107208908-7-14-2021-24-AS-MHON-C5BSZU-20210727141942

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 107208908
Report Date: 07/14/2021
Date Signed: 07/14/2021 03:02:00 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, 1314 E SHAW AVE
FRESNO, CA 93710

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/08/2021 and conducted by Evaluator Alexandria Walton

PUBLIC

COMPLAINT CONTROL NUMBER: 24-AS-20210308092805

FACILITY NAME:	WESTMONT OF FRESNO		FACILITY NUMBER:	107208908
ADMINISTRATOR:	HAMILTON, PAMELA		FACILITY TYPE:	740
ADDRESS:	7442 & 7468 N MILLBROOK AVE		TELEPHONE:	(858) 729-6720
CITY:	FRESNO	STATE: CA	ZIP CODE:	93720
CAPACITY:	155	CENSUS: 109	DATE:	07/14/2021
		UNANNOUNCED	TIME BEGAN:	11:52 AM
MET WITH:	Pamela Hamilton, Administrator		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Resident sustained an unwitnessed fall resulting in fracture.

INVESTIGATION FINDINGS:

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ON 07/14/2021, Licensing Program Analyst (LPA) arrived unannounced to conduct a subsequent complaint inspection. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Pamela Hamilton.

During this visit, LPA conducted staff interviews. Based on record review and interviews, the above allegation is found to be UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies cited during this inspection.

An exit interview was conducted. As a COVID-19 precautionary measure, a copy of this report will be provided to Administrator via email and an electronic read receipt confirms receiving this document. Facility Representative signature on file.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Melinda Hoffmann
LICENSING EVALUATOR NAME: Alexandria Walton
LICENSING EVALUATOR SIGNATURE:	DATE: 07/14/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/14/2021

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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