Inspection Reports for Belmont Village Senior Living Westwood

An unannounced Case Management visit was conducted following receipt of a Decision and Order excluding an individual (S#1) from any care facility licensed by the department.

No deficiencies were observed during the visit; therefore, no citations were issued.

An unannounced complaint investigation was conducted in response to an allegation that staff mishandle residents' medications.

The investigation included record reviews, interviews with staff and residents, and a facility tour. No sufficient evidence was found to substantiate the allegation of medication mishandling, and no deficiencies were cited.

The allegation was that staff mishandle the residents' medications. Interviews with 11 staff members and 10 residents found 11 staff denied mishandling and 9 residents denied it, with 1 resident affirming. Based on the evidence, the allegation was determined to be unsubstantiated.

The inspection was an unannounced annual required visit conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements for the facility.

The facility was generally clean, sanitary, and appropriately furnished with adequate storage and safety measures. However, deficiencies were found including water temperatures exceeding the regulatory maximum and medication administration discrepancies.

An unannounced complaint investigation visit was conducted following a complaint received on 2025-02-18 regarding allegations of inadequate food service, unsafe food handling, discouragement of residents from reporting, yelling at residents, and lack of cleanliness in the facility.

The investigation found that the facility provides adequate and well-balanced meals, staff are certified in safe food handling, residents and witnesses reported no discouragement from reporting or yelling by staff, and the facility is kept clean according to schedules and observations. Therefore, all allegations were found to be unsubstantiated.

The complaint included allegations that facility staff did not provide adequate food service, did not ensure safe food handling, discouraged residents from reporting, yelled at residents, and did not keep the facility clean. After interviews with residents, staff, witnesses, and review of documents and observations, the allegations were found to be unsubstantiated due to lack of sufficient evidence.

An unannounced complaint investigation visit was conducted to investigate allegations regarding medication assistance timeliness, cleanliness of resident rooms, and quality of food provided to residents.

The investigation found no sufficient evidence to substantiate any of the allegations. Interviews with staff and residents, observations, and record reviews indicated that medication was administered timely, rooms and facility were kept clean, and food quality and portions were adequate.

The complaint investigation was unsubstantiated. Allegations included staff not providing timely medication assistance, failure to keep resident rooms clean, and providing poor quality food with small portions. After interviews, observations, and record reviews, the department found no preponderance of evidence to prove the alleged violations.

The visit was a Case Management visit conducted to review compliance with privacy regulations regarding surveillance cameras and adherence to admission requirements under section 1569.153 of the Health and Safety Code.

No deficiencies were observed during the visit. The facility's surveillance system was confirmed to have no audio capabilities, and the facility was found to be in compliance with admission regulations.

The visit was a Case Management visit conducted by Licensing Program Analyst Alfonso Iniguez to review an incident involving a resident pushing another resident, causing a fall, and to assess the facility's response and compliance.

No deficiencies were observed during the visit, and no citations were issued. The facility promptly assisted the residents involved in the incident and followed up with the primary care physician and families. The Executive Director stated this was the first time the resident exhibited aggressive behavior.

An unannounced Case Management visit was conducted following reports of a male dressed as a service worker entering community care facilities in the Westwood area.

The Licensing Program Analysts conducted a health and safety check, reviewed staff and resident rosters, observed video footage of the intruder, and reviewed staff in-service training. No deficiencies were observed and no citations were issued.

The inspection was an unannounced annual required visit conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.

The facility was found to be clean, sanitary, and appropriately furnished with no observed deficiencies. All safety equipment was operable, infection control practices were followed, and medication administration records showed no discrepancies.

The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff did not assist residents with wearing clean clothing, incontinence care, showering, meeting dietary needs, and using hearing aids.

The investigation included interviews with the administrator, staff, residents, and review of records. The evidence did not substantiate the allegations; residents and staff confirmed that assistance was provided as needed, and residents were generally independent or received appropriate support. The allegations were found to be unsubstantiated.

