Inspection Reports for Westmont of Carmel Valley

The visit was an unannounced Case Management - Incident inspection conducted in response to the licensee’s self-reported death of Resident #1 on 07/16/2025.

During the visit, no immediate safety concerns were found, and no deficiencies were observed or cited. The Licensing Program Analyst conducted a facility tour, welfare check, record review, and staff interviews.

The inspection was an unannounced complaint investigation visit triggered by an allegation received on 2025-05-05 that staff did not ensure the quantity of food was sufficient to meet a resident's needs.

The investigation included a facility tour, records review, and interviews with staff, residents, and outside sources. It was found that residents were provided multiple meal options and snacks throughout the day, and no evidence supported the allegation. The complaint was unsubstantiated.

The complaint alleged that staff did not ensure sufficient food quantity for Resident #1. The allegation was unsubstantiated based on observations, interviews, and records review.

An unannounced required 1-year annual inspection visit was conducted to evaluate compliance with licensing regulations.

The facility was found to be clean, well-maintained, and free from safety hazards. Staffing levels and training met requirements, resident care plans were comprehensive and up-to-date, medication administration was compliant, and health and safety protocols including infection control and emergency plans were in place. Overall, the facility complied with licensing regulations.

The inspection was an unannounced complaint investigation visit triggered by allegations that the facility's staff did not timely respond to resident signals/alerts and did not arrange medical care for a resident.

The investigation found that staff responded to 80.2% of resident pendant calls within 10 minutes and 86.3% within 15 minutes, with no deficiency cited. The allegation regarding failure to arrange medical care was found to be unfounded as the individual involved was a visitor, not a resident, and the delay in calling 911 was brief and not consequential.

The complaint involved two main allegations: 1) staff did not timely respond to resident signals/alerts, which was unsubstantiated after review of electronic data, staff interviews, and work schedules; 2) staff did not arrange medical care for a resident after a fall, which was unfounded as the person was a visitor, not a resident.

An unannounced complaint investigation was conducted due to allegations that staff did not issue medication as prescribed and did not maintain medication records accurately.

The investigation substantiated that the facility issued incorrect medication dosages and missed some medication doses for residents, and medication administration records were not accurately maintained. Another complaint regarding staff training was unsubstantiated.

The complaint was substantiated regarding medication errors and record keeping but unsubstantiated regarding staff training. The investigation included interviews, record reviews, and observations.

An announced Pre-Licensing visit was conducted to observe the facility’s physical plant for compliance with Title 22, Division 6 of the California Code of Regulations and California Health & Safety Code.

The facility was found clean, sanitary, and in good repair with compliant ambient temperature and hot water temperatures. The facility met regulatory requirements for safety, equipment, and storage, and passed the pre-licensing inspection.