Inspection Reports for Westmont of Carmel Valley
5720 Old Carmel Valley Rd, San Diego, CA 92130, United States, CA, 92130
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, including the most recent report from July 21, 2025, which was clean and found no safety concerns following a self-reported resident death. A complaint investigation in May 2024 substantiated medication errors and incomplete record keeping that posed potential health risks, but no enforcement actions or fines were listed in the available reports. Other complaint investigations, including those in May and November 2025, were unsubstantiated or unfounded, and annual and pre-licensing inspections showed the facility was well-maintained with proper staffing and care practices. The facility appears to have addressed earlier medication management issues, as no deficiencies were cited in subsequent inspections. Overall, the record shows improvement over time with isolated issues primarily related to medication handling in the past.
Deficiencies per Year
4
3
2
1
0
Moderate
Census Over Time
Census
Capacity
Inspection Report
Census: 133
Capacity: 138
Deficiencies: 0
Jul 21, 2025
Visit Reason
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.
Findings
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.
Report Facts
Census correction: 133
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Amy Banaga | Executive Director | Met with Licensing Program Analyst during inspection |
| Le Sutton | Resident Services Director | Met with Licensing Program Analyst during inspection |
| Dang Nguyen | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 124
Capacity: 138
Deficiencies: 0
May 13, 2025
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 138
Census: 124
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Hannah Rodgers | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Le Sutton | Resident Services Director | Met with the Licensing Program Analyst during the investigation |
Inspection Report
Annual Inspection
Census: 96
Capacity: 138
Deficiencies: 0
Nov 22, 2024
Visit Reason
An unannounced required 1-year annual inspection visit was conducted to evaluate compliance with licensing regulations.
Findings
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.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Chad Boeddeker | Executive Director | Met with during inspection and signed receipt of report |
| Renita Hall | Licensing Program Analyst | Conducted the inspection |
| Le Sutton | LVN | Present during inspection |
Inspection Report
Complaint Investigation
Census: 103
Capacity: 138
Deficiencies: 0
Nov 19, 2024
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Resident pendant calls: 227
Calls answered within 10 minutes: 182
Calls answered within 15 minutes: 206
Facility capacity: 138
Census: 103
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Allen Boeddeker | Executive Director | Facility representative met during the investigation and exit interview |
| Lizzette Tellez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 138
Deficiencies: 2
May 24, 2024
Visit Reason
An unannounced complaint investigation was conducted due to allegations that staff did not issue medication as prescribed and did not maintain medication records accurately.
Findings
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.
Complaint Details
The complaint was substantiated regarding medication errors and record keeping but unsubstantiated regarding staff training. The investigation included interviews, record reviews, and observations.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Licensee did not issue medications as prescribed in 2 of 70 persons in care which posed a potential health risk. | Type B |
| Licensee did not maintain record of medication dose in 1 of 70 residents which posed a potential health risk. | Type B |
Report Facts
Capacity: 138
Census: 70
Residents with medication errors: 2
Residents with medication record deficiencies: 1
Plan of Correction Due Date: Jun 7, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Iby Strong | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Chad Boeddeker | Executive Director | Facility representative interviewed during investigation |
| Maria Rossi | Administrator | Facility administrator named in the report |
| Simon Jacob | Licensing Program Manager | Oversaw the licensing program and signed the report |
Inspection Report
Original Licensing
Census: 17
Capacity: 138
Deficiencies: 0
Nov 22, 2023
Visit Reason
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.
Findings
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.
Report Facts
Hot water temperature: 71
Hot water temperature: 114.1
Hot water temperature: 115.3
Hot water temperature: 107.1
Hot water temperature: 116.6
Hot water temperature: 114.1
Hot water temperature: 117.1
Hot water temperature: 116.4
Hot water temperature: 118.4
Hot water temperature: 109.2
Hot water temperature: 110.3
Hot water temperature: 109.9
Hot water temperature: 117.5
Hot water temperature: 107.2
Hot water temperature: 111
Hot water temperature: 118.4
Hot water temperature: 118.8
Refrigerator temperature: 40
Freezer temperature: 0
Freezer temperature: -13
Freezer temperature: 0
Refrigerator temperature: 39
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Maria Rossi | Regional Vice President of Operations | Applicant's representative met during the pre-licensing visit |
| Dang Nguyen | Licensing Program Analyst | Conducted the pre-licensing visit and inspection |
| Lizzette Tellez | Licensing Program Manager | Named in the report as Licensing Program Manager |
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