374603399-11-18-2024-18-AS-JDHS-DB7PEN-20241120101525

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374603399
Report Date: 11/18/2024
Date Signed: 11/18/2024 01:19:54 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
10/25/2024 and conducted by Evaluator Kathleen Banrasavong

COMPLAINT CONTROL NUMBER: 18-AS-20241025131653

FACILITY NAME:	WESTMONT OF ESCONDIDO		FACILITY NUMBER:	374603399
ADMINISTRATOR:	DAVID ALSPACH		FACILITY TYPE:	740
ADDRESS:	500 E VALLEY PKWY		TELEPHONE:	(760) 737-5110
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92025
CAPACITY:	200	CENSUS: 129	DATE:	11/18/2024
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Executive Director, Austin Irwin		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Facility staff did not maintain kitchen dishwasher in good repair

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 October 25, 2024, Community Care Licensing received a complaint alleging that the facility did not maintain a kitchen dishwasher in good repair. It was alleged that the dishwasher was inoperable therefore, staff were delivering meals to residents in Styrofoam containers for resident’s meals. Information obtained from Administrator Irwin denied that the dishwasher was inoperable at any time.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen Banrasavong	TELEPHONE: 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 4

Control Number 18-AS-20241025131653

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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Administrator stated residents were being brought their meals in containers due to an outbreak at the facility. Administrator stated that in an effort to mitigate the outbreak, the dining area was closed and residents were eating in their rooms. During the investigation, LPA observed and verified that the kitchen dishwasher was working and operable. Interviews indicted that there was no prior issues with the dishwasher being out of order. Interviews obtained from all pertinent parties corroborate the information provided to the LPA.

Based on the information obtained this agency has investigated the complaint alleging that facility staff did not maintain kitchen dishwasher in good repair. 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 and provided to Executive Director, Austin Irwin.

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen Banrasavong	TELEPHONE: 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 4

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
10/25/2024 and conducted by Evaluator Kathleen Banrasavong

COMPLAINT CONTROL NUMBER: 18-AS-20241025131653

FACILITY NAME:	WESTMONT OF ESCONDIDO		FACILITY NUMBER:	374603399
ADMINISTRATOR:	DAVID ALSPACH		FACILITY TYPE:	740
ADDRESS:	500 E VALLEY PKWY		TELEPHONE:	(760) 737-5110
CITY:	ESCONDIDO	STATE: CA	ZIP CODE:	92025
CAPACITY:	200	CENSUS: 129	DATE:	11/18/2024
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Executive Director, Austin Irwin		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Facility staff did not ensure resident received correspondence in a prompt manner

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 October 25, 2024, Community Care Licensing received a complaint alleging that the facility staff did not ensure resident received correspondence in a prompt manner. It was alleged that staff were not providing Resident 1(R1) their correspondence in a timely manner. Information obtained from an interview with Executive Director indicated R1 shares a mailbox with another resident.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen Banrasavong	TELEPHONE: 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: 3 of 4

Control Number 18-AS-20241025131653

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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Administrator stated staff obtain the mail from the mailboxes and advise residents to obtain their mail from the front desk. Administrator indicated that the mail is pulled and residents are notified daily. Information obtained from R1 stated that mail correspondence is provided to R1 in an untimely manner. Information obtained from additional residents indicated that there are no issues with receiving their mail in a timely manner. During the inspection, LPA observed R1’s mailbox did not indicate the room subsection. LPA also observed that residents do not have direct access or keys to their mailbox. At the time of the visit, facility staff were unable to open resident’s mailboxes as keys were not available.

Based on the information obtained during the investigation, this agency has investigated the complaint alleging that facility staff did not ensure resident received correspondence in a prompt manner. 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.

An exit interview was conducted and a copy of this report was discussed and provided to Executive Director, Austin Irwin.

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Kathleen Banrasavong	TELEPHONE: 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: 4 of 4