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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603399
Report Date: 11/18/2024
Date Signed: 11/18/2024 01:11:16 PM

Unfounded


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
11/01/2024 and conducted by Evaluator Kathleen Banrasavong
COMPLAINT CONTROL NUMBER: 18-AS-20241101151835
FACILITY NAME:WESTMONT OF ESCONDIDOFACILITY NUMBER:
374603399
ADMINISTRATOR:DAVID ALSPACHFACILITY TYPE:
740
ADDRESS:500 E VALLEY PKWYTELEPHONE:
(760) 737-5110
CITY:ESCONDIDOSTATE: CAZIP CODE:
92025
CAPACITY:200CENSUS: 129DATE:
11/18/2024
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Executive Director, Austin IrwinTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff took away resident's call button
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kathleen Banrasavong conducted an unannounced visit to deliver findings for a complaint investigation regarding the above allegation. LPA met with Executive Director, Austin Irwin, where the LPA explained the purpose of the visit and the elements of the allegation. The investigation consisted of observations, interviews with staff members and residents, and a review of records.

On November 11, 2024, Community Care Licensing received a complaint alleging that Resident 1 (R1)’s call button was taken away. It was alleged that Staff Member took R1’s call light pendant. It was also alleged that there was a video of the resident having the call light taken. During the LPA’s investigation, there was no evidence available or provided to the LPA regarding Staff Member taking R1’s pendent.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Jazmond D HarrisTELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen BanrasavongTELEPHONE: 951-622-3619
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024
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 18-AS-20241101151835
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: 11/18/2024
NARRATIVE
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Information obtained from the interview with the Executive Director indicated that R1 has always had a call light device. Executive Director and staff members indicated that the pendant was obtained to be replaced with a handheld call light button. Interviews corroborated that R1 was provided the pendent the same day. During the initial visit, LPA verified that the call light button was operable. LPA observed and verified that the pendent was in working condition through a mock test. Information obtained from interviews with all pertinent parties corroborates the information provided to the LPA. Information obtained from interviews with additional witnesses revealed no issues or concerns regarding care or supervision.

Based on the information obtained during the investigation, this agency has investigated the complaint alleging that staff took away resident’s call button. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report was discussed with and provided to Executive Director, Austin Irwin.

SUPERVISOR'S NAME: Jazmond D HarrisTELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen BanrasavongTELEPHONE: 951-622-3619
LICENSING EVALUATOR SIGNATURE:

DATE: 11/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2