Inspection Reports for
Westmont of Cypress
4889 Katella Ave, Cypress, CA 90720, United States, CA, 90720
Back to Facility ProfileDeficiencies (last 6 years)
Deficiencies (over 6 years)
0.2 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
95% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Occupancy
Latest occupancy rate
89% occupied
Based on a January 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy rate over time
Inspection Report
Follow-Up
Census: 135
Capacity: 152
Deficiencies: 1
Date: Jan 13, 2026
Visit Reason
An unannounced Case Management visit was conducted to follow up on an incident report received regarding an elopement incident involving Resident 1 on December 25, 2025.
Findings
The facility failed to adequately supervise Resident 1, who eloped from the facility and was found in a nearby hotel lobby, posing a potential health and safety risk. The resident's care plan and physician's report indicated a need for supervision, which was not met.
Deficiencies (1)
Failure to ensure care and supervision were provided to Resident 1, who eloped out of the facility on 12/25/25 and was found in a nearby hotel lobby, posing a potential health and safety risk.
Report Facts
Capacity: 152
Census: 135
Plan of Correction Due Date: Jan 20, 2026
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nancy Rodriguez | Executive Director | Met with Licensing Program Analyst and discussed incident |
| Jenifer Tirre | Licensing Program Analyst | Conducted the unannounced Case Management visit and authored the report |
| Lourdes Montoya | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 140
Capacity: 152
Deficiencies: 0
Date: Dec 8, 2025
Visit Reason
The inspection was an unannounced required annual visit conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be in compliance with all licensing requirements with no deficiencies noted. The physical plant, infection control practices, medication records, fire safety, and personnel files were all observed to be satisfactory.
Report Facts
Hospice residents present: 9
Medication records reviewed: 10
Resident service files reviewed: 13
Staff personnel files reviewed: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nancy Rodriguez | Executive Director | Facility administrator/director present during inspection and named in report |
| Jenifer Tirre | Licensing Program Analyst | Conducted the inspection visit |
| Lourdes Montoya | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 141
Capacity: 152
Deficiencies: 0
Date: Nov 14, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff do not ensure resident medications are given as prescribed.
Complaint Details
The complaint alleging staff do not ensure resident medications are given as prescribed was investigated and found to be unfounded, meaning the allegation was false or without reasonable basis.
Findings
The investigation included a review of resident records, staff interviews, and documentation. It was found that the allegation was unfounded as medication administration was consistent with physician orders and no medication errors were identified.
Report Facts
Facility Capacity: 152
Census: 141
Medication Order Dates: 200
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Nancy Rodriguez | Executive Director | Met with during inspection and exit interview |
| Jenifer Tirre | Licensing Program Analyst | Conducted the complaint investigation |
| Lourdes Montoya | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Annual Inspection
Census: 134
Capacity: 152
Deficiencies: 0
Date: Mar 10, 2025
Visit Reason
An unannounced required annual visit was conducted by Licensing Program Analyst Fred Arias to evaluate compliance with regulations for the facility licensed for 152 non-ambulatory residents.
Findings
The facility was found to be in compliance with no deficiencies cited. The physical plant, resident units, emergency plans, food supply, and staff and resident files were all reviewed and found satisfactory.
Report Facts
Residents in Memory Care Unit: 20
Hospice waiver capacity: 25
Staff files reviewed: 5
Resident files reviewed: 10
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Fred Arias | Licensing Program Analyst | Conducted the inspection and evaluation |
| Nancy Rodriguez | Executive Director | Facility representative who conducted the facility tour and provided documentation |
Inspection Report
Annual Inspection
Census: 134
Capacity: 152
Deficiencies: 0
Date: 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
Date: Jul 30, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that staff were not delivering meals to residents timely.
Complaint Details
The complaint alleged that staff were not delivering meals to residents timely. The allegation was investigated and found unsubstantiated.
Findings
The investigation found that 11 of 12 interviewed 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.
Report Facts
Capacity: 152
Census: 130
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Haley | Licensing Program Analyst | Conducted the complaint investigation visit |
| Patrick Frazier | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 130
Capacity: 152
Deficiencies: 0
Date: Jul 30, 2024
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that staff were not meeting the needs of residents and were not answering resident calls for assistance timely.
Complaint Details
The complaint investigation was triggered by allegations that staff were not meeting resident needs and were not responding timely to resident calls. The allegations were deemed unfounded based on interviews and evidence gathered.
Findings
After interviewing 12 individuals including residents and staff, all allegations were found to be unsubstantiated. Residents denied the allegations and confirmed that staff assist them when needed and respond to calls for assistance promptly.
Report Facts
Capacity: 152
Census: 130
Individuals interviewed: 12
Residents interviewed: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jerome Haley | Licensing Evaluator | Conducted the complaint investigation |
| Lourdes Montoya | Supervisor | Supervisor overseeing the investigation |
| Patrick Frazier | Administrator | Facility administrator mentioned in the report |
Inspection Report
Complaint Investigation
Census: 130
Capacity: 152
Deficiencies: 0
Date: Jul 30, 2024
Visit Reason
An unannounced complaint investigation was conducted regarding an allegation that staff were not delivering meals to residents timely.
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.
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.
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
Date: 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.
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.
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.
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
Date: Aug 1, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging that facility staff did not provide toilet paper to residents.
Complaint Details
The complaint alleged that facility staff did not provide toilet paper to residents. The allegation was investigated through interviews, observations, and documentation and was found to be unsubstantiated.
Findings
The investigation found that residents in both Memory Care and Assisted Living received toilet paper