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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320402
Report Date: 09/23/2026
Date Signed: 09/23/2026 02:33:58 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
09/18/2026 and conducted by Evaluator Lizeth Villegas
COMPLAINT CONTROL NUMBER: 11-AS-20260918161053
FACILITY NAME:WESTMONT OF CULVER CITYFACILITY NUMBER:
198320402
ADMINISTRATOR:DAWN M SMITHFACILITY TYPE:
740
ADDRESS:11141 WASHINGTON BLVDTELEPHONE:
(310) 736-4118
CITY:CULVER CITYSTATE: CAZIP CODE:
90232
CAPACITY:160CENSUS: 147DATE:
09/23/2026
UNANNOUNCEDTIME BEGAN:
09:58 AM
MET WITH:Executive Director Dawn SmithTIME COMPLETED:
02:45 PM
ALLEGATION(S):
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Staff did not provide adequate food service to residents in care.
INVESTIGATION FINDINGS:
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On 09/23/26 at 10:00 am Licensing Program Analyst (LPA) Villegas conducted a subsequent complaint visit regarding the allegation(s) above. LPA met with Executive Director Dawn Smith (staff#1/S1) as the purpose of today’s visit was explained.

The investigation consisted of the following: On 09/23/26 LPA Villegas obtained copies of the staff and resident rosters, facility menus for August 2026-September 2026 as well as copies of the heart and health menu and the always available menu. LPA obtained copies of the following documents for Resident #1-2 (R1-R2) Emergency ID form, Physicians reports, needs and service plans, and diet request forms. On 09/23/26 from 11am-12pm LPA conducted interviews with Residents #1-10 (R1-R10). LPA conducted tour of facility kitchen and observed the lunch services. On 09/23/26 LPA conducted interviews with Staff #1-4 (S1-S4).

The investigation revealed the following:
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Lizeth Villegas
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
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 11-AS-20260918161053
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: 09/23/2026
NARRATIVE
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Allegation: Staff did not provide adequate food service to residents in care.

It is alleged that the facility's food service is not appropriate for needs of residents. On 09/23/26 from 11am-12pm LPA conducted interviews with R1-R10 regarding the allegation above. 6 of the 10 residents interviewed denied the allegation above, 2 of 10 residents interviewed reported that they sometimes have concerns about the food served, 2 of the 10 residents interviewed confirmed the allegation above.
Additionally, 10 of 10 residents interviewed confirmed that the menu changes daily and that there is an alternative menu residents can chose from as needed. Furthermore, there were concerns about the meals being cold when received by facility staff. 3 of 10 residents reported that they have received cold meals, 5 of 10 residents reported that sometimes their meals are cold, and 2 residents reported that their meals are at a good temperature when received. On 09/23/26 LPA conducted interviews with S1-S4 regarding the allegation above. 4 of the 4 staff interviewed denied the allegation above and reported that dietary needs are being met, facility menus are updated every 5 weeks, and that residents can request a different meal if the meal served is not to their liking. 1 of the 4 staff interviewed stated that they have met with the residents monthly to obtain feedback in order to provide a better dining experience for residents in care. On 09/23/26 LPA conducted a tour of the facility kitchen and observed lunch service. LPA observed a big board with the pictures and dietary needs of the residents, LPA also observed that the POS system used in the kitchen will also show the dietary needs of each resident when the resident submits their meal order. During lunch service LPA observed meals being plated and taken into the dining room within a few minutes after being plated, LPA observed a heating lamp which plates are placed under while waiting to be picked up by a server. LPA observed the refrigerator and be adequately stocked with fresh fruit and vegetables, and observed that each table in the dining room had a big menu for residents to look at. On 09/23/26 LPA conducted a review of the facility menus and observed that the menus are different every day, LPA observed observed that there is a heart and healthy menu with vegetarian options, sugar free desert options, and multiple salads residents can chose from. On 09/23/26 LPA conducted review of Diet request form for R2, per form R1 requires a consistent carbohydrate diet which R2 manages on their own.

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: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2