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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 079200801
Report Date: 03/04/2026
Date Signed: 03/04/2026 02:53:48 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/07/2025 and conducted by Evaluator Carol Fowler
COMPLAINT CONTROL NUMBER: 15-AS-20250507082625
FACILITY NAME:WESTMONT OF PINOLEFACILITY NUMBER:
079200801
ADMINISTRATOR:REMIGIO, RICHARDFACILITY TYPE:
740
ADDRESS:2850 ESTATES AVETELEPHONE:
(510) 758-1122
CITY:PINOLESTATE: CAZIP CODE:
94564
CAPACITY:100CENSUS: DATE:
03/04/2026
UNANNOUNCEDTIME BEGAN:
02:01 PM
MET WITH:BENJIE DOCTOLERO, ADMINISTRATORTIME COMPLETED:
03:15 PM
ALLEGATION(S):
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Facility staff are not answering call buttons in a timely manner
INVESTIGATION FINDINGS:
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***THIS IS AN AMENDED REPORT FROM 01/28/2026***
On 01/28/2026 at 02:30pm, Licensing Program Analyst (LPA), Carol Fowler arrived unannounced to deliver complaint findings for the above allegation. LPA me with Richard Remigio, Executive Director and explained the reason for the visit.

During the course of the investigation LPA toured the facility, interviewed five (5) staff, obtained and reviewed records including but not limited to residents' roster, staff schedule, menu, SMART Care pendant reports, and Emergency Disaster Plan.
CONTINUE ON LIC 9099C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
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 3
Control Number 15-AS-20250507082625
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME: WESTMONT OF PINOLE
FACILITY NUMBER: 079200801
VISIT DATE: 03/04/2026
NARRATIVE
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CONTINUE FROM LIC 9099
***THIS IS AN AMENDED REPORT FROM 01/28/2026***

Allegation: Staff did not answer resident's call button in a timely manner.

Investigation Finding: substantiated.

W1 reported that staff did not respond to the call pendant in a timely manner, W1 also reported that the facility is low staffed. S1 reported that the facility has had issues with the SMART care pendants but staff are making rounds to assist residents as needed. S2 reported that residents have pendants that alerts the front desk, and the front desk alerts a badge pager to care staff and the main computer, if not cleared after 3 or 4 minutes time then the office will be notified the system generates reports if the pendants have not been answered. S2 stated that the facility had issues with the system it was reported and being repaired. S3 that the SMART care pendants have been updated but there is a glitch in the system and the company has been notified and are working on the system. Based on the evidence obtained this allegation is SUBSTANTIATED.

Deficiencies are cited per Title 22 California Code of Regulations and listed on LIC9099D.

Failure to submit proof of correction (POC) by plan of correction due date and/or any repeat deficiencies within a 12-month period may result in civil penalties.

Exit interview conducted. Appeal Rights and a copy of this report provided.

SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 15-AS-20250507082625
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: WESTMONT OF PINOLE
FACILITY NUMBER: 079200801
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 03/04/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
03/18/2026
Section Cited
CCR
87303(i)(1)(A)(B)(C)
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87303 Maintenance and Operation (i) Facilities shall have signal systems which ...criteria: (1) All facilities licensed for 16 or more and all... separate floors or ... have a signal system which shall...(A) Operate...(B) Transmit...(C) Identify...unit -This requirement is not met as evidenced by:
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ED agreed to continue to monitor the system for the call pendants systems, alert all parties of malfunctions, review regulation,
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Based on interviews, the Executive Director did not comply with the regulation cited above by not ensuring that the call pendants were working properly at all times and not providing care to residents’ in a timely manner which poses a potential health and safety risk to persons in care.
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provide in-service training to all staff, and submit a copy of training with staff signatures to CCLD by POC.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Bennett Fong
LICENSING EVALUATOR NAME: Carol Fowler
LICENSING EVALUATOR SIGNATURE:

DATE: 03/04/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/04/2026
LIC9099 (FAS) - (06/04)
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