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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603509
Report Date: 11/10/2025
Date Signed: 11/10/2025 02:37:29 PM

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
03/18/2025 and conducted by Evaluator Grace Donato
COMPLAINT CONTROL NUMBER: 08-AS-20250318135957
FACILITY NAME:WESTMONT AT SAN MIGUEL RANCHFACILITY NUMBER:
374603509
ADMINISTRATOR:ZEPEDA, JESSICAFACILITY TYPE:
740
ADDRESS:2325 PROCTOR VALLEY RDTELEPHONE:
(619) 271-4385
CITY:CHULA VISTASTATE: CAZIP CODE:
91914
CAPACITY:105CENSUS: DATE:
11/10/2025
UNANNOUNCEDTIME BEGAN:
01:41 PM
MET WITH:Ellen ArguelloTIME COMPLETED:
01:42 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Questionable death
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/10/2025, LPA Grace Donato conducted a telephone interview with the facility to deliver findings. LPA spoke with Business Office Director Ellen Arguello and explained the purpose of the call.

Regarding the allegation of questionable death, reporting party (RP) stated that aspiration occurred due to routine medications being given to the resident by facility staff (not hospice) which led to aspiration pneumonia and the death of the resident.

R1 was under hospice care. Facility staff were following doctors’ orders in administering medication. On 2/16/2025, around 12:41pm, facility received fax from doctor to discontinue medication. On the evening of same date, other medications were administered. R1 was routinely checked until passing on 2/17/2025.

Death certificate did not indicate that R1 passed due to aspiration pneumonia.

Based on records review, the department has determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Report is reviewed and copy is provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Brenda Chan
LICENSING EVALUATOR NAME: Grace Donato
LICENSING EVALUATOR SIGNATURE:

DATE: 11/10/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/10/2025
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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