045001756-4-29-2026-59-AS-LCRR-DUHMT4-20260528095252

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 045001756
Report Date: 04/29/2026
Date Signed: 04/29/2026 04:01:38 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/29/2025 and conducted by Evaluator Michael Hood

COMPLAINT CONTROL NUMBER: 59-AS-20251229100531

FACILITY NAME:	WESTMONT OF CHICO-COMPASS ROSE		FACILITY NUMBER:	045001756
ADMINISTRATOR:	KEENE, CLIFF		FACILITY TYPE:	740
ADDRESS:	2750 SIERRA SUNRISE TERRACE		TELEPHONE:	(530) 774-2705
CITY:	CHICO	STATE: CA	ZIP CODE:	95928
CAPACITY:	48	CENSUS: 26	DATE:	04/29/2026
		UNANNOUNCED	TIME BEGAN:	11:55 AM
MET WITH:	Cliff Keene, Executive Director (ED)		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility is not adequately staffed to meet the needs of the residents in care.

Residents are not provided with adequate access to the facility's call system.

Facility staff sleep while on shift.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Michael Hood arrived at the care home and met with Executive Director (ED), Cliff Keene, to deliver findings regarding the complaint allegations listed above.

During the investigation, LPA conducted interviews, toured the premises, and reviewed documentation pertinent to the investigation. The results of the investigation are as follows:

Allegation: Facility is not adequately staffed to meet the needs of the residents in care.

Relevant party reported that the care home only has one (1) staff member during night shift to assist the residents if needed.

** Report continued on 9099-C **

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 59-AS-20251229100531

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: WESTMONT OF CHICO-COMPASS ROSE	FACILITY NUMBER: 045001756
	VISIT DATE: 04/29/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

LPA conducted interviews with residents R1, R2, R3, and R4. No interviews conducted with residents indicated any concerns regarding staffing. Interviews conducted with staff members (S3, S4, S5, S6, and S7) and witness (W1) did not indicate any concerns regarding staffing. LPA observed Raw Time Entry Report for staff schedule. LPA observed the facility to have approximately 13 staff members working in a day. LPA observed that staff were scheduled accordingly to ensure at least one (1) staff member was on shift and to account for breaks and shift changes.

Allegation: Residents are not provided with adequate access to the facility's call system.

Relevant party reported that residents, including R1, may not have access to their call buttons. Interviews conducted with R1, R2, R3, R4, S3, S4, S5, S6, S7, and W1 did not indicate any concerns regarding the care home's call system. LPA observed call buttons with residents during interviews. LPA tested R1's call button and observed staff respond to R1's call button within three (3) minutes. LPA observed call buttons located in the bathrooms of each resident's apartment. LPA observed call logs for resident R1, R2, R3, R4, R5, R6, R7, and R8 and observed the longest response time was less than ten (10) minutes.

Allegation: Facility staff sleep while on shift.

Relevant party reported that staff member (S1) has been sleeping at the facility during their shift. Interviews conducted with R1, R2, R3, R4, S3, S4, S5, S6, S7, and W1 did not indicate any concerns regarding staff sleeping while on shift. LPA observed a Corrective Counseling Documentation indicating that, on December 16, 2025, S1 was observed to be sleeping while on duty. S1 denied sleeping during shift per document. Staff member (S2) denied observing S1 sleeping while on duty per document.

Based on interviews conducted, observations, and records reviewed, the preponderance of evidence standards have not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview was conducted. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.

SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2