Inspection Reports for Westmont of Cypress
4889 Katella Ave, Cypress, CA 90720, United States, CA, 90720
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, including the most recent annual inspection on March 10, 2025, which was fully compliant with no issues cited. Several complaint investigations between 2023 and 2024 were conducted but all were unsubstantiated, involving concerns such as timely meal delivery, resident care responsiveness, and provision of supplies. The facility’s infection control and medication storage procedures were noted as satisfactory in prior annual inspections. No fines, enforcement actions, or severe deficiencies were reported in any inspections. This record shows a consistent pattern of compliance and responsiveness to complaints without evidence of serious problems.
Deficiencies per Year
4
3
2
1
0
Census Over Time
Census
Capacity
Inspection Report
Annual Inspection
Census: 134
Capacity: 152
Deficiencies: 0
Mar 10, 2025
Visit Reason
An unannounced required annual visit was conducted by Licensing Program Analyst Fred Arias to evaluate the facility's compliance with regulations.
Findings
The facility was found to be in full compliance with no deficiencies cited. The physical plant, resident care, staff files, medication storage, and emergency plans were all reviewed and found satisfactory.
Report Facts
Residents in care: 114
Hospice waiver capacity: 25
Emergency drill date: Feb 26, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Fred Arias | Licensing Program Analyst | Conducted the inspection and authored the report |
| Nancy Rodriguez | Executive Director | Facility representative who conducted the facility tour and provided documentation |
| Patrick Frazier | Administrator/Director | Named as facility administrator/director |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 130
Capacity: 152
Deficiencies: 0
Jul 30, 2024
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff were not delivering meals to residents timely.
Findings
The investigation found that 11 of 12 interviewed individuals, including residents and staff, were unable to corroborate the allegation. Staff explained meals were ordered a day early to ensure timely delivery, and records showed residents received meals every time. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff were not delivering meals to residents timely. The allegation was investigated through interviews and document review and was found unsubstantiated.
Report Facts
Capacity: 152
Census: 130
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Haley | Licensing Program Analyst | Conducted the complaint investigation and made the unannounced visit |
| Lourdes Montoya | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 130
Capacity: 152
Deficiencies: 0
Jul 30, 2024
Visit Reason
An unannounced complaint investigation was conducted following a complaint received on 2024-07-24 regarding allegations that staff were not meeting the needs of residents and not answering resident calls for assistance timely.
Findings
After interviewing 12 individuals including residents and staff, the allegations were found to be unsubstantiated. All 7 residents interviewed denied the allegations, and the investigation concluded the allegations were unfounded.
Complaint Details
The complaint involved allegations that staff were not meeting the needs of residents and were not responding timely to resident calls for assistance. The investigation found these allegations to be unfounded based on interviews and evidence.
Report Facts
Capacity: 152
Census: 130
Number of individuals interviewed: 12
Number of residents interviewed: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Haley | Licensing Program Analyst | Conducted the complaint investigation |
| Lourdes Montoya | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 140
Capacity: 152
Deficiencies: 0
Aug 1, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that facility staff did not provide toilet paper to residents.
Findings
The investigation found that residents in both Memory Care and Assisted Living received toilet paper as part of housekeeping services, and restrooms contained toilet paper. Residents in independent living were responsible for their own toiletries if they requested specific types. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleging that facility staff did not provide toilet paper to residents was investigated and found to be unsubstantiated.
Report Facts
Capacity: 152
Census: 140
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenifer Tirre | Licensing Program Analyst | Conducted the complaint investigation and made the unannounced visit |
| Sheryl McCaskill | Executive Director | Met with Licensing Program Analyst during the investigation |
| Patrick Frazier | Facility Administrator | |
| Luz Adams | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 132
Capacity: 152
Deficiencies: 0
Mar 10, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff did not meet residents' showering needs and did not provide meals of the quality necessary to meet residents' needs.
