not refilled in a timely manner causing Resident #1's prescription medications not being administered from Dec. 01, 2021 to Dec. 06, 2021.
Official plan of correction
Licensee shall revise Medication Plan of Operation to ensure that future medication refills are requested and obtained in a timely manner.
Deadline recorded: Dec 14, 2021. A deadline is not proof that correction was completed.
Plan of correction recorded
Correction deadline recordedDeadline Dec 14, 2021
Correction not verified in available records
Source and limits
California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.
Read the data methodology