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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374603509
Report Date: 02/12/2026
Date Signed: 02/12/2026 10:57:59 PM

Substantiated


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
03/17/2025 and conducted by Evaluator Marisela Garcia-Centeno
COMPLAINT CONTROL NUMBER: 08-AS-20250317133349
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: 89DATE:
02/12/2026
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Business Office Director, Ellen ArguelloTIME COMPLETED:
05:20 PM
ALLEGATION(S):
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Facility failed to provide resident with higher level of care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to deliver investigative findings. Upon arrival, LPA was greeted by Business Office Director, Ellen Arguello LPA identified herself and explained the purpose of the visit.

Regarding the allegation of Facility failed to provide resident with higher level of care, Reporting Party (RP) stated that resident (R1) was found to have buttocks abscess (boil) and will need wound care for 2-4 weeks.

During the investigation, staff members were interviewed, and records were reviewed.

On 02/07/2025, R1 had what appeared to be a small, red, bump similar to a pimple, which staff had reported.
(Continue at LIC9099C)
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
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 8
Control Number 08-AS-20250317133349
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: WESTMONT AT SAN MIGUEL RANCH
FACILITY NUMBER: 374603509
VISIT DATE: 02/12/2026
NARRATIVE
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(Continue from LIC9099)

On 03/11/2025, it was noticed by the caregivers, that R1s abscess had some kind of drainage, but R1 was not complaining of pain or discomfort, the facility attempted to contact the hospital but there was no contact made.

On 03/14/2025, a caregiver let a staff, S1, know there were two spots on R1s coccyx area, and one was open, but R1 had no complaints of pain or discomfort. An ointment was put on the area for comfort and the facility was observing the area. That same day S1 left a message for R1s doctor regarding the abscess discharge on R1s right buttock. Later that evening R1s doctor wanted to see R1, an appointment was scheduled for 03/15/2025, at 11:10 a.m.

The facility contacted R1s family member but the appointment was cancelled for 11:10 a.m. On 03/15/2025, S1, then made arrangement for R1 to be sent out as a non-emergency transport, arriving at hospital at approximately 4:00 p.m.

Records stated that R1s abscess looked quite large with possible extension to the muscle tissue, however on further evaluation the abscess did not extend into the muscle tissue and did not require operating room surgical intervention. The report stated there was no evidence of necrotic or infected tissue, however, R1 did have sepsis due to right gluteal abscess and cellulitis.

Based on the information and evidence obtained, the facility did not meet the needs of R1 as R1s condition had changed due to the abscess having some kind of discharge. Even though staff did provide the required care the facility should have sent R1 out of the facility immediately, as the discharge from the open wound was now a portal for an infection as R1 had sepsis.

Based on interviews which were conducted and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. A deficiency was cited under Title 22, Division 6, Chapter 8 of the California Code of Regulations and is detailed on LIC 9099-D. A Plan of Correction (POC) was developed with Business Office Director, Ellen Arguello. (Continue at LIC9099C)
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 8
Control Number 08-AS-20250317133349
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: WESTMONT AT SAN MIGUEL RANCH
FACILITY NUMBER: 374603509
VISIT DATE: 02/12/2026
NARRATIVE
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(Continue from LIC9099C)

An immediate civil penalty of $500 was assessed today. In accordance with Health and Safety Code Section 1569.49, an additional civil penalty is under review by the Community Care Licensing Division.

An exit interview was conducted with Business Office Director, Ellen Arguello who was provided with a copy of this report, the LIC 9099-D Deficiency Report, LIC411 IM, the LIC 811 Confidential Names List, and the LIC 9058 Licensee Appeal Rights.
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 8
Control Number 08-AS-20250317133349
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108

FACILITY NAME: WESTMONT AT SAN MIGUEL RANCH
FACILITY NUMBER: 374603509
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 02/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
03/13/2026
Section Cited
CCR
87465(a)(1)
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87465(a)(1) Incidental Medical and Dental Care. A plan for incidental medical and dental care shall be developed by each facility.....The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This was not met as evidenced by:
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The licensee agreed to conduct staff training on regulations regarding providing assisting and arranging medical attention to meet residents' needs. Documentation of the training will be submitted to CCL by the POC due date.
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Based on interviews and records review, the facility did not meet the needs of R1 as R1s condition had changed due to the abscess having some kind of discharge. Even though staff did provide the required care the facility should have sent R1 out of the facility immediately, as the discharge from the open wound was now a portal for an infection as R1 had sepsis, which poses an immediate health and safety risk to residents in care.
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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: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 8
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
03/17/2025 and conducted by Evaluator Marisela Garcia-Centeno
COMPLAINT CONTROL NUMBER: 08-AS-20250317133349

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: 89DATE:
02/12/2026
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Business Office DirectorTIME COMPLETED:
05:20 PM
ALLEGATION(S):
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Staff did not meet resident's incontinence needs
Staff did not meet resident's bathing needs
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to deliver investigative findings. Upon arrival, LPA was greeted by Business Office Director, Ellen Arguello. LPA identified herself and explained the purpose of the visit.

During the investigation, staff members were interviewed, and records were reviewed.

Regarding the allegation of Staff did not meet resident's incontinence needs, RP stated that R1 was brought to hospital in full diaper and poor hygiene.

According to staff interviews, all of them stated that R1 does wear diapers and sometimes refused to have it changed. What the facility does is to change faces (meaning another caregiver comes in and will change R1).
(Continue at LIC9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 5 of 8
Control Number 08-AS-20250317133349
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: WESTMONT AT SAN MIGUEL RANCH
FACILITY NUMBER: 374603509
VISIT DATE: 02/12/2026
NARRATIVE
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(Continue from LIC9099A)

For the allegation of Staff did not meet resident's bathing needs, RP stated that R1 is only bathed 2x per week.
S3 stated that R1s Service Plan says two times a week for showers. S8 added that R1 didn’t like showers, so R1 would have bed baths.

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

An exit interview was conducted with Business Office Director, Ellen Arguello, who was provided with a copy of this report, and the LIC 9058 Licensee Appeal Rights.
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC9099 (FAS) - (06/04)
Page: 6 of 8
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
03/17/2025 and conducted by Evaluator Marisela Garcia-Centeno
COMPLAINT CONTROL NUMBER: 08-AS-20250317133349

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: 89DATE:
02/12/2026
UNANNOUNCEDTIME BEGAN:
03:00 PM
MET WITH:Business Office DirectorTIME COMPLETED:
05:20 PM
ALLEGATION(S):
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Resident sustained a pressure injury while in care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to deliver investigative findings. Upon arrival, LPA was greeted by Business Office Director, Ellen Arguello. LPA identified herself and explained the purpose of the visit.

During the investigation, staff members were interviewed, and records were reviewed.
An allegation that R1 sustained a pressure injury while in care.

Based on the interviews, S2 stated that R1 did not have a pressure injury; R1 had a boil on R1s coccyx. RP also stated that it was an abscess, it was 8 cm and had to be removed surgically. Also on the records obtained, it mentioned that R1 had right gluteal wound abscess and would need wound care.

(Continue at LIC9099C)


Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 7 of 8
Control Number 08-AS-20250317133349
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME: WESTMONT AT SAN MIGUEL RANCH
FACILITY NUMBER: 374603509
VISIT DATE: 02/12/2026
NARRATIVE
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(Continue from LIC9099A)

Based on interviews and records review, the department has determined that the allegation was false, could not have happened and/or is without a reasonable basis, therefore the allegation is UNFOUNDED.

An exit interview was conducted with Business Office Director, who was provided with a copy of this report, and the LIC 9058 Licensee Appeal Rights.
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Marisela Garcia-Centeno
LICENSING EVALUATOR SIGNATURE:

DATE: 02/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/12/2026
LIC9099 (FAS) - (06/04)
Page: 8 of 8