Fountain Square Of Lompoc

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: 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.

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 bthe state’s words, verbatim · CDSS document, Jan 30, 2026 · control 29-AS-20260129095641

Allegation investigated: Staff do not respond to resident's calls for assistance in a timely manner.

At 9:00am on 11/06/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to issue final findings to the allegations to this complaint. LPA met with Community Relations Director, Sarah Kau, LPA announced who he is and the reason for this visit. Additionally, the facility annual inspection was conducted on a separate report on this date. The findings to the allegations of this complaint are as follows: As to the allegation of, “Staff do not respond to resident call for assistance in a timely manner” it was alleged that R1 was incontinent and when Resident 1 (R1) calls for assistance, staff do not respond in a timely manner. It was discovered through documentation and interviews that on 07/14/2025, LPA Jeffries conducted an interview with Family Member 1 (F1) who stated that R1 would press the call button for staff and “sometimes they just don’t show up”, then R1 calls F1 at home for assistance and F1 comes to the facility to help R1. F1 stated that R1 has calthe state’s words, verbatim · CDSS document, Nov 6, 2025 · control 29-AS-20250711115229

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility did not answer residents call button in a timely manner.

At 9:40 AM on 08/01/2025, LPA Jeffries arrived unannounced to issue final findings to the allegations to this complaint. LPA met with Resident Care Coordinator, Veronica Guinea (RCC), announced who he is and the reason for the visit was it issue final findings to the allegations to this complaint. As to the allegation of, “Facility did not answer residents call button in a timely manner.” It was alleged that the facility staff took 30 to 45 minutes to answer Resident 1 (R1’s) call button. It was discovered through documentation that, on 04/03/2025 there was a subsequent substantiated complaint pertinent to the facility call system being down from 03/28/2025 through 04/07/2025 that was filed. On 07/30/2025, LPA Jeffries reviewed the call button history for the room that R1 had resided. CONTINUED on LIC-9099-C . Substantiatedthe state’s words, verbatim · CDSS document, Aug 1, 2025 · control 29-AS-20250624093140

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Due to staff neglect, residents sustained injuries while under the care and supervision of the facility. Staff are not properly documenting incidents Staff left residents soiled in bed for an extended period of time Staff are not meeting residents needs

On 5/30/2025 at 9:10am Licensing Program Analysts (LPAs) Haner-Tomasko and Jeffries conducted a subsequent complaint visit to deliver findings for the above allegations. LPAs met with Administrator Robin Murray and explained the reason for the visit. LPAs reviewed report with Resident Services Coordinator Veronica Guinea and Resident Services Supervisor Noemi Jimenez. On 12/16/2024, the Woodland Hills North Adult and Senior Care Regional Office (RO) received a complaint regarding neglect/lack of care and supervision. The complaint alleged that multiple residents, Resident #2 (R2), Resident #3 (R3), and Resident #4 (R4), sustained injuries while under the care and supervision of the facility. The complaint also included allegations of resident falls not being reported, staff left residents soiled in bed for extended periods of time, and staff not assisting residents during bedtime. (Continued on LIC9099-C) Substantiatedthe state’s words, verbatim · CDSS document, May 30, 2025 · control 29-AS-20241216152446

Allegation investigated: Staff did not prevent resident from being financially exploited. Staff did not safeguard resident's personal belongings.

At 8:20am on 05/30/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to issue final finding to the allegations to this complaint. LPA met with facility Resident Care Coordinator (RCC) Verinoca Guinea at 8:36am, announced he he is and reason for the visit. RCC called Administrator, Robin Murray and Administrator arrived at 8:50am. LPA Hanner-Tommasko arrived at 9:15am to address a seperate complaint and final findins on a sperate report. LPA deliverd the final findings to RCC and Resident Care Supervisor, Noemi Jimenez (RCS). As to the allegation of, “Staff did not prevent resident from being financially exploited.” and “Staff did not safeguard resident's personal belongings.” It was alleged that, sometime during the months October and November of 2024, Resident 1’s (R1) Medicare Card went missing from R1’s wallet, furthermore, R1’s hearing aids and cell phone went missing by the month of February 2025. Additionally, R1 was fraudulently charged for 12 unthe state’s words, verbatim · CDSS document, May 30, 2025 · control 29-AS-20250425142414

Allegation investigated: Staff does not ensure residents call buttons are in good repair.

At 12:15pm on 04/03/2025, Licensing Program Analyst (LPA) Jeffries arrived unannounced to the facility to conduct the initial investigation visit to the allegation to this complaint. LPA met with Administrator, Robin Murray announced who LPA is and the reason for the visit. LPA conducted interviews with staff and residents. LPA collected documentation relative to the allegation to this complaint and issued final findings. As to the allegation of, “Staff does not ensure resident call buttons are in good repair.” It was alleged that, "The pendant system has been down and not working for almost 2 weeks now (04/03/2025).” It was discovered by documentation and interviews that, on 04/03/2025, LPA Jeffries conducted an interview with facility Administrator, Robin Murray who stated that approximately two weeks ago (starting about 03/17/2025) the facilities pagers, used with the signal system had intermittent problems in identifying the wrong room number of residents. On 03/25/2025 the pendantthe state’s words, verbatim · CDSS document, Apr 3, 2025 · control 29-AS-20250403091059

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Due to lack of supervision, resident hit resident

On 11/07/2024, Licensing Program Analyst (LPA) Brian Phillips conducted a subsequent complaint investigation visit to deliver final findings for the above allegation. During this visit, LPA met with Administrator Robin Murray and explained the reason for the visit. On the allegation: Due to lack of supervision, resident hit resident. It is alleged that when R1’s responsible party visited them in care at the facility they were not properly supervised. It is also alleged that the responsible party of Resident #1 (R1) was contacted by the facility to inform them that R1 had been hit by another resident in care. When R1’s responsible party visited the facility after receiving this information, they observed R1 with a bruised and swollen face, allegedly from being hit by another resident. Continued on 9099-C Substantiatedthe state’s words, verbatim · CDSS document, Nov 7, 2024 · control 29-AS-20241007151923

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Facility staff did not meet resident's needs Facility has insufficient staffing Facility did not contact responsible party about a change in condition Facility is not reporting incidents

Licensing Program Analyst (LPA) Brian Phillips conducted a subsequent case management-incident investigation visit to deliver final findings for the above allegations. During today’s visit, LPA Phillips met with Administrator Robin Murray and explained the reason for the visit. On the allegation: Facility staff did not meet resident’s needs. It is alleged that a visitor to the facility observed a long stream of water running down the hallway coming from the shower door in the facility. Allegedly there was no response when the visitor knocked on the shower door, and facility staff could not be located. When staff were finally located, Resident #1 (R1) was on a shower chair, with two (2) inches of water on floor. R1’s washcloth had fallen on the drain. Allegedly facility staff stated R1 was fine, and very independent. It is alleged that if R1 passed out and fallen they would have drowned. Staff stated R1 was there for approximately five (5) minutes, but other accounts allegedly said 20-2the state’s words, verbatim · CDSS document, Sep 3, 2024 · control 29-AS-20240410083709

Allegation investigated: Staff handle resident in a rough manner Staff are not providing resident with adequate drinking water Staff are not providing resident with adequate food service

On 08/23/2024, Licensing Program Analyst (LPA) Brian Phillips conducted a subsequent complaint investigation visit to the facility above to deliver final findings for the above allegations. During today’s visit, LPA Phillips met with Community Relations Director Sarah Kau as the administrator was not available, and explained the reason for the visit. On the allegation: Staff handle resident in a rough manner. It is alleged that Resident #1 (R1) does not like to take showers because facility staff throw R1 in the shower and scrub the wounds on R1’s left lower leg that are provided treatment by an outside Agency on a regular basis. LPA conducted record review of facility documentation relevant to the allegation above. On 03/25/2024, a Physician Communication sent by the facility indicated that the facility staff were requesting specific Home Health Agency orders regarding the cleaning of R1’s lower left leg as R1 has cellulitis and is very combative when bathing and taking antibiotics. Cthe state’s words, verbatim · CDSS document, Aug 23, 2024 · control 29-AS-20240423144138

Allegation investigated: Facility staff did not meet residents' needs

On 07/11/2024, Licensing Program Analyst (LPA) Brian Phillips conducted a subsequent complaint visit to deliver final findings for the above allegation. During today’s visit, LPA Phillips met with Community Relations Director Sarah Kau as the Executive Director/Administrator of the facility was unavailable at the time, and explained the reason for the visit. On the allegation: Facility staff did not meet residents' needs. It is alleged that during a hospital visit, Resident #1 (R1) was observed to have feces on their backside, under their untrimmed nails, and on their arms. The allegation stated that neglect on the part of the facility staff was not believed to be happening purposefully, but rather due to the level of care needed by R1 and R1’s current living situation within the facility. Continued on 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 11, 2024 · control 29-AS-20240627081510

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.