374604318-10-31-2023-08-AS-IESA-CX697Q-20231031230730

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 374604318
Report Date: 10/31/2023
Date Signed: 10/31/2023 11:30:59 AM

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
10/23/2023 and conducted by Evaluator Carmen Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 08-AS-20231023105344

FACILITY NAME:	WESTMONT OF ENCINITAS		FACILITY NUMBER:	374604318
ADMINISTRATOR:	NEWTON, RANDAL		FACILITY TYPE:	740
ADDRESS:	1920 SOUTH EL CAMINO REAL		TELEPHONE:	(760) 452-6037
CITY:	ENCINITAS	STATE: CA	ZIP CODE:	92024
CAPACITY:	101	CENSUS: 83	DATE:	10/31/2023
		UNANNOUNCED	TIME BEGAN:	09:00 AM
MET WITH:	Katie Fergusin, Resident Service Director		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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- Licensee did not protect resident from financial abuse

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced complaint visit to open a complaint investigation. While at the facility LPA investigated and delivered findings regarding the above-mentioned allegation. LPA identified herself and was granted entry by Karen Solomon, concierge. LPA stated the purpose of the visit and reviewed the findings of the complaint with Resident Service Director Katie Ferguson.

The Department’s investigation consisted of interviews with staff and resident, and records review of relevant documents pertinent to this investigation. On October 26, 2023, it was alleged that the facility did not protect a resident from financial abuse.

It was specifically alleged that resident #1 (R1) purchased and withdrew an excessive amount of funds within the last two months due to resident #2 (R2) prompting R1 to purchase items for them. Interview with an outside source said that R1 had no issues with their finances or with any person(s) at the facility. There is a responsible person who is assigned to care for R1’s finances.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) -76-2317
LICENSING EVALUATOR NAME: Carmen Lopez	TELEPHONE: (619) 314-0757
LICENSING EVALUATOR SIGNATURE:	DATE: 10/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2023

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-20231023105344

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 ENCINITAS	FACILITY NUMBER: 374604318
	VISIT DATE: 10/31/2023

NARRATIVE

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Interview with staff said that the facility did not handle the personal finances for residents, they only handle the Business Services section for billing. At the facility, residents or their responsible party handle residents finances. The facility reviewed finances during the residents’ admission to the facility. A review the admission agreement record stated that the resident agrees to designate an agent to manage their personal financial affairs if the resident becomes incapacitated and inform the Community of such agent. Further records revealed that R1 does have mild cognitive impairment but assigned a power of attorney who assists with their monthly finances.

Based on the Department’s investigation of the above-mentioned allegation and the evidence obtained during staff and resident interviews, and records reviewed, there is insufficient evidence to meet the preponderance of evidence standard. Therefore, the above allegation is deemed to be unsubstantiated.

The report was discussed, and an exit interview was conducted with Resident Service Director (RSD) Katie Ferguson. A copy of this report along with Licensee/Appeal Rights (LIC9058 3/22) was provided to RSD Ferguson at the conclusion of the visit. The signature below confirms the receipt of these documents.

SUPERVISOR'S NAME: Denise Powell	TELEPHONE: (619) -76-2317
LICENSING EVALUATOR NAME: Carmen Lopez	TELEPHONE: (619) 314-0757
LICENSING EVALUATOR SIGNATURE:	DATE: 10/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/31/2023

LIC9099 (FAS) - (06/04)

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