Westmont Of Riverside

On June 29, 2025, Department of Social Services staff conducted a subsequent complaint visit regarding the above allegation. The Department met with Cynthia Cisneros, Community Welness Director and explained the reason for the visit. The investigation consisted of the following: On 6/25/2025, the Department conducted a telephone interview with Executive Director Judith Pierfax (A1). On 6/27/2025 the Department reviewed electronic copies of the following pertinent documents: Staff schedule and roster (date 6/26/25), Resident roster (dated 6/26/25), Work History maintenance report (dated 6/27/25). On 6/28/25, the Department and Memory Care Director toured the facility inside and out. The Department conducted 5 staff interviews (S1-S5), Executive Director (A1), and 6 Residents (R2-R7). On 6/29/25, the Department conducted interview with 1 resident (R1) Page 1 of 3 UnsubstantiatedRead the full finding— CDSS inspection report, June 29, 2025 · control 18-AS-20240202083337

On June 28, 2025, Department of Social Services staff conducted a subsequent complaint visit regarding the above allegations. The Department met with Judith Pierfax and explained the reason for the visit. The investigation consisted of the following: On October 12, 2021, the Department conducted and unannounced initial complaint visit and obtained the following pertinent documents: R1’s Service Plan (dated: 7/6/21), staff roster (dated 9/5/21 and 10/10/21), R1’s eMAR (for Aug 2021), Unusual Incident Report (UIR) dated 9/18/21 and 9/1/21. It was determined at the time of the initial visit that the complaint required further investigation. On 6/25/2025, the Department conducted a telephone interview with Executive Director Judith Pierfax (A1). On 6/27/2025 the Department reviewed electronic copies of the following pertinent documents: Staff schedule and roster (date 6/26/25), Resident roster (dated 6/26/25), Facility’s Fall Policy (dated 3/1/2025), Emergency and call system monitoring poRead the full finding— CDSS inspection report, June 28, 2025 · control 18-AS-20211008135633

On 06/28/25, at 8:00 am, Licensing Program Analyst (LPA) Antonine Richard conducted an initial complaint visit regarding the allegation above. LPA met with Alicia Ballard, the Memory Care Director (MCD), and explained the purpose of today’s visit. LPA and MCD toured the facility inside and outside. The investigation consisted of the following: On June 28, 2025, LPA Richard reviewed and obtained copies of the resident roster (dated June 1, 2025, to June 26, 2025), the staff roster (dated June 1, 2025, to June 26, 2025), and facility menus (dated June 8, 2025, to July 5, 2025). Additionally, LPA requested and obtained copies of specific documents for Resident #1 (R1), including the admission agreement (dated January 31, 2022), the emergency ID form, the physician's report (dated January 26, 2022), and the needs of services plan (dated August 24, 2023). On June 28, 2025, LPA Richard conducted a tour of the kitchen and observed the lunch service from 11:15 AM to 11:30 AM. Between 10:30 AMRead the full finding— CDSS inspection report, June 28, 2025 · control 18-AS-20230413163515

On 6/22/2025 at approximately 8:30 AM, LPA Alfonso Iniguez conducted a subsequent unannounced complaint visit. LPA Iniguez met with Alicia Ballard/Memory Care Director. LPA Iniguez explained the purpose of this visit. Investigation Consisted of: LPA conducted the following interviews: Executive Director Interview (A#1), Witness Interview (W#1), Residents Interviews (R#1-R#5) and Staff Interview (S#1-S#3). LPA obtained and reviewed the following documents: Resident Roster dated: 6/21/25, Staff Roster dated: 6/17/25 and Copies of Staff Training Modules regarding Residents Personal Rights, First Aid, and CPR dated: 5/15/25. Evaluation Report continues LIC 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, June 22, 2025 · control 18-AS-20220318110117

