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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604079
Report Date: 09/14/2026
Date Signed: 09/14/2026 04:47:23 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 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
04/22/2025 and conducted by Evaluator Amy Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20250422104403
FACILITY NAME:WESTMONT OF LA MESAFACILITY NUMBER:
374604079
ADMINISTRATOR:GARCIA, KIMBERLYFACILITY TYPE:
740
ADDRESS:9000 MURRAY DRTELEPHONE:
(619) 369-9700
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:164CENSUS: 144DATE:
09/14/2026
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Executive Director Matthew RyanTIME COMPLETED:
04:30 PM
ALLEGATION(S):
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Staff did did not meet resident's incontinence care needs
Staff did not meet resident's hygiene needs
Staff did not provide resident with necessary toiletries
Staff did not maintain resident's room clean
Not enough staff to meet resident's needs
Staff did not complete required training
INVESTIGATION FINDINGS:
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LPA Rodgers conducted an unannounced visit to deliver findings regarding the above mentioned alligations. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Executive Director Matthew Ryan.

The Department’s investigation included interviews with staff, observations throughout the facility, resident room tours, and review of records.

On 4/22/2025 Community Care Licensing Division (CCLD) received a complaint alleging that facility staff failed to meet Resident R1’s incontinence care needs, resulting in the resident remaining soiled for extended periods of time. Staff failed to meet R1’s hygiene needs and did not provide necessary toiletries, leaving the resident without toilet paper, trash liners, or hand drying towels. Staff did not maintain R1’s room in a clean and sanitary condition. The RP also alleged that the facility did not have sufficient staffing to meet resident needs and that staff had not completed required training, including training specific to memory care.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2026
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-20250422104403
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: WESTMONT OF LA MESA
FACILITY NUMBER: 374604079
VISIT DATE: 09/14/2026
NARRATIVE
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(Continued from LIC9099)

During multiple department visits, LPA's toured the Memory Care Unit, common areas, and resident rooms. All rooms observed were clean, organized, free from odors, and stocked with toiletries, toilet paper, trash liners, clean bedding, towels, and additional linens. No soiled briefs or dirty laundry were observed, and bathrooms were clean and sanitary. Residents, including R1, were observed to be clean, appropriately dressed, and free from signs of neglect. Approximately 25 residents were observed eating lunch with caregiver and dining staff present to assist. Attempts to interview residents were unsuccessful due to dementia diagnoses that affected alertness and orientation. Residents were not determined to be credible witnesses but appeared clean and well cared for.

Department interviews with staff on multiple visits interviews did not corroborate the allegations. No staff interview revealed missed care, lack of supplies, inadequate staffing levels, or incomplete training. Record review did not produce documentation supporting any of the alleged issues. Department records review did not reveal missed incontinence care, lack of hygiene care, missing toiletries, insufficient staffing, or incomplete training. No incident report or evidence was provided regarding the reported black eye for R1. No photos or additional documentation were submitted by the Reporting Party.

Based on interviews, record review, observations, and lack of corroborating evidence, the Department did not find support for the allegation that staff failed to provide adequate care and supervision, including incontinence care, hygiene, toiletries, room cleanliness, staffing levels, or training. The allegation is determined to be UNSUBSTANTIATED.

An exit interview was conducted with the Executive Director, and a copy of this report and the Licensee/Appeal Rights (LIC 9058) were provided.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 09/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/14/2026
LIC9099 (FAS) - (06/04)
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