107208908-4-13-2022-24-AS-MHON-CDMRAJ-20220419125114

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 107208908
Report Date: 04/13/2022
Date Signed: 04/13/2022 03:07:15 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/11/2022 and conducted by Evaluator Alexandria Walton

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20220111085127

FACILITY NAME:	WESTMONT OF FRESNO		FACILITY NUMBER:	107208908
ADMINISTRATOR:	HAMILTON, PAMELA		FACILITY TYPE:	740
ADDRESS:	7442 & 7468 N MILLBROOK AVE		TELEPHONE:	(858) 729-6720
CITY:	FRESNO	STATE: CA	ZIP CODE:	93720
CAPACITY:	155	CENSUS: 75	DATE:	04/13/2022
		UNANNOUNCED	TIME BEGAN:	01:43 PM
MET WITH:	Administrator, Pamela Hamilton		TIME COMPLETED:	01:44 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not safeguard resident's personal belongings
Resident's room is dirty
Staff did not provided resident with adequate bedding
Staff did not meet resident's hygiene needs
Resident's bathroom has no hand soap
Resident's TV is in disrepair

INVESTIGATION FINDINGS:

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

On 04/13/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Pamela Hamilton.

During the investigation, LPA interviewed residents and staff, conducted a facility tour and reviewed records.

Consistent interviews with staff revealed that R1 would frequently remove R1’s hearing aid due to the hearing aid making a “whistling” noise in R1’s ear. While R1 resided at the facility, staff found R1’s hearing aid in various places including R1’s dining plate, R1’s sock and R1’s shoe.

CONTINUED TO LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 650-7914
LICENSING EVALUATOR NAME: Alexandria Walton	TELEPHONE: (559) 246-0128
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2022

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 24-AS-20220111085127

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: WESTMONT OF FRESNO	FACILITY NUMBER: 107208908
	VISIT DATE: 04/13/2022

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 was unable to tour R1’s apartment due to R1 no longer being in the facility. LPA viewed apartments belonging to other residents in the facility and did not observe the apartment rooms to be dirty, LPA observed hand soap, and resident TV’s to be in working order. Interviews with staff revealed that staff were trained on how to meet R1’s hygiene needs, however, R1 would refuse. Interviews with the Administrator revealed that resident families provide resident bedding and hand soap. Staff interviews revealed that staff will contact residents’ families when a resident is low on a specific item. Interviews with staff also revealed that soiled bedding is immediately washed, and some residents are provided with one set of bedding. The facility does have “loaner bedding” for a resident if it is needed.

Based on observation and record review, the allegations: Staff did not safeguard resident's personal belongings, Resident's room is dirty, Staff did not provided resident with adequate bedding, Staff did not meet resident's hygiene needs, Resident's bathroom has no hand soap, and Resident's TV is in disrepair are UNSUBSTABTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

No deficiencies issued during this inspection.

An exit interview was conducted with Administrator. A copy of this report was provided to Administrator, Pamela Hamilton, whose signature on this form confirms receipt of this document.

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 650-7914
LICENSING EVALUATOR NAME: Alexandria Walton	TELEPHONE: (559) 246-0128
LICENSING EVALUATOR SIGNATURE:	DATE: 04/13/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/13/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 2