On 6/22/2025 at approximately 8:30 AM, LPA Alfonso Iniguez conducted a subsequent unannounced complaint visit. LPA Iniguez met with Alicia Ballard/Memory Care Director. LPA Iniguez explained the purpose of this visit. Investigation Consisted of: LPA conducted the following interviews: Executive Director Interview (A#1), Residents Interviews (R#1-R#13) and Staff Interview (S#1-S#5). LPA obtained and reviewed the following documents: Resident Roster dated: 6/21/25, Staff Roster dated: 6/17/25, Copies of Staff Training Modules such as: Providing Medication Assistance-California, Medication Management Medications, Managing Medications in Assistant Living Facilities(ALFs): Helping with self-administration, Managing Medications in (ALFs), Antipsychotic and Beyond and Polypharmacy: Monitoring Medications dated: 5/15/25, and a Health and Safety Check of the facility. Evaluation Report continues LIC 9099-C UnsubstantiatedRead the full finding— CDSS inspection report, June 22, 2025 · control 18-AS-20221114094514

On 10/14/2021, Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to initiate a complaint investigation into the allegations list above. LPA met with Executive Director (ED) Keith Kasin. On 06/21/2025, LPA Regina Cloyd conducted a subsequent and met with staff. On 06/22/2025, LPA Cloyd conducted a subsequent. LPA met with Memory Care Director Alicia Ballard and the purpose of the visit was explained. Investigation consisted of the following: On 10/14/2021, LPA toured the facility with Resident Services Director (RSD) Deserie Rodillo and interviewed one (1) staff and three (3) residents. LPA also obtained copies of pertinent documents and records. RSD was advised that at this time, the complaint requires further investigation which may include possible follow-up telephone calls, additional interviews, or visits before reaching investigation findings. On 06/17/2025, LPA received an electronic copy of the Personnel Record (06/17/2025) and Register of Residents (printed 0Read the full finding— CDSS inspection report, June 22, 2025 · control 18-AS-20211014112239

Licensing Program Analyst (LPA) Sara Martinez conducted an unannounced visit to conclude the complaint investigation regarding the allegation listed above. LPA was granted entry and met with Operational Specialist Sheryl McCaskill who was informed of the purpose for the visit. The investigation consisted of observations, interviews, and records review. Regarding the allegation “Facility neglected the care of a Resident”, it was reported on 10/09/2024 at approximately 11:15am, Resident One (R1) had an unwitnessed fall and was found on the floor in R1’s apartment soaked in urine. Staff One (S1) responded to the call button request for R1 and assisted R1 off the floor with help from Staff Two (S2) and two (2) additional relevant parties. R1 reported to relevant parties that R1 was on the floor since the night prior and was unaware of how R1 ended up on the floor. Interview conducted with Staff (S3) reported upon admission, R1 was assessed as a Level 1 care and did not need medication manaRead the full finding— CDSS inspection report, November 26, 2024 · control 18-AS-20241010091534

Licensing Program Analyst (LPA), Stephanie Martinez, conducted an unannounced visit to the facility to start the investigation into the above allegation. The LPA met with Executive Director (ED), Monya Henry, after the start of the visit. The LPA informed Henry of the purpose for the visit. A report was received by the Department alleging a temporarily contracted employee, Staff One (S1), of the facility denied medication administration to Resident One (R1) on 07/19/2024. The investigation included staff and resident interviews, a review of records, and collection of relevant documentation. One staff interview revealed R1 does not receive medication assistance from the facility. A letter from R1's medical provider revealed an order for R1 to begin self-administration of medications as of 04/01/2024. R1 was interviewed and confirmed the facility does not administer their medications. R1 reported their medications were delivered to the facility and S1 refused to retrieve the medicationsRead the full finding— CDSS inspection report, August 8, 2024 · control 18-AS-20240801090923

