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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881248
Report Date: 12/02/2025
Date Signed: 12/02/2025 11:48:28 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/25/2025 and conducted by Evaluator Sarina Ramirez
COMPLAINT CONTROL NUMBER: 56-AS-20251125140816
FACILITY NAME:WESTFIELD VILLA GARDENSFACILITY NUMBER:
331881248
ADMINISTRATOR:ALMA ESPINALFACILITY TYPE:
740
ADDRESS:3863 WEST RAMSEY STTELEPHONE:
(951) 849-7521
CITY:BANNINGSTATE: CAZIP CODE:
92220
CAPACITY:50CENSUS: 35DATE:
12/02/2025
UNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Administrator Gemma FallsTIME COMPLETED:
12:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not bathing residents in accordance with their individual care needs
Staff are not ensuring the facility remains free of incontinence odors.
Staff are not ensuring resident's personal items are safeguarded
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Sarina Ramirez conducted an unannounced visit to the facility to conduct a complaint investigation on the above allegations. LPA met with Administrator Gemma Falls, and discussed the purpose of the visit.

Regarding allegation #1, LPA interviewed eight (8) residents. Six (6) of the eight (8) residents agreed staff provide them with enough showers a week. 1 of the 8 residents informed LPA they are sick and cannot take many showers, and 1 of the 8 residents informed LPA they do not receive enough showers from staff.

LPA interviewed five (5) staff, all 5 have agreed they provide residents with 2-3 showers a week.

Regarding allegation #2, LPA observed staff cleaning the facility, the facility was free of incontinence odor and smelled like cleaning solutions.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2025
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 56-AS-20251125140816
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: WESTFIELD VILLA GARDENS
FACILITY NUMBER: 331881248
VISIT DATE: 12/02/2025
NARRATIVE
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5
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11
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27
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32
LPA interviewed eight (8) residents. Seven (7) of the eight (8) residents agreed the facility does not smell bad, one (1) of the eight (8) residents stated the facility smells.

LPA interviewed five (5) staff, all whom stated they ensure the facility does not smell like incontinence odor. Staff informed LPA if residents have accidents, the residents and facility is cleaned immediately.

Regarding allegation #3, LPA interviewed eight (8) residents, all who stated their belongings are safeguarded in their rooms.

LPA interviewed five (5) staff, all whom stated they have not heard of residents items gone missing, all items are kept in resident’s closets. Staff ensure to redirect residents who wander into rooms that are not theirs.

Based on LPA’s observations, staff and resident interviews, and relevant documentation, the allegations are determined to be Unsubstantiated. An Unsubstantiated finding means that although the allegations may be valid or could have occurred, there is insufficient evidence to support that the alleged violation did or did not happen.

An exit interview was conducted with Administrator, and a copy of this report was provided at the conclusion of the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Sarina Ramirez
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2