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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604079
Report Date: 11/30/2022
Date Signed: 11/30/2022 04:01:30 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
08/11/2022 and conducted by Evaluator Liliana Silveira
PUBLIC
COMPLAINT CONTROL NUMBER: 08-AS-20220811155221
FACILITY NAME:WESTMONT OF LA MESAFACILITY NUMBER:
374604079
ADMINISTRATOR:ARMOUR, DAVIDFACILITY TYPE:
740
ADDRESS:9000 MURRAY DRTELEPHONE:
(619) 369-9700
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:164CENSUS: 134DATE:
11/30/2022
UNANNOUNCEDTIME BEGAN:
03:30 PM
MET WITH:Executive Director David ArmourTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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-Staff did not follow care plans for residents.
-Staff exposed resident to toxic chemicals.
-Staff left resident in soiled diaper.
-Staff did not treat residents with dignity.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Liliana Silveira conducted a complaint investigation visit to deliver findings for the above-mentioned allegations. LPA Silveira met with Executive Director David Armour and shared the findings.

The Department’s investigation consisted of interviews, observations, and records review. On 08/11/22 it was alleged that staff did not follow care plans for residents in the Memory Care unit. A records review demonstrated that resident care plans listed detailed information about the care needs of the residents. Interviews with staff revealed that staff were well informed on the specific care needs of each resident. An Interview with the Resident Services Director also revealed that there were no recent concerns with staff not following resident care plans. Interviews with outside sources revealed that while there were concerns with the handling other unrelated issues in the Memory Care Unit, there were no specific concerns with resident care plans not being followed.
(continued on LIC 9099-C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (610) 301-9770
LICENSING EVALUATOR NAME: Liliana SilveiraTELEPHONE: (619) 314-0756
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2022
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-20220811155221
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: 11/30/2022
NARRATIVE
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It was also alleged that staff exposed resident #1 (R1) to toxic chemicals. Two unannounced visits to the Memory Care unit revealed that no toxic chemicals were observed out in the open in the dining, kitchen or bedroom areas. Interviews with staff, management and outside sources also revealed that no one had witnessed a resident being exposed to chemicals. There was insufficient evidence to support this allegation.
It was also alleged that staff left Resident #1 (R2) in a soiled diaper. A record review revealed that wearing diapers is was not included the resident’s care plan. Interviews with staff, the Resident Services Director and outside sources revealed that the care plan for R1 included independent toileting with occasional assistance during the time period in question. There was insufficient evidence to support this allegation.

It was also alleged that residents were not treated with dignity. Observations during two unannounced visits revealed that residents looked clean, content and were eating or watching a movie in the dining area. Observations also revealed that the bedrooms visited appeared clean. Interviews with two Resident Services Directors, staff and outside sources revealed that there had been no witnesses to any staff not treating the residents with dignity, and no concerns about personal rights. There was insufficient evidence to support this allegation.

Based on the evidence obtained during the complaint investigation, the above allegations are determined to be unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred.
An exit interview was conducted and a copy of this report and Licensee's Rights (9058 01/16) were printed and provided to David Armour at the facility.
SUPERVISOR'S NAME: Denise PowellTELEPHONE: (610) 301-9770
LICENSING EVALUATOR NAME: Liliana SilveiraTELEPHONE: (619) 314-0756
LICENSING EVALUATOR SIGNATURE:

DATE: 11/30/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/30/2022
LIC9099 (FAS) - (06/04)
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