107208908-8-8-2022-24-AS-MHON-CH5TTW-20220809150125

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 107208908
Report Date: 08/08/2022
Date Signed: 08/08/2022 01:35:23 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
05/13/2022 and conducted by Evaluator Alexandria Walton

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20220513170250

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:	DATE:	08/08/2022
		UNANNOUNCED	TIME BEGAN:	12:22 PM
MET WITH:	Administrator, Erik Schuk		TIME COMPLETED:	01:34 PM

ALLEGATION(S):

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Resident's room has a foul odor.
Resident's closet is cluttered with soiled linens.
Resident's bathroom is unkempt
Resident was left unattended.
Resident's bathroom is dirty.
Staff did not transport resident to medical appointment in a timely manner.
Unqualified staff providing transportation for resident's.
Facility not properly managing resident's medications.
Facility did not seek medical care for resident.

INVESTIGATION FINDINGS:

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On 08/08/2022, Licensing Program Analyst (LPA) arrived unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator Erik Schuk.

Today’s visit included staff interviews. During the investigation, LPA reviewed resident records, interviewed staff and residents, and conducted a facility tour.

During the facility tour LPA observed residents’ apartments to be clean with no obstructions to pathways. LPA observed residents’ bathrooms and showers to be clean. Interviews with residents revealed that housekeeping staff will clean resident rooms.

CONTINUED TO 9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 341-3274
LICENSING EVALUATOR NAME: Alexandria Walton	TELEPHONE: (559) 246-0128
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2022

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

LIC9099 (FAS) - (06/04)

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Control Number 24-AS-20220513170250

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: 08/08/2022

NARRATIVE

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Interviews with transportation staff revealed that the facility does not transport residents who require assistance with a wheelchair or are unable to transfer in and out of the vehicle. Transportation staff will make arrangements with Comfort Med Trans to transport wheelchair bound residents.

Interviews with staff revealed that antibiotic medications are documented on a paper MAR. Antibiotics are administered to residents as prescribed.

Based on observation, record review, and interviews the allegations: Resident's room has a foul odor, Resident's closet is cluttered with soiled linens, Resident's bathroom is unkempt, Resident was left unattended, Resident's bathroom is dirty, Staff did not transport resident to medical appointment in a timely manner, Unqualified staff providing transportation for resident's, Facility not properly managing resident's medications and Facility did not seek medical care for resident are found to be UNSUBSTANTAITED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies issued during the inspection.

Exit interview conducted. A copy of this report was discussed and provided to Administrator, Erik Schuk, whose signature on this form confirms receipt of this document.

SUPERVISOR'S NAME: Melinda Hoffmann	TELEPHONE: (559) 341-3274
LICENSING EVALUATOR NAME: Alexandria Walton	TELEPHONE: (559) 246-0128
LICENSING EVALUATOR SIGNATURE:	DATE: 08/08/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/08/2022

LIC9099 (FAS) - (06/04)

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