On 6/5/2024, Licensing Program Analyst (LPA) Jacqueline Shaw Ross conducted a visit to the facility to deliver findings on the above allegation. LPA met with Monya Henry, Executive Director, and explained the purpose of the visit. During the course of the investigation, LPA conducted interviews with Executive Director, Monya Henry, Resident #1 (R1), and additional witness. On 5/14/2024 CCLD received a complaint alleging that the facility is increasing rent more than 10% for Resident #1 (R1). It was reported that the facility is increasing R1's rent after multiple increases in September 2023, February 2024, and another rent increase will be in July 2024. Information obtained from interviews indicated that additional witness acknowledged the rate increase letters were given 60 days in advance of the increase, but feel the rate increases are too high and too frequent. UnfoundedRead the full finding— CDSS inspection report, June 5, 2024 · control 18-AS-20240514092410

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegation. LPA Prieto met with Executive Director Henry and explained the elements of the complaint. Regarding the allegation that staff member steals resident's money: LPA Prieto interviewed staff #1, who confirmed that resident #1 (R1), in question, does reside in the assisted living portion of the facility, but has not been notified of monies being stolen from R1. Witness (W1) to R1's statement was not provided with an alleged perpetrator's name, date of event, location of thief or amount of money that was allegedly stolen. ****Continued on LIC 9099C**** UnsubstantiatedRead the full finding— CDSS inspection report, January 30, 2024 · control 18-AS-20200630082903

On 1/10/2024, Licensing Program Analyst (LPA) Chinwe Nwogene conducted an unannounced visit to investigate the above allegation. LPA met with Executive Director, Monya Henry who was informed of the purpose of the visit. At the time of visit, LPA interviewed staff, interviewed residents, and conducted an inspection of the facility. Regarding the allegation “Facility is not maintained in good repair” it was alleged that an elevator and double door in the assisted living section in the facility is in disrepair. Staff were interviewed who reported the double door was never in disrepair but the elevator broke in December 2023 and is in the process of being repaired. Staff stated facility has another elevator by the end of the building for residents to use. Residents were interviewed who reported the elevator has been in disrepair for over a month. Residents stated facility has another elevator, however the elevator is located at the end of the building and it’s hard for the residents to doRead the full finding— CDSS inspection report, January 10, 2024 · control 18-AS-20240102154208

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conclude a complaint investigation for the above-mentioned allegations. LPA Prieto met with Monya Henry. Regarding the allegation that due to lack of care and supervision resident sustained an injury from a fall while in car, resident #1 (R1) had an un-witnessed fall, sustaining an injury. The fall was addressed by facility staff and R1 was sent to the hospital for medical care. Unsubstantiated— CDSS inspection report, September 15, 2023 · control 18-AS-20201104115823

Licensing Program Analyst (LPA) Jesse Gardner made an unannounced visit to initiate an investigation into the above allegation. LPA met with Executive Director Monya Henry who was informed of the purpose of the visit. LPA collected documentation, and conducted a tour of the facility. LPA interviewed several residents, reviewed several resident records, and conducted staff interviews. It was alleged that the facility was not dispensing Resident One's (R1) medications. LPA requested a copy of R1’s medication list for review from the facility. -Continued on LIC9099C Substantiated— CDSS inspection report, September 11, 2023 · control 18-AS-20230710160707

Licensing Program Analyst (LPA) Sara Martinez made an unannounced visit to initiate an investigation into the above allegation. LPA met with Executive Director Monya Henry and informed her of the purpose of the visit. LPA collected and reviewed documentation, conducted staff interview and conducted a tour of the facility. Regarding the allegation "Staff attempted to change resident's medical insurance without authorized representative's consent", Resident One's (R1) representative received a call from an Eligibility Representative from Senior Doc inquiring about changing R1's medical provider to a provider is affilated with the facility. LPA found during the conversation with R1's representative they were concerned that improper activities regarding R1's care and service was taken place. LPA's interview process revealed after further research, the family member and resident agreed to switch to the facility’s affiliated medical provider and that the activities were not fraudulent and agRead the full finding— CDSS inspection report, August 7, 2023 · control 18-AS-20230802130435

