Westmont Of Fresno

On 08/01/24, Licensing Program Analyst (LPA) V. Gorban visited the facility to deliver findings. During this visit LPA met with facility Administrator (AD) Eddie Rangel and stated the purpose of the visit. During this visit LPA toured the facility inside and out and observed residents in care. Once the tour was complete, LPA discussed the findings with the AD. Allegation: Staff did not follow infection control practices, Staff did not follow reporting requirements . During complaint investigation the department reviewed facility files, interviewed facility staff and the Administrator. Based of files review, interview and observation no reports of not following infection control and not following reporting requirements observed during the visit on 3/22/24 and 08/01/24. Although the allegation 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. Exit interview conductedRead the full finding— CDSS inspection report, August 1, 2024 · control 24-AS-20240321131338

On 04/16/2024, Licensing Program Analyst (LPA) V. Gorban visited the facility to deliver findings. During this visit LPA met with facility Administrator (AD) Eddie Rangel and stated the purpose of the visit. During this visit LPA toured the facility inside and out and observed residents in care. Once the tour was complete, LPA discussed the findings with the AD. Allegation: Facility staff did not prevent spread of scabies amongst residents and staff. During this investigation LPA reviewed facility files, interview facility staff and medical personnel. Based of interviews, and records review no staff or residents contracted scabies. Although the allegation 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 allegation is Unsubstantiated. No deficiencies were cited during this visit. Exit interview conducted, report signed and copy of this report provided for facility record. UnsubstantiatedRead the full finding— CDSS inspection report, April 16, 2024 · control 24-AS-20240205113233

On 04/16/2024, Licensing Program Analyst (LPA) V. Gorban visited the facility to deliver findings. During this visit LPA met with facility Administrator (AD) Eddie Rangel and stated the purpose of the visit. During this visit LPA toured the facility inside and out and observed residents in care. Once the tour was complete, LPA discussed the findings with the AD. Allegation: Staff do not ensure resident receives contracted services. During this investigation LPA reviewed resident’s files, interview facility staff and resident. Based off file review resident receives contracted services including ADA accommodation of no charge. Although the allegation 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 allegation is Unsubstantiated. Report continues on LIC9099-C UnsubstantiatedRead the full finding— CDSS inspection report, April 16, 2024 · control 24-AS-20240126153840

On 3/22/24, Licensing Program Analyst (LPA) V. Gorban visited the facility to deliver findings. During this visit LPA met with facility Administrator (AD) Eddie Rangel and stated the purpose of the visit. During this visit LPA toured the facility inside and out and observed residents in care. Once the tour was complete, LPA discussed the findings with the AD. Allegation: Staff does not ensure facility door locks are in good repair. During complaint investigation the department interviewed facility staff and the Administrator. Based off of observations, the Administrator, staff, and residents interviews the facility door locks are in good repair. Although the allegation 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. Exit interview conducted, report signed and copy of this report provided to the Administrator for facility records. UnsubstantiatedRead the full finding— CDSS inspection report, March 22, 2024 · control 24-AS-20240221091513

On 3/13/24, Licensing Program Analyst (LPA) V. Gorban visited the facility to deliver findings. During this visit LPA met with facility Administrator (AD) Eddie Rangel and stated the purpose of the visit. During this visit LPA toured the facility inside and out and observed residents in care. Once the tour was complete, LPA discussed the findings with the AD. Allegation: Staff did not dispense medication to resident in a timely manner. During complaint investigation the department reviewed facility records, interviewed facility staff and the Administrator. Based off of facility records review medication administration to R1 as prescribed. Although the allegation 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. Exit interview conducted, report signed and copy of this report provided to the Administrator for facility records. UnsubstantiatedRead the full finding— CDSS inspection report, March 13, 2024 · control 24-AS-20231212143827

