198320402-7-24-2026-11-AS-PMAA-DX3Q8V-20260818115722

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320402
Report Date: 07/24/2026
Date Signed: 07/24/2026 02:39:49 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/24/2026 and conducted by Evaluator Lizeth Villegas

COMPLAINT CONTROL NUMBER: 11-AS-20260624102759

FACILITY NAME:	WESTMONT OF CULVER CITY		FACILITY NUMBER:	198320402
ADMINISTRATOR:	DAWN M SMITH		FACILITY TYPE:	740
ADDRESS:	11141 WASHINGTON BLVD		TELEPHONE:	(310) 736-4118
CITY:	CULVER CITY	STATE: CA	ZIP CODE:	90232
CAPACITY:	160	CENSUS: 151	DATE:	07/24/2026
		UNANNOUNCED	TIME BEGAN:	09:22 AM
MET WITH:	Executive Director Dawn Smith		TIME COMPLETED:	02:50 PM

ALLEGATION(S):

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Facility is not conducting fire drills.
Staff are neglecting residents in care.

INVESTIGATION FINDINGS:

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On 07/24/26 at 9:20 am Licensing Program Analyst (LPA) Villegas conducted a subsequent complaint visit regarding the allegation(s) above. LPA met with Executive Director Dawn Smith as the purpose of today’s visit was explained.

The investigation consisted of the following: On 06/25/26 LPA Villegas obtained copies of the staff and resident rosters, fire drill logs for May 2026-June 2026, device activity report for 06/10/26-06/23/26, Inspection and testing certification certificate dated: 02/04/26, and Inspection and testing certification certificate dated: 05/16/25. On 06/24/26 LPA also obtained copies of the following documents for Residents #1-2 (R1-R2) Emergency ID form, Pre-appraisal, Admission agreements, Physicians reports, Needs and service plans, and August health notes for the month of June 2026. On 06/25/26 from

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026

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 11-AS-20260624102759

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: WESTMONT OF CULVER CITY	FACILITY NUMBER: 198320402
	VISIT DATE: 07/24/2026

NARRATIVE

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10am-12 pm LPA conducted interviews with Staff #1- 9 (S1-S9), and on 06/26/26 and 07/24/26 LPA conducted interviews with R1-R10. On 07/24/26 LPA conducted a tour of (5) resident bedrooms and conducted a review of the facilities fire drill logs for May 2026-June 2026.

The investigation revealed the following:

Allegation: Facility is not conducting fire drills.

It is alleged that the facility is only testing the fire alarms and give no direction to residents on what to do in the case of fire. On 06/25/26 from 10am -12 pm LPA conducted interviews with S1-S9 regarding the allegation above. 8 of the 9 staff interviewed denied the allegation above and reported that drills are conducted regularly. Per 7 of the 8 staff interviewed, residents have participated in the drills although residents do have the right to refuse participation. Additionally, 8 of the 9 staff interviewed reported that residents are aware of the evacuation procedures. On 06/25/26 and 07/24/26 LPA conducted interviews with R1-R10 regarding the allegation above, 10 of 10 residents interviewed denied the allegation above and reported that drills are conducted often. 9 of the 10 residents interviewed reported they are aware of the of emergency evacuation procedures. 1 of the 10 residents interviewed reported that they have been told their family member to stay in their bedroom and a facility staff will assist in an emergency. On 07/24/26 LPA conducted a review of the facilities fire drill logs for May 2026 - June 2026. Fire drills conducted on 05/31/26 and 06/08/26 were performed with staff only, both drills lasted 20 minutes each, and staff were also trained on how to reset fire alarm panel.

Allegation: Staff are neglecting residents in care.

It is alleged that facility staff are not checking in on residents and instead residents are required to use pull cord, so staff know they are okay. On 06/25/26 from 10am - 12 pm LPA conducted interviews with S1-S9 regarding the allegation above. 8 of the 9 staff interviewed denied the allegation above and the facility does have a check in procedure that residents follow every morning. Procedure, If a resident does not use the check in procedure and they are not observed in the dining room the concierge

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20260624102759

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245

FACILITY NAME: WESTMONT OF CULVER CITY	FACILITY NUMBER: 198320402
	VISIT DATE: 07/24/2026

NARRATIVE

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will call the resident, if the resident does not answer then a caregiver will go to the residents bedroom to check in there is okay. 1 of the 9 staff reported having no knowledge of the allegation above. 10 of 10 staff interviewed reported rounds are being conducted according the the residents care needs. On 06/25/26 and 07/24/26 LPA conducted interviews with R1-R10 regarding the allegation above. 10 of 10 residents denied the allegation above and reported that they do not feel neglected by staff. 7 of 10 residents reported that staff are conducting rounds throughout the day, 2 of 10 residents reported they are unaware if staff are conducting rounds throughout the day, 1 of 10 residents reported that staff do not conducted rounds at all. Additionally, 4 of 10 residents interviewed confirmed that residents are required to use pull cord located in their bathrooms by 9 am in order for staff to know they are awake and are okay. On 07/24/26 LPA obtained a copy of the acknowledgement/ check in procedure that was distributed to resident in care.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

Exit interview conducted, and a copy of this report was provided.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:	DATE: 07/24/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2026

LIC9099 (FAS) - (06/04)

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