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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603399
Report Date: 07/29/2025
Date Signed: 08/26/2025 02:40:46 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE 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
06/25/2025 and conducted by Evaluator Valerie Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250625135111
FACILITY NAME:WESTMONT OF ESCONDIDOFACILITY NUMBER:
374603399
ADMINISTRATOR:AUSTIN IRWINFACILITY TYPE:
740
ADDRESS:500 E VALLEY PKWYTELEPHONE:
(760) 737-5110
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:200CENSUS: 145DATE:
07/29/2025
UNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Administrator, Austin IrwinTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Licensee does not ensure that resident's shower area is kept free from mold
INVESTIGATION FINDINGS:
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On 7/29/2025, Licensing Program Analyst (LPA) Valerie Flores arrived at the facility for the purpose of delivering findings into the allegation listed above. LPA met with Administrator, Austin Irwin, and explained to Austin the purpose of the visit. LPA conducted a tour of the facility and did not observe any health and safety concerns.
Information received alleged Licensee does not ensure that resident #1 (R1) shower area is kept free from mold. Photos received reveal a picture of Resident #1 (R1)’s previously white shower curtain spotted with mold spores on the bottom portion of the curtain that would have constant contact with water exposure. A second photo received shows a padded showering seat located inside of R1’s shower. Through the picture, LPA observed the seat part of the chair to have a teal color linen that was coated in black mold.

(Continue to LIC9099C...)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
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 5
Control Number 18-AS-20250625135111
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: WESTMONT OF ESCONDIDO
FACILITY NUMBER: 374603399
VISIT DATE: 07/29/2025
NARRATIVE
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(Continue from LIC9099...)

In addition, part of the blue linen appeared to be lifted exposing additional black mold collecting under the teal-colored linen. Interviews conducted, reported that R1 spoke with Staff #1 (S1) regarding the inadequate cleaning of the shower. Additional information received corroborated S1 observed the molded shower chair and shower curtain. The shower curtain and chair were removed on 7/1/2025 per R1’s request.

Based on interviews, records review, and observation, the allegation that licensee does not ensure that resident's shower area is kept free from mold was determined to be substantiated. A substantiated finding means the allegation is valid because the preponderance of the evidence standard has been met. Pursuant to the California Code of Regulations, Title 22, Division 6, Health and Safety Code, a deficiency is cited on the attached LIC 9099-D.

An exit interview was conducted and a copy of this report, along with the Appeal Rights (LIC 9058 03/22) were provided to Administrator, Austin Irwin.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 18-AS-20250625135111
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: WESTMONT OF ESCONDIDO
FACILITY NUMBER: 374603399
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 07/29/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
08/08/2025
Section Cited
CCR
87303(a)
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(a) The facility shall be clean, safe, sanitary and in good repair at all times. This requirement is not met based as evidence by interview and photos attained:
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Administrator stated an in-service training with housekeeping will be conducted regarding what is required to be cleaned. An in-service sheet with housekeeping staff signatures will be forwarded over to LPA via email.
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(1) one out of (143) one hundred forty-three residents shower area was not kept free of mold which poses a potential health and safety risk for the resident in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE 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
06/25/2025 and conducted by Evaluator Valerie Flores
PUBLIC
COMPLAINT CONTROL NUMBER: 18-AS-20250625135111

FACILITY NAME:WESTMONT OF ESCONDIDOFACILITY NUMBER:
374603399
ADMINISTRATOR:AUSTIN IRWINFACILITY TYPE:
740
ADDRESS:500 E VALLEY PKWYTELEPHONE:
(760) 737-5110
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:200CENSUS: 145DATE:
07/29/2025
UNANNOUNCEDTIME BEGAN:
02:50 PM
MET WITH:Administrator, Austin IrwinTIME COMPLETED:
04:40 PM
ALLEGATION(S):
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Staff did not respond to resident's requests for assistance in a timely manner.
INVESTIGATION FINDINGS:
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On 7/29/2025, Licensing Program Analyst (LPA) Valerie Flores arrived at the facility for the purpose of delivering findings into the allegation listed above. LPA met with Administrator, Austin Irwin and explained to Austin the purpose of the visit. LPA conducted a tour of the facility and did not observe any health and safety concerns.

Information received alleged staff did not respond to resident's requests for assistance in a timely manner. It was alleged on 6/4/2025, Resident #1 (R1) activated their pendant and it took staff approximately an hour to arrive. A record review conducted for the signaling system identified R1 activating the facilities signaling system twice on 6/4/2025. It took facility staff less than 10 seconds to respond to the alert on both occasions. Interviews collected further addressed that staff is to file a statement with management if the alert was not responded in a timely manner.
(Continue to 9099C...)
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 18-AS-20250625135111
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: WESTMONT OF ESCONDIDO
FACILITY NUMBER: 374603399
VISIT DATE: 07/29/2025
NARRATIVE
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(Continuation from LIC9099A)

Based on the evidence pertaining to the allegations of staff did not respond to resident's requests for assistance in a timely manner, the allegation is unfounded. A finding of unfounded indicates that the allegation is false, could not have happened, or is without a reasonable basis.

An exit interview was conducted where a copy of this report was provided to Administrator, Austin Irwin.
SUPERVISORS NAME: Rikesha Stamps
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 07/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/29/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5