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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603509
Report Date: 05/13/2021
Date Signed: 05/13/2021 04:40:42 PM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/10/2021 and conducted by Evaluator Anna Kennedy
COMPLAINT CONTROL NUMBER: 08-AS-20210510163725
FACILITY NAME:WESTMONT AT SAN MIGUEL RANCHFACILITY NUMBER:
374603509
ADMINISTRATOR:NEWTON, RANDALFACILITY TYPE:
740
ADDRESS:2325 PROCTOR VALLEY RDTELEPHONE:
(619) 271-4385
CITY:CHULA VISTASTATE: CAZIP CODE:
91914
CAPACITY:126CENSUS: 76DATE:
05/13/2021
UNANNOUNCEDTIME BEGAN:
01:42 PM
MET WITH:Randal NewtonTIME COMPLETED:
04:58 PM
ALLEGATION(S):
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Facility is in disrepair, dishwasher not working properly
Facility is not kept clean
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Kennedy conducted an unannounced complaint visit to investigate the above allegations. LPA identified herself and met with Randal Newton, Executive Director and discussed the purpose of today's visit

During today’s visit, LPA toured the facility, reviewed records and conducted interviews.

The allegation that that the facility is in disrepair, was specifically that dishwasher is not working properly. LPA observations revealed that the dishwasher was in working order. Present at the facility was a dishwasher water temperature log that demonstrated that the water temperature is always high enough to sanitize the dishes. Interviews revealed that the dishwasher did require some repair about a month ago. The dishwasher was serviceable even while requiring repair.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Rebecca HedgecockTELEPHONE: (619)767-2329
LICENSING EVALUATOR NAME: Anna KennedyTELEPHONE: (619) 997- 4108
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2021
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 08-AS-20210510163725
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: WESTMONT AT SAN MIGUEL RANCH
FACILITY NUMBER: 374603509
VISIT DATE: 05/13/2021
NARRATIVE
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The allegation that the facility is not kept clean was specifically that the kitchen floors and drains were unclean LPA observations revealed that the floors did not have a noticeable amount of food or debris on the floor. Interviews revealed that the floor is mopped at the end of the day after the completion of dinner service.

There is not a preponderance of the evidence to prove that the alleged violations occurred, therefore, LPA determined the complaint investigations to be Unsubstantiated.

This report was discussed with Randal Newton, Executive Director. A copy along with Licensee Rights (01/2016) was emailed to Mr. Newton at the conclusion of the visit and an electronic response confirms the receipt of these documents.
SUPERVISOR'S NAME: Rebecca HedgecockTELEPHONE: (619)767-2329
LICENSING EVALUATOR NAME: Anna KennedyTELEPHONE: (619) 997- 4108
LICENSING EVALUATOR SIGNATURE:

DATE: 05/13/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2021
LIC9099 (FAS) - (06/04)
Page: 2 of 2