374604079-4-29-2022-08-AS-SJAB-CDXVYC-20220429165056

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604079
Report Date: 04/29/2022
Date Signed: 04/29/2022 02:10:41 PM

Unsubstantiated

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
06/08/2020 and conducted by Evaluator Debbie Correia

COMPLAINT CONTROL NUMBER: 08-AS-20200608091010

FACILITY NAME:	WESTMONT OF LA MESA		FACILITY NUMBER:	374604079
ADMINISTRATOR:	ARMOUR, DAVID		FACILITY TYPE:	740
ADDRESS:	9000 MURRAY DR		TELEPHONE:	(619) 303-0143
CITY:	LA MESA	STATE: CA	ZIP CODE:	91942
CAPACITY:	164	CENSUS: 137	DATE:	04/29/2022
		UNANNOUNCED	TIME BEGAN:	01:00 PM
MET WITH:	Executive Director David Armour		TIME COMPLETED:	01:20 PM

ALLEGATION(S):

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Failure to take universal precautions to prevent the spread of scabies.
PPE equipment is not being used properly.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to deliver investigative findings on the above listed complaint allegations. LPA was granted entry into the facility, identified herself, and met with ED Armour to whom was explained the purposes for the visit.

The Department's investigation consisted of facility staff and outside source interviews, as well as facility and resident record reviews.

It was alleged facility staff failed to take universal precautions to prevent the spread of scabies. An interview with an outside source revealed Resident1 (R1) was diagnosed scabies and the facility staff did not treat the resident for scabies nor follow facility protocol. A resident record review revealed R1 was admitted to the facility with a history of skin rashes and allergies, however a review of facility records on 5/22/2020 R1 had a rash and was complaining of being itchy. On that day same (May 22, 2020) facility staff arranged a video appointment (due to the pandemic) with R1's physician who diagnosed the rash as most likely being scabies, or possible contact dermatitis. A review of R1’s records revealed as a result of the appointment R1 was prescribed Permethrin, an ointment prescribed to treat scabies.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Debbie Correia	TELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 08-AS-20200608091010

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 OF LA MESA	FACILITY NUMBER: 374604079
	VISIT DATE: 04/29/2022

NARRATIVE

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Facility records revealed R1’s prescription of Permethrin arrived later that evening and facility staff administered the ointment as directed, Facility staff also administered a second dose of the ointment on May 29, 2022 as directed. An interview with facility staff also revealed R1's clothing, bedding, mattress, and rug was cleaned per protocol. A record review of facility protocol for scabies revealed procedures were followed by policy.

It was also alleged facility staff did not use PPE equipment properly. An interview with an outside source (OS1) revealed facility staff was using the same PPE between R1 and Resident2 (R2) while R1 was being treated for scabies, and R2 had a contagious bacterial infection. An interview with an outside source (OS2) revealed around May 6, 2020 R2 had just returned from a hospital stay due to an unrelated health condition. R2’s Responsible Party had hired a 24 hour private companion to assist with R2’s needs. OS2 also revealed R2 had a private apartment with a private bathroom. During that time, due to R2's health condition, facility staff only came to R2’s room to deliver meals and provide medications per infection control protocol. Interviews with an outside source (OS3's) statement revealed new PPE was always used when entering either of the resident's rooms. OS3 also revealed due to the private companion staff had minimal contact with R2, and only provided meals and/or medication to R2. OS3 also revealed facility staff never reused the same PPE equipment across residents.

Due to lack of corroborating evidence, the finding regarding the above allegations were established to be unsubstantiated. This finding means although the allegations may have happened, or could be valid, there is not a preponderance of evidence to prove that the alleged violations occurred.

An exit interview was conducted with ED Armour and a copy of the Complaint Investigation Report (LIC 9099) and Licensee Rights (LIC 9058 01-2016) was provided to ED Armour, and signature on this report acknowledges receipt of the reports.

SUPERVISOR'S NAME: Simon Jacob	TELEPHONE: (619) 767-2306
LICENSING EVALUATOR NAME: Debbie Correia	TELEPHONE: (619) 407-0894
LICENSING EVALUATOR SIGNATURE:	DATE: 04/29/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/29/2022

LIC9099 (FAS) - (06/04)

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