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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881248
Report Date: 06/11/2025
Date Signed: 06/11/2025 11:33:31 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/26/2024 and conducted by Evaluator Sarina Ramirez
COMPLAINT CONTROL NUMBER: 56-AS-20240826141555
FACILITY NAME:WESTFIELD VILLA GARDENSFACILITY NUMBER:
331881248
ADMINISTRATOR:ALMA ESPINALFACILITY TYPE:
740
ADDRESS:3863 WEST RAMSEY STTELEPHONE:
(951) 849-7521
CITY:BANNINGSTATE: CAZIP CODE:
92220
CAPACITY:50CENSUS: 37DATE:
06/11/2025
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Administrator Gemma FallsTIME COMPLETED:
11:45 AM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Staff do not meet a resident's dental needs
Staff do not meet a resident's physical therapy needs
Staff do not meet a resident's dietary needs
Staff do not provide adequate care and supervision to a resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to deliver findings on a complaint investigation regarding the above allegations. LPA met with Administrator Gemma Falls and discussed the purpose of the visit.

Regarding allegation #1, LPA conducted eight (8) resident interviews. Four (4) residents confirmed they brush their own teeth, three (3) residents don’t have any teeth, one (1) resident stated staff are not brushing resident’s teeth.

LPA conducted three (3) staff interviews, all of whom confirmed they meet the dental needs for residents, although some refuse or bite the toothbrush.

Regarding allegation #2, LPA conducted 8 resident interviews. 7 of the 8 confirmed they do not need physical therapy, and choose not to exercise. 1 of the 8 residents stated physical therapy needs are not being met.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2025
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 56-AS-20240826141555
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: WESTFIELD VILLA GARDENS
FACILITY NUMBER: 331881248
VISIT DATE: 06/11/2025
NARRATIVE
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LPA conducted 3 staff interviews, all whom confirmed the residents in care do not require physical therapy as ordered by a doctor. Staff encourage residents to exercise however most refuse. LPA observed a seated work out video playing in the dining room as 3 residents sat while the work out video played, but none were participating.

Regarding allegation #3, LPA conducted 8 resident interviews. 7 of the 8 residents confirmed they are not on special diets. 1 of the 8 residents stated dietary needs are not being met.

LPA conducted 3 staff interviews, all whom confirmed they follow residents dietary needs.

Regarding allegation #4, LPA conducted 8 resident interviews. 7 of the 8 confirm facility has enough care and supervision. 1 of the 8 residents stated there is not enough care and supervision.

LPA conducted 3 staff interviews, all whom confirm they have enough staff and supervision for residents in care.

Based on LPA's observations, record reviews, and interviews, the above allegations are unsubstantiated. This means that 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.

An exit interview was conducted where this report was discussed, and a copy was provided to Administrator Gemma Falls at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 06/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/11/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2