Licensing Program Analyst (LPA) Jesse Gardner made an unannounced visit to initiate an investigation into the above allegation. LPA met with Regional Sales Specialist Sheila Dudley, who was informed of the purpose of the visit. LPA collected documentation, and conducted a tour of the facility. On the day of visit, the Department reviewed records, conducted staff and resident interviews, and made observations. It was alleged that on May 25, 2023 between the hours of 1:30pm-3:30pm, there were no staff in Assisted Living. Continue on LIC9099C. Unsubstantiated— CDSS inspection report, June 2, 2023 · control 18-AS-20230526163516

Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced visit to deliver the findings of the above allegation. The Department conducted an investigation for the allegation(s) noted above; interviews were conducted with residents and witnesses, reviewed facility records and toured the facility. An allegation was received stating resident was sexually abused while in care. Interview with R1 maintains that Staff One (S1) inappropriately touched R1 on several occasions, while providing massage services in R1’s apartment. Continued on LIC9099-C. Unsubstantiated— CDSS inspection report, April 13, 2023 · control 18-AS-20221128152452

Licensing Program Analyst (LPA) Jesse Gardner made an unannounced visit to initiate an investigation into the above allegation. LPA met with Administrator, Vivian Villegas (S1), who was informed of the purpose of the visit. LPA collected documentation, and conducted a tour of the facility. It was alleged that Resident #1(R1) was evicted from the facility and the facility was going to put a lock on R1's door at 30-days. Interviews conducted with Administrator Villegas and R1 revealed a written notice of eviction was provided to R1; however, R1's things were still in process of moving out. R1 is independant and had friends move them out of the facility. During a tour of the facility, some of R1's things were still occupying R1's unit. S1 is still working with R1's friends for R1 to obtain their belongings. Continued on LIC9099-C. UnsubstantiatedRead the full finding— CDSS inspection report, March 13, 2023 · control 18-AS-20230306132940

Licensing Program Analyst (LPA) Jesse Gardner arrived unannounced to deliver findings to an investigation into the allegation listed above. LPA met with Memory Care Resident Services Director Emerald Mobley and explained the purpose of the visit and conducted a tour of the facility. It was alleged that the facility did not have any paper towels, soap or hand sanitizer in any of the bathrooms in the memory care side of the building. Continued on LIC9099-C. Substantiated— CDSS inspection report, February 15, 2023 · control 18-AS-20220907102851

Licensing Program Analyst (LPA) Jesse Gardner made an unannounced visit to investigate the above allegation. LPA arrived at the facility, and met with Receptionist Angel Melendez and LPA explained the purpose of the visit. LPA toured the facility. LPA later met with Resident Services Director Mayra Alfaro, and Memory Care Resident Services Director Emerald Mobley. It was alleged that Resident One (R1) was not receiving their medication, as ordered by their physician. Regarding the allegation, "Staff do not provide proper medication assistance to resident in care", LPA conducted interviews with R1, and staff. Through interviews with staff and an outside witness, LPA found that the facility had contacted the doctor's office and the prescription was ordered 1/23/23. R1's doctor's office sends the medication through CVS Care Mark, and due to the medication being a narcotic, it is sent via mail. R1 has not received the medication, as of yet; however, through interviews with staff and R1, R1Read the full finding— CDSS inspection report, February 1, 2023 · control 18-AS-20230130142250

Licensing Program Analyst (LPA) Jesse Gardner conducted an unannounced visit to investigate the above allegations. LPA met with Administrator Vivian Villegas and Memory Care Resident Services Director Emerald Mobley and toured the facility. LPA interviewed Resident One (R1), Caregiver Julio Ramirez-Mercado, Melvina Vega and Mobley. LPA reviewed documents provided by Licensee, and gathered pertinent documentation related to the complaint. Regarding allegation, "Staff are not properly trained regarding an indwelling catheter." It was alleged that there were numerous incidents with R1 having a broken/torn foley, and that due to this, staff had not been properly trained. Continued on LIC9099-C SubstantiatedRead the full finding— CDSS inspection report, January 10, 2023 · control 18-AS-20230105121045