On 2/23/24, Licensing Program Analyst (LPA) V. Gorban visited the facility to deliver findings. During this visit LPA met with facility Administrator (AD) Eddie Rangel and stated the purpose of the visit. During this visit LPA toured facility inside and out and observed residents in care. Once the tour was complete, LPA discussed findings with the AD. Allegation: Staff did not seek medical attention for residents with scabies. During complaint investigation department reviewed facility records, interviewed facility staff and Administrator. The facility addressed scabies by notifying medical and administering medicine to residents effected. Although the allegation 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. Exit interview conducted, report signed and copy of this report provided to the Administrator for facility records. UnsubstantiatedRead the full finding— CDSS inspection report, February 23, 2024 · control 24-AS-20231130115026

On 2/01/24, LPA Gorban visited the facility to deliver the findings. During this visit LPA met with facility Administrator (AD) Eddie Rangel and stated the purpose of the visit. During this visit LPA toured facility inside and pout and observed residents in care. Once the tour was complete, LPA discussed finding with the AD. Allegations: Staff are allowing residents to share hygiene products. Staff are allowing the residents to share clothes while in care. Staff are disclosing the residents personal information. Staff are not providing adequate supervision to the residents while in care. During complaint investigation department reviewed facility records, interviewed facility staff and Administrator. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. Report continues on LIC9099-A UnsubstantiatedRead the full finding— CDSS inspection report, February 1, 2024 · control 24-AS-20231103105434

On 1/27/24, LPA Gorban visited the facility to deliver the findings. During this visit LPA met with facility Administrator (AD) Eddie Rangel and stated the purpose of the visit. During this visit LPA toured facility inside and pout and observed residents in care. Once the tour was complete, LPA discussed finding with the Administrator. Allegations: Staff did not respond to resident for assistance, Staff made inappropriate comment in presence of residents. During complaint investigation department reviewed facility records, interviewed facility staff and Administrator. Although the allegations may have happened or are valid, there are not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated. Exit interview conducted report signed and copy of this report provided to Administrator for facility records. UnsubstantiatedRead the full finding— CDSS inspection report, February 1, 2024 · control 24-AS-20231106100715

On 11/07/23 Licensing Program Analyst (LPA) V Gorban visited the facility stated above to deliver findings. LPA met with Business Office Director Jennifer Fowler, explained the purpose of the visit. Administrator Patrick Frazier was notified of licensing visit. LPA toured the facility inside and out, observed residents in care and discussed findings to allegations. Allegation: facility does not have an administrator. During this investigation department reviewed facility file and interviewed administrator and staff. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have found that the complaint was unfounded, therefore we have dismissed the complaint. Exit interview conducted, report signed and copy of this report provided for facility records. UnfoundedRead the full finding— CDSS inspection report, November 7, 2023 · control 24-AS-20230915102336

On 9/28/23 Licensing Program Analyst (LPA) V Gorban visited facility stated above to deliver findings. LPA met with Administrator (AD) Jennifer Fowler explained the purpose of the visit and discussed findings. Allegation: Facility alarm is in disrepair During complaint investigation LPA tested facility alarm and appears is operational. LPA reviewed facility files and interviewed staff. Although the allegation “Facility alarm is in disrepair” may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated. Exit interview conducted, report signed and copy provided to AD for facility records. UnsubstantiatedRead the full finding— CDSS inspection report, September 28, 2023 · control 24-AS-20230711084903

On 9/28/23 Licensing Program Analyst (LPA) V Gorban visited facility stated above to deliver findings. LPA met with Administrator (AD) Jennifer Fowler explained the purpose of the visit and discussed findings. Allegation: Facility is in disrepair. Allegation: Staff did not ensure that a resident's room is maintained at a comfortable temperature. During this investigation LPA observed facility, reviewed history files, facility files, and interviewed facility staff. Based on investigation listed above these allegations are Unsubstantiated. 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. Exit interview conducted, report signed and provided to AD for facility records. UnsubstantiatedRead the full finding— CDSS inspection report, September 28, 2023 · control 24-AS-20230705085754

