435294345-9-29-2021-26-AS-RMAO-C7PPDS-20211011111400

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435294345
Report Date: 09/24/2021
Date Signed: 09/29/2021 05:16:31 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/10/2019 and conducted by Evaluator Yatfai Ng

PUBLIC

COMPLAINT CONTROL NUMBER: 26-AS-20190910121732

FACILITY NAME:	WESTMONT OF MORGAN HILL		FACILITY NUMBER:	435294345
ADMINISTRATOR:	STEVEN SILACCI		FACILITY TYPE:	740
ADDRESS:	1160 COCHRANE RD		TELEPHONE:	(408) 779-8490
CITY:	MORGAN HILL	STATE: CA	ZIP CODE:	95037
CAPACITY:	112	CENSUS: 72	DATE:	09/24/2021
		UNANNOUNCED	TIME BEGAN:	04:25 PM
MET WITH:	Jolie Higgins		TIME COMPLETED:	04:45 PM

ALLEGATION(S):

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Facility feels cold to residents.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Yatfai Eric Ng conducted a subsequent unannounced complaint investigation visit to deliver the investigation finding. LPA met with Executive Director Jolie Higgins.

An initial unannounced investigation was conducted on 9/17/2019. LPA toured the facility and interviewed 9 residents (R1 to R9) with 6 residents (R1 to R3, R7 to R9) agreed to be interviewed, one visitor (V1), and one staff (S1). 5 out of 6 residents, 1 out of 1 visitor, and 1 out of 1 staff stated there was no concern about the temperature of the facility. Only 1 resident stated the temperature was too hot or too cold. Others stated the facility was in comfortable temperature.

On 10/18/2019. LPA conducted a subsequent visit wherein the facility was toured and interviewed 3 residents (R10 to R12). 3 out of 3 residents stated there was no concern about the temperature of the facility. All 3 residents interviewed stated there was no concern about the temperature in the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Sarah Yip	TELEPHONE: (408) 324-2131
LICENSING EVALUATOR NAME: Yatfai Ng	TELEPHONE: (559) 410-0327
LICENSING EVALUATOR SIGNATURE:	DATE: 09/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2021

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 26-AS-20190910121732

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

FACILITY NAME: WESTMONT OF MORGAN HILL	FACILITY NUMBER: 435294345
	VISIT DATE: 09/24/2021

NARRATIVE

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On 9/17/2019 and 10/18/2019, 12 residents (R1 to R12) were interviewed with 9 successful interviews. 8 out of 9 residents (R1 to R3, R7 to R9) stated there was no concern about the temperature of the facility. R1 stated the temperature in the common area was okay, not hot, not cold. R2 stated that it was not too hot or too cold in the common area. R3 stated okay when being asked about the temperature. R4 refused to be interviewed. R5 refused to be interviewed. R6 refused to be interviewed. R7 stated the temperature was good and comfortable. R8 stated that the temperature was too hot nor too cold. R9 stated the temperature in public area was awful that sometimes it was too hot, sometimes it was too cold. R10 stated that there was no complaint regarding the temperature in the common area. R11 stated there was no complaint about the temperature in the facility.

On 9/17/2019, 1 visitor (V1) was interviewed. 1 out of 1 visitor stated there was no concern about the temperature of the facility. V1 stated it was not too cold or too hot in the common area.

On 9/17/2019, 1 staff (S1) was interviewed. 1 out of 1 staff stated there was no concern about the temperature of the facility. S1 stated anyone could adjust the direction of the vent so that the wind would not blow directly to the residents.

On 10/18/2019, LPA observed the temperature inside the dining room and activity room in assisted living to be 79- and 80-degrees F respectively. According to regulation section 87303(b)(2) Maintenance and Operation: “the facility shall cool rooms to a comfortable range, between 78 degrees F (26 degrees C) and 85 degrees F (30 degrees C), or in areas of extreme heat to 30 degrees F less than the outside temperature.” It was evidenced that the temperature of the facility was within the regulation.

This Department has investigated the above allegation. Based on observations, interviews conducted, and observation, the Department found that the above allegation is UNSUBSTANTIATED. An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation did or did not occur.

This report was reviewed with Executive Director. A copy of this report was provided.

SUPERVISOR'S NAME: Sarah Yip	TELEPHONE: (408) 324-2131
LICENSING EVALUATOR NAME: Yatfai Ng	TELEPHONE: (559) 410-0327
LICENSING EVALUATOR SIGNATURE:	DATE: 09/24/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/24/2021

LIC9099 (FAS) - (06/04)

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