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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881251
Report Date: 12/16/2025
Date Signed: 12/16/2025 11:10:32 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
12/11/2025 and conducted by Evaluator Sarina Ramirez
COMPLAINT CONTROL NUMBER: 56-AS-20251211083312
FACILITY NAME:WESTHILLS VILLA GARDENSFACILITY NUMBER:
331881251
ADMINISTRATOR:THELMA MONTEBONFACILITY TYPE:
740
ADDRESS:5466 WEST WILSON ST.TELEPHONE:
(951) 849-7521
CITY:BANNINGSTATE: CAZIP CODE:
92220
CAPACITY:30CENSUS: 20DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Administrator Thelma MontebonTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unqualified staff providing care to resident
Staff did not assess resident upon admission
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Sarina Ramirez and Andrew Martinez conducted an unannounced visit to the facility to conduct a complaint investigation into the above allegations. LPAs met with Administrator Thelma Montebon and discussed the purpose of the visit.

Regarding allegation #1, Based on LPAs record review and interviews, staff are trained in providing appropriate care for all residents prior to starting their position. LPAs obtained pertinent documents to corroborate that staff are providing qualified care for residents.

Regarding allegation #2, Based on LPAs record review, R1 was assessed prior to admission. Based on interviews, Administrator informed LPAs that all residents are assessed prior to admission to ensure compatibility.

Therefore, the alleged allegations have been determined Unsubstantiated. Unsubstantiated; meaning that although the allegation may have happened or is valid, there is no 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 Thelma Montebon.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
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
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
12/11/2025 and conducted by Evaluator Sarina Ramirez
COMPLAINT CONTROL NUMBER: 56-AS-20251211083312

FACILITY NAME:WESTHILLS VILLA GARDENSFACILITY NUMBER:
331881251
ADMINISTRATOR:THELMA MONTEBONFACILITY TYPE:
740
ADDRESS:5466 WEST WILSON ST.TELEPHONE:
(951) 849-7521
CITY:BANNINGSTATE: CAZIP CODE:
92220
CAPACITY:30CENSUS: 20DATE:
12/16/2025
UNANNOUNCEDTIME BEGAN:
09:35 AM
MET WITH:Administrator Thelma MontebonTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not allow resident to speak to family
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analysts (LPAs) Sarina Ramirez and Andrew Martinez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegation. LPA met with Administrator Thelma Montebon, and discussed the purpose of the visit.

Regarding the allegation, staff did not allow resident to speak to family, LPA’s record review and interviews reveals, R1 was conserved by Riverside Public Guardian. Staff informed LPAs they have not heard nor witnessed Public Guardian denying residents to speak to their families.

Based on LPAs record review and interviews the above allegation is Unfounded. An Unfounded finding means, the allegation is false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted where this report was discussed, and a copy of this report was provided to Administrator Thelma Montebon at the conclusion of the visit.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/16/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/16/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2