On 7/05/23, Licensing Program Analyst (LPA) V Gorban conducted the subsequent complaint investigation visit to the facility. LPA met with Michelle Gonzalez, Residential Services Director (RSD), explained the purpose of the visit, and discussed allegation findings. Administrator Erik Schuk was not available. Allegation: Facility staff did not dispense medication as prescribed During the course of investigation of this complaint LPA interviewed facility staff, obtained and reviewed facility records. Medication was not provided to resident as prescribed. Facility file had medication on record but was not provided to R1 as prescribed. Based on observations, interviews which were conducted, and record reviews, the preponderance of evidence standard has been met, therefore the above allegation is found to be SUBSTANTIATED. California Code of Regulations, Title 22, Division 6 & Chapter 8, are being cited on the attached LIC 9099D. Exit interview conducted with RSD. Copy of this report signedRead the full finding— CDSS inspection report, July 5, 2023 · control 24-AS-20230404100407

This document is amended of the original report. On 7/05/23, Licensing Program Analyst (LPA) V Gorban conducted the subsequent complaint investigation visit to the facility. LPA met with Residents Services Director (RSD), Michelle Gonzalez, explained the purpose of the visit and discussed allegation findings. Administrator Erik Schuk was not available. Allegation: Facility staff did not assist resident in a timely manner During the course of investigation, observation, records reviews and interviews, this allegation is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated. Exit interview conducted with RSD. Copy of this report signed and provided for facility records. UnsubstantiatedRead the full finding— CDSS inspection report, July 5, 2023 · control 24-AS-20230404100407

On 06/08/2023, Licensing Program Analyst (LPA) Gorban arrived at the facility unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit and was greeted by receptionist. LPA requested to meet with the Administrator. LPA toured facility, reviewed residents’ records, observed residents in common area. LPA discussed finding with Administrator Erik Schuk. Allegation: Facility does not have adequate staff to meet the needs of the residents. During the investigation, LPA interviewed residents and staff, conducted a facility tour and reviewed records. During LPAs visit, based on observation facility had substantial number of staff. Based on records review and facility provided proof of medications, elderly and dementia training, the allegation: Facility does not have adequate staff to meet the needs of the residents is UNSUBSTANTIATED. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove tRead the full finding— CDSS inspection report, June 8, 2023 · control 24-AS-20230321164409

On 10/3/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Erik Schuck During the course of the investigation, LPA conducted a facility tour, interviewed staff, and reviewed records. Based on interviews and records review, staff did not respond timely to the egress alarm, resulting in R1 exiting the facility, falling, and sustaining a head injury requiring that medical attention be sought. Review of the facility Alarm Event Report indicates that staff responded to the egress alarm approximately 34 minutes later. Based on interviews and records review, the preponderance of evidence standard has been met, therefore the allegation: Staff did not respond to egress alarm timely, resulting in resident exiting memory care, falling and sustaining an injury is SUBSTANTIATED. CONTINUED TO 9099C. SubstantiatedRead the full finding— CDSS inspection report, October 3, 2022 · control 24-AS-20220729113420

On 08/08/2022, Licensing Program Analyst (LPA) arrived unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator Erik Schuk. Today’s visit included staff interviews. During the investigation, LPA reviewed resident records, interviewed staff and residents, and conducted a facility tour. During the facility tour LPA observed residents’ apartments to be clean with no obstructions to pathways. LPA observed residents’ bathrooms and showers to be clean. Interviews with residents revealed that housekeeping staff will clean resident rooms. CONTINUED TO 9099C UnsubstantiatedRead the full finding— CDSS inspection report, August 8, 2022 · control 24-AS-20220513170250