The complaint investigation was unsubstantiated. Allegations included failure to assist residents with wearing clean clothing, incontinence care, showering, dietary needs, and hearing aid use. Interviews and record reviews showed residents were either independent or received appropriate assistance, and refusals were documented and communicated to family and physicians.

An unannounced Annual visit was conducted as part of case management to evaluate compliance with licensing requirements and infection control practices.

The facility was found to have proper infection control practices, adequate resident accommodations, and proper medication management. Several staff files were missing required records, resulting in technical assistance deficiencies issued during the visit.

The visit was an unannounced required annual inspection of Belmont Village Westwood to assess compliance with licensing regulations.

The Licensing Program Analyst conducted a facility tour observing infection control practices, physical plant conditions, and resident accommodations. The facility was found to have appropriate infection control measures, adequate resident room furnishings, and safe common areas. The visit was not completed due to time constraints and will be resumed.

An unannounced complaint investigation was conducted due to an allegation that the facility's physical plant is unsafe, specifically concerning heavy or sharp objects on surfaces without anchoring.

The investigation found no sufficient evidence to support the allegation that the facility physical plant is unsafe. The Bureau of Fire Prevention did not find any fire safety violations, and the facility was found to be in compliance with Title 22 Regulations. The allegation was determined to be unsubstantiated.

The complaint alleged that life-threatening heavy or sharp objects on surfaces were not anchored, specifically bookcases and accent tables with ceramic pots and sharp-edge decorative materials. The Bureau of Fire Prevention inspected and recommended anchoring bookshelves to prevent falling hazards. The Executive Director confirmed a request was made to anchor all bookshelves. No health or safety violations were found, and the allegation was unsubstantiated.

The visit was an unannounced required annual inspection with a primary focus on Infection Control measures using the new CARE Inspection Tools.

The facility was found to have 9 active Covid-19 cases with an approved mitigation plan. Infection control practices, physical plant conditions, safety measures, and sanitation were observed and found compliant. No deficiencies were cited during the visit.

The visit was an unannounced complaint investigation conducted in response to an allegation that staff stole a resident's belongings.

The investigation found no preponderance of evidence to substantiate the allegation of staff stealing resident's belongings. Interviews with staff and residents, review of records, and observations supported an unsubstantiated finding.

The allegation was that staff stole a resident's ring. The investigation revealed no reports of stolen property to facility staff, and interviews with five staff members and five residents found no evidence of theft. The allegation was found to be unsubstantiated.

The visit was an unannounced complaint investigation conducted in response to an allegation that the facility changed a resident's medication without consent.

The investigation found that the facility administered medication (Xanax) to Resident #1 based on a physician's order, but the resident's responsible person was not fully informed about the medication change. After review of evidence and interviews, the allegation was determined to be unsubstantiated due to lack of preponderance of evidence.

Allegation: Facility changed resident's medication without consent. The allegation was unsubstantiated after investigation.

The inspection was an unannounced complaint investigation triggered by allegations that the facility was not following quarantine/isolation guidelines, staff were not trained to care for residents with COVID-19, and the administrator was not demonstrating good character.

The investigation found that all allegations were unsubstantiated based on interviews with staff and residents, review of training and PPE protocols, and observation of infection control measures. Staff and residents denied the allegations, and the facility demonstrated appropriate COVID-19 precautions and training.

The complaint investigation addressed three allegations: 1) Facility not following quarantine/isolation guidelines; 2) Staff not trained to care for residents with COVID-19; 3) Administrator not demonstrating good character. All allegations were found unsubstantiated after interviews and record reviews.

The visit was an unannounced required annual inspection with a primary focus on Infection Control measures using the new CARE Inspection Tools.

The facility was found to be clear of Covid-19 infection with an approved mitigation plan. Infection control practices were observed to be adequate, PPE supplies were available, and the physical plant was in good condition. No deficiencies were cited during the visit.