Findings
The investigation included interviews, observations, and documentation review. The allegations were found to be unsubstantiated due to conflicting information and lack of sufficient evidence to prove the violations occurred as reported.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to meet residents' showering needs and inadequate meal quality. Interviews revealed individualized shower schedules and meal options with alternatives. Resident feedback was mostly positive. The Licensing Program Analyst was unable to determine if violations occurred due to insufficient evidence.
Report Facts
Residents interviewed: 7
Residents on weekly shower schedules: 54
Meals provided per day: 3
Facility capacity: 152
Facility census: 132
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jenifer Tirre | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Sheryl McCaskill | Executive Director | Met with Licensing Program Analyst during the investigation |
| Patrick Frazier | Administrator | Facility administrator named in report header |
Inspection Report
Complaint Investigation
Census: 136
Capacity: 152
Deficiencies: 0
Jan 19, 2023
Visit Reason
An unannounced visit was conducted to investigate a complaint alleging that staff did not prevent an infestation of bed bugs at the facility.
Findings
The investigation found that bed bugs were present in one unit and treated with a scheduled extermination protocol. No evidence of bed bugs was found in other units. The allegation was deemed unfounded as the infestation was addressed appropriately and no staff negligence was found.
Complaint Details
The complaint alleged staff did not prevent an infestation of bed bugs. The investigation included resident record reviews, staff and resident representative interviews, and a tour of the affected unit. The allegation was found to be unfounded.
Report Facts
Facility capacity: 152
Census: 136
Treatment interventions: 3
Units involved in treatment: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the complaint investigation |
| Patrick Frazier | Executive Director | Facility administrator who granted entry and was involved in the investigation |
| Patrick Stewart | Executive Director | Met with Licensing Program Analyst during the visit |
| Sheila Santos | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 133
Capacity: 152
Deficiencies: 0
Nov 1, 2022
Visit Reason
An unannounced required annual investigation focusing on Infection Control procedures was conducted at the facility.
Findings
The facility was observed to be clean, sanitary, and well maintained with residents appearing happy and well cared for. Infection control measures including COVID-19 screening, PPE availability, and visitor screening were in place and functioning. Medication storage and destruction procedures were secure and appropriate. The facility requested and provided documentation such as the fire panel inspection and staff roster as required.
Report Facts
Residents in Memory Care Unit: 21
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Patrick Frazier | Executive Director | Met with Licensing Program Analysts during the inspection and greeted them |
| Kevin Saborit-Guasch | Licensing Program Analyst | Conducted the inspection |
| Alvaro Ramirez Jr | Licensing Program Analyst | Conducted the inspection |
| Alisa Ortiz | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Original Licensing
Capacity: 152
Deficiencies: 0
Dec 3, 2021
Visit Reason
The inspection visit was conducted as a pre-licensing inspection for a Residential Care Facility for the Elderly with a capacity of 152 non-ambulatory residents.
Findings
The facility was found to meet the requirements for licensure, with adequate accommodations, safety features, emergency systems, and posted policies. The facility was deemed ready for licensure and final approval was to be processed by the Central Applications Unit.
Report Facts
Facility capacity: 152
Census: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shobhana Frank | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Samuel Feya | Executive Director | Facility representative who accompanied the inspection and participated in Component III |
| Robert Henderson | Administrator | Facility administrator named in the report header |
| Marina Stanic | Licensing Program Manager | Named as Licensing Program Manager overseeing the inspection |
Inspection Report
Original Licensing
Capacity: 166
Deficiencies: 0
Aug 27, 2021
Visit Reason
Initial licensing evaluation conducted via telephone call to assess applicant and administrator understanding of licensing requirements and program policies.
Findings
The applicant and administrator successfully completed the evaluation, demonstrating understanding of facility operation, staff qualifications, program policies, and compliance requirements. The COVID-19 Mitigation Plan was also discussed and a PIN was emailed.
Report Facts
Capacity: 166
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Robert Henderson | Administrator | Facility administrator mentioned in relation to the licensing evaluation |
| Andrew Plant | Applicant/administrator | Participated in the licensing evaluation via telephone call |
| Samuel Faye | Applicant/administrator | Participated in the licensing evaluation via telephone call |
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