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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604079
Report Date: 07/26/2023
Date Signed: 07/26/2023 09:07:24 AM

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
07/25/2022 and conducted by Evaluator Amy Domingo
COMPLAINT CONTROL NUMBER: 08-AS-20220725120326
FACILITY NAME:WESTMONT OF LA MESAFACILITY NUMBER:
374604079
ADMINISTRATOR:ARMOUR, DAVIDFACILITY TYPE:
740
ADDRESS:9000 MURRAY DRTELEPHONE:
(619) 369-9700
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:164CENSUS: 137DATE:
07/26/2023
UNANNOUNCEDTIME BEGAN:
08:29 AM
MET WITH:Kimberly Garcia Executive DirectorTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Resident is being held against their will.
Resident is not allowed visitors.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Amy Domingo conducted a complaint investigation visit to deliver findings for the above allegation. LPA Domingo met with Executive Director Kimberly Garcia and shared the findings.

The Department’s investigation consisted of record reviews, interviews with staff, and outside sources.

It was alleged that Resident 1 (R1) (See LIC811 list of confidential list of identification) was held against their will. An outside source 1 (OS1) filed a lawsuit stating that R1 was being held against their will. On July 18, 2023 LPA Domingo spoke with OS1 and verified that the lawsuit was withdrawn. Case withdrawn means that the court has decided, after evaluation the merits of a specific case, that there is no need to continue the trial and arrive at a conclusion. LPA Domingo contacted Family member 1 (F1) and was told that the case and allegations were withdrawn.

[Continue on LIC9099C]
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023
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 08-AS-20220725120326
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 OF LA MESA
FACILITY NUMBER: 374604079
VISIT DATE: 07/26/2023
NARRATIVE
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[Continued from LIC9099]


It was alleged that R1 was not allowed visitors.  LPA Domingo reviewed records and there is sufficient evidence that R1 was allowed visitors.  OS1 was interviewed and stated that R1 was allowed visitors. F1 verified by visitor sign in that R1 was allowed visitors.

The Department has investigated the allegations listed above.  Based on evidence obtained, including interviews and records reviewed, the above allegations are determined to be unsubstantiated as the Department could not meet the preponderance of the evidence standard. An exit interview was conducted with Executive Director Kimberly Garcia and a copy of this report and Licensee/Appeals Rights (LIC 9058 03/22) were provide.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:

DATE: 07/26/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/26/2023
LIC9099 (FAS) - (06/04)
Page: 2 of 2