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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 425850365
Report Date: 01/30/2026
Date Signed: 01/30/2026 12:34:41 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/29/2026 and conducted by Evaluator Mark Jeffries
COMPLAINT CONTROL NUMBER: 29-AS-20260129095641
FACILITY NAME:FOUNTAIN SQUARE OF LOMPOCFACILITY NUMBER:
425850365
ADMINISTRATOR:MORGAN WILLIAMSFACILITY TYPE:
740
ADDRESS:1420 W NORTH AVENUETELEPHONE:
(805) 736-1234
CITY:LOMPOCSTATE: CAZIP CODE:
93436
CAPACITY:130CENSUS: 55DATE:
01/30/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Administrator, Meshell RamosTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Resident sustained a pressure wound due to staff neglect.
Staff did not ensure resident received medical attention in a timely manner.
Staff left resident soiled in feces for an extended period of time.
INVESTIGATION FINDINGS:
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 At 9:00am on 01/30/2026, Licensing Program Analyst (LPA) Jeffries arrived to the facility unannounced to conduct the initial investigation visit. LPA met with Administrator, Meshell Ramos, announced who he is and the reason for the visit. LPA reviewed documentation, conducted interviews of Staff and Residents. LPA collected documentation and was able to determine and deliver final findings during the initial investigation visit.
As to the allegations of, "Resident sustained a pressure wound due to staff neglect." and "Staff did not ensure resident received medical attention in a timely manner" It was alleged that, staff were unaware of foot wounds of Resident 1 (R1). On 01/30/2026, LPA Jeffries conducted an interview with R1. R1 stated that they had no issues with care at the facility and care provided by the staff. R1 stated that the facility addressees R1's foot wound in a timely manor and helped. R1 stated Home Health has been treating foot since its been hurting and has been seen by a Podiatrist. R1 stated that the wounds on the foot are "healing nicely and a nurse will be arriving to the facility today (01/30/2026) to look at R1's foot again." R1 stated that they had CONTINUED on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026
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 2
Control Number 29-AS-20260129095641
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: FOUNTAIN SQUARE OF LOMPOC
FACILITY NUMBER: 425850365
VISIT DATE: 01/30/2026
NARRATIVE
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no issues at all with the care provided by the facility and its staff. On 01/30/2026 LPA Jeffries conducted interviews with multiple staff (S1, S2, S3, and S4). S1-4 all stated that they have continuous training by the facility. All stated that R1 would let facility staff know if R1 had any injury or illness, need for incontinence assistance and would routinely refuse showers weekly. On 01/30/2026, LPA Jeffries conducted interviews with multiple Residents (R2, R3, R4, and R5). R2-5 all stated they had no issues with assistive care that the facility provides, R1-4 all stated that they had no issues with showering or incontinence assistance the facility provides. R1-4 all stated they had no issues of concern with the facility in general. On 01/30/2026, LPA Jeffries reviewed documentation of incident report from the facility dated 01/21/2026 indicating that R1 was seen by Physician on 01/21/2026 who referred R1 to ER to determine stage of food wound. R1 returned to facility on 01/21/2026. R1's Podiatrist saw R1 on 01/26/2026 and Home Health wound care specialist saw R1 on 01/30/2026. LPA noted that the Home Health Care contract for R1 was to address R1's foot and began on or before December 23, 2025. which provided evidence of contestant licensed medical attention to R1's foot prior to R1's visit to the ER on 01/21/2026. Based on interviews, and documentation there is not enough evidence at this time to support the allegations of "Resident sustained a pressure wound due to staff neglect." and "Staff did not ensure resident received medical attention in a timely manner" and both are unsubstantiated at this time.

As to the allegation of, "Staff left resident soiled in feces for an extended period of time." It was alleged that, facility staff are, "leaving residents in soaked diapers until they are dripping wet with urine or feces down their chairs." On 01/30/2026 LPA Jeffries conducted an interview with R1 who stated, R1 had no issues with care at the facility and care provided by the staff. R1 denied having any issues with incontinence care at the facility. On 01/30/2026, LPA Jeffries reviewed facility Shower Form & Skin Integrity Monitoring Form for R1 for the months of July 2025 through January 2026 which documents contestant showering assistance for the months of July through December 2025. The Shower Form & Skin Integrity Monitoring Form for R1 for the month of January shows that R1 refused 3 of 7 assisted showers (every other shower attempt) for the month of January 2026. LPA reviewed R1's Appraisals Needs and Assignments form and Care plan that state. "often Resident will only agree to one shower per week." On 01/30/2026 LPA Jeffries made observations during visit and noted no residents appearing to be uncomfortable or lacking needs being met by facility staff. Based on interviews documentation and observation there is not enough evidence at this time to support the allegation of,"Staff left resident soiled in feces for an extended period of time." and is unsubstantiated at this time.

Exit interview, report read, and report provided.
SUPERVISORS NAME: Kelly Burley
LICENSING EVALUATOR NAME: Mark Jeffries
LICENSING EVALUATOR SIGNATURE:

DATE: 01/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/30/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2