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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604079
Report Date: 12/19/2025
Date Signed: 02/09/2026 01:17:00 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
04/15/2025 and conducted by Evaluator Amy Domingo
COMPLAINT CONTROL NUMBER: 08-AS-20250415101814
FACILITY NAME:WESTMONT OF LA MESAFACILITY NUMBER:
374604079
ADMINISTRATOR:GARCIA, KIMBERLYFACILITY TYPE:
740
ADDRESS:9000 MURRAY DRTELEPHONE:
(619) 369-9700
CITY:LA MESASTATE: CAZIP CODE:
91942
CAPACITY:164CENSUS: 77DATE:
12/19/2025
UNANNOUNCEDTIME BEGAN:
11:25 AM
MET WITH:Mayra Rodriguez Business Office ManagerTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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Staff do not accord privacy to resident(s) in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Domingo conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Myra

The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review.

On 4/15/25, it was alleged that Staff do not accord privacy to resident(s) in care. Staff interviews revealed residents are provided privacy during personal care routines, including bathing, dressing, and toileting. Staff demonstrated knowledge of residents’ personal rights and facility policies regarding privacy and dignity. Staff denied sharing confidential resident information with unauthorized individuals. Staff demonstrated awareness of confidentiality policies and HIPAA requirements.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
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 08-AS-20250415101814
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: 12/19/2025
NARRATIVE
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Resident interview revealed that staff knock before entering rooms and provide privacy during care. No residents reported concerns or incidents of privacy violations.

No additional witnesses were identified to corroborate the RP’s claim. No residents or family members reported concerns regarding unauthorized disclosure of medical information.

Records review confirmed that employees received training on confidentiality and HIPAA compliance. Training logs confirm annual refreshers and orientation materials that emphasize safeguarding resident information and respectful communication.

During the visit, LPA observed staff maintaining resident confidentiality during interactions and care. No breaches of privacy were observed.

This agency has investigated the complaint alleging the above allegations.  The Department has found that although the allegations may have happened or are 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 Myra  to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Domingo
LICENSING EVALUATOR SIGNATURE:

DATE: 12/19/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/19/2025
LIC9099 (FAS) - (06/04)
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