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Inspection visit

Incident investigation

WESTMONT AT SAN MIGUEL RANCHLicense 374603509
Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA), Carmen Lopez, conducted an unannounced visit to initiate a complaint investigation and conjointly conducted a case management visit. LPA Lopez identified herself and was granted entry by Amanda DeLeon, concierge . LPA Lopez stated the purpose of the visit and reviewed the basic elements of the case management visit with Executive Director Sokoloski. Today's visit was in response to an Incident Report (LIC624), which was self submitted to the Community Care Licensing Division (CCLD) San Diego Regional Office, received on 09/15/2023. According to the LIC624, on 09/11/23, a Resident #1 (R1) reported that they were unable to find the monies they kept in their personal property. R1 stated they had a total of $100 bills in $20 dollar bills and $10 dollar bills in their belongings on 08/31/23. Facility staff confirmed the monies with R1's responsible party. During the visit, LPA Lopez toured the facility, spoke with staff and residents, and requested and obtained relevant documents. According to staff interviewed, the R1 had spoken to the Resident Service Director (RSD) to report the missing money. RSD contacted the residents RP who confirmed that resident did have the money within her belongings. RSD and staff did look for the missing money in the resident’s room to no avail. According to the RSD, they attempted to report the missing money to the police, but since it was less than $10,000, they would not come out to take the report. RSD also attempted to make the report online but was unable as the online prompt did not let RSD surpass a section that the resident needed to fill out. According to the RSD, the resident did not want to pursue the incident further. According to Staff #2 (S2), residents are not allowed to have money on them if they are in the assisted living. The residents’ representative’s usually take care of the resident’s cash resources. If a resident has a large amount of money they place it in their inventory sheet, but that was something unusual that a resident would have. According to S2, staff was unaware that R1 had their money on them but it was confirmed with their RP. Per the Executive Director (ED), the facility conducted an internal investigation. Their investigation was inconclusive as the money was not found. Per the ED, the resident was reimbursed the monies that was lost/stolen. The facility is currently licensed to serve a total of 105 residents, all of whom may be non-ambulatory and 12 of whom may be bedridden on the ground floor only; and hospice is approved for 12. Per R1’s latest LIC602 Physician’s Report (dated 05/10/2023), R1 is considered to be non-ambulatory. R1’s is able to follow instructions and is able to communicate their needs and manage their own cash resources. During the records review, LPA observed that the facility had a Certificate of Liability Insurance with an expiration date of 09/2024. The facility did reimburse R1 the amount that was stolen/lost. There were no deficiencies issued during this visit. An exit interview was conducted, with Executive Director Michael Sokolowski. A copy of this report along with the Licensee/Appeal Rights (LIC9058 03/22) were provided to Executive Director Sokolowski at the conclusion of the visit. The signature below confirms the documents were received.

Citations

1 citation recorded*CCLD

What does Type A vs Type B mean?

Type A. Serious citation. Imminent or substantial risk to children. The regulator requires corrective action immediately and may impose a civil penalty.

Type B. Lower-severity citation. Corrective action required, no imminent risk. The regulator monitors compliance on the next visit.

  • 87458(a)Type B

    87458 Medical Assessment … Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. … this requirement was not met as evidence by: Based on records review, staff did not obtain residents Physician’s Report (LIC602) prior to admission. This posed a potential health risk to two of 78 [R1 & R2] residents in care.

FAQ · About this visit

Common questions about this visit

What happened during the September 18, 2023 inspection of WESTMONT AT SAN MIGUEL RANCH?

This was a other inspection of WESTMONT AT SAN MIGUEL RANCH on September 18, 2023. The inspection found no deficiencies and no citations were issued.

Were any citations issued to WESTMONT AT SAN MIGUEL RANCH on September 18, 2023?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a other inspection. other inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.