On 05/09/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. The allegations: Staff do not respond to resident's call for assistance in a timely manner and Staff mismanaged resident medications were previously cited and the facility recently implemeted a Plan of Correction. Interviews and record reviews revealed that while administering morning medications to residents, S1 would pour all medications and sign off on the MAR that medications were given prior to administering the medications to the residents. S2 observed medications that "were poured but not given"; however, the MAR indicated that medications were administered. CONTINUED 9099C SubstantiatedRead the full finding— CDSS inspection report, May 9, 2022 · control 24-AS-20220408171548

On 04/13/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Pamela Hamilton. During the investigation, LPA interviewed residents and staff, conducted a facility tour and reviewed records. Based on observation, record review and interviews conducted with residents and staff, the allegations: Staff failed to provide a comfortable environment for residents, Facility is in disrepair and Facility is unkempt are UNSUBSTANTIATED. 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. No deficiencies issued during this inspection. An exit interview was conducted with Administrator. A copy of this report was discussed and provided to Administrator, Pamela Hamilton, whose signature on this form confirms receipt of thisRead the full finding— CDSS inspection report, April 13, 2022 · control 24-AS-20220304101758

On 04/13/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Pamela Hamilton. During the investigation, LPA interviewed residents and staff, conducted a facility tour and reviewed records. Based on observation, record review and interviews conducted with residents and staff, the allegations: Multiple resident(s) sustained pressure injury(ies), Staff left resident in soiled diaper/clothing for an extended period of time, Staff does not provide adequate food service for residents are UNSUBSTANTIATED. 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. No deficiencies issued during this inspection. An exit interview was conducted with Administrator. A copy of this report was discussed and provided to AdministrRead the full finding— CDSS inspection report, April 13, 2022 · control 24-AS-20220208101724

On 04/13/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Pamela Hamilton. During the investigation, LPA interviewed residents and staff, conducted a facility tour and reviewed records. Interviews with residents revealed that facility staff are “slow at coming” when responding to emergency call buttons. During the investigation, LPA observed staff responding to an emergency call 27 minutes after the emergency pendent was pressed. CONTINUED TO LIC9099C SubstantiatedRead the full finding— CDSS inspection report, April 13, 2022 · control 24-AS-20220203130953

On 04/13/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Pamela Hamilton. During the investigation, LPA interviewed residents and staff, conducted a facility tour and reviewed records. Consistent interviews with staff revealed that R1 would frequently remove R1’s hearing aid due to the hearing aid making a “whistling” noise in R1’s ear. While R1 resided at the facility, staff found R1’s hearing aid in various places including R1’s dining plate, R1’s sock and R1’s shoe. CONTINUED TO LIC9099C UnsubstantiatedRead the full finding— CDSS inspection report, April 13, 2022 · control 24-AS-20220111085127

On 04/13/2022, Licensing Program Analyst (LPA) Walton arrived unannounced to deliver findings on the above allegation. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Pamela Hamilton. During the investigation, LPA interviewed residents and staff, conducted a facility tour and reviewed records. Consistent statements from staff revealed that once a resident is given a shower, the attending staff will sign off on the shower schedule indicating that the resident was showered. Staff interviews revealed that “some residents will get a shower and others won’t”. LPA reviewed shower records at the above facility and observed the shower schedule was not updated and multiple rooms did not have a staff initial indicating the shower was completed. SubstantiatedRead the full finding— CDSS inspection report, April 13, 2022 · control 24-AS-20211130111055

This is an amended report. On 03/09/2022, Licensing Program Analyst (LPA) Walton arrived unannounced at the above facility to deliver findings on the above allegations. LPA introduced self, stated the purpose of the visit and requested to meet with the Administrator. LPA met with Administrator, Pam Hamilton. Based on interviews conducted and records reviewed, the allegations: Facility neglect resulting in resident developing infection, Facility staff did not observe change in resident's health condition and Resident's bathing needs were not met while in care are UNSUBSTANTIATED. CONTINUED TO LIC9099C UnsubstantiatedRead the full finding— CDSS inspection report, March 9, 2022 · control 24-AS-20211129152314