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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604079
Report Date: 01/22/2026
Date Signed: 01/22/2026 04:37:32 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
10/21/2021 and conducted by Evaluator Amy Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20211021113053
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: 118DATE:
01/22/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Executive Director Wes HebnerTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Unlawful eviction
Licensee did not follow resident’s admissions agreement
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Wes Hebner.

The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, residents, outside sources, and records review. On October 21,2021 , the Community Care Licensing Division (CCLD) received a complaint regarding the above allegations.

Regarding the allegation, Licensee did not follow the resident’s admissions agreement. More specifically, the facility hired a one-on-one caregiver for a resident #1(R1) without consent and/or without notifying the family verbally or in writing. The department interview with Executive Director David Armour revealed the resident was determined to be at risk due to multiple falls, increased confusion, and refusal of care.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
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 4
Control Number 08-AS-20211021113053
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: 01/22/2026
NARRATIVE
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Continued form LIC9099) The facility initiated 24/7 one-on-one care using a third-party agency without prior family consent. ED Armour revealed that during the care conference, the family was not clearly informed that one-on-one care would be implemented. ED Armour also revealed a written notice was sent later via email after the service began. The department interviews with R1's Family members confirmed they were not informed prior to the initiation of one-on-one care and did not consent to its start. They later continued the service and paid for it but stated they never agreed to the initial implementation. The department's records review revealed the admission agreement authorizes the facility to require one-on-one care if the resident is a danger to self or others. However, the agreement and Health & Safety Code 1569.657 require written notice within two business days of initiating services at a new level of care, including a detailed explanation of additional services and charges. No documentation was provided showing timely written notice or a reassessment prior to initiating one-on-one care. LPA observations on October 27,2021 revealed R1 was receiving one-on-one care from a third-party agency during the visit. The facility failed to provide timely written notice within two business days of initiating one-on-one care and did not involve the R1's responsible person in care planning as required by the admission agreement and Health & Safety Code §1569.657.

Regarding the allegation of an unlawful eviction, more specifically, the Reporting Party (RP) alleged that Resident #1(R1) eviction notice was invalid and retaliatory.  The department interviewed staff revealed that Executive Director David Armour confirmed R1's eviction notice was sent via email body only on 10/15/21, without attachments, and admitted it did not include Ombudsman contact or appeal rights. The department records review revealed that R1's  eviction notice lacked multiple required elements under HSC §§1569.682 and 1569.683, including specific facts supporting the eviction (dates, witnesses, circumstances): Relocation evaluation and resources for alternative housing; Ombudsman and CCL contact information; Complaint rights information; Mandatory unlawful detainer statement explaining court process; Formal written format (notice was sent via email body only). 

Based on relevant interviews and records review, the preponderance of evidence has been met that alleged violations occurred and are therefore substantiated. Deficiencies are cited per California Code of Regulations, Title 22 (refer to the attached LIC 9099-D). A Plan of Correction was jointly developed with the licensee.

An exit interview was conducted with Executive Director Wes Hebner to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 4
Control Number 08-AS-20211021113053
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
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/22/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/20/2026
Section Cited
HSC
1569.683
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Eviction notices; Reasons for Eviction Contents; Service: In addition to complying with other applicable regulations, the notice to quit shall include all required information listed on H&S 1569.683.
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Licensee executive staff agreed to attend/review training on Evictions and provide proof of training by POC due date.
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 This requirement was not met as evidenced by:
Based on record review licensee did not issue a lawful 30 day notice for (R1) which posed a potential personal rights violation.
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Type B
02/20/2026
Section Cited
HSC
1569.657(a)
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1569.657(a) For any rate increase due to a change in the level of care of the resident, the licensee shall provide the resident and the resident's representative, if any, written notice of the rate increase within two business days after initially providing services...
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Licensee executive staff agrees to review the facility’s admission policy as it pertains to Health & Safety Code §1569.657(a) regarding providing services and notifying residents and their representatives of any change in level of care and associated charges by POC
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This requirement has not been met as evidenced by:
Based on interviews and record review, the Licensee did not provide the resident’s responsible party with a notice of services at a new level of care . This posed a potential personal rights risk to R1.
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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: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 01/21/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/21/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 4
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
10/21/2021 and conducted by Evaluator Amy Rodgers
COMPLAINT CONTROL NUMBER: 08-AS-20211021113053

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: 118DATE:
01/22/2026
UNANNOUNCEDTIME BEGAN:
02:00 PM
MET WITH:Executive Director Wes HebnerTIME COMPLETED:
05:00 PM
ALLEGATION(S):
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Licensee retaliation.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Amy Rodgers conducted an unannounced visit to deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Wes Hebner. The Department’s investigation consisted of unannounced facility visits, interviews with facility staff, and records review. On October 21, 2021, it was alleged that the facility retaliated against Resident #1’s (R1) family following a prior complaint. Specifically, the Reporting Party (RP) alleged that the facility increased calls to R1’s family and R1’s physician, and issued an eviction notice as retaliation. Department interviews revealed that the facility acknowledged the increased communication but stated it was due to the family’s requests for updates, not retaliation. No other interviews conducted around the time of the allegation supported this claim. A review of department records revealed no documentation indicating intent to retaliate. At the time of the investigation, department observations showed no evidence of retaliatory conduct during the visit. Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED.
An exit interview was conducted with Executive Director Hebner, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Simon Jacob
LICENSING EVALUATOR NAME: Amy Rodgers
LICENSING EVALUATOR SIGNATURE:

DATE: 01/22/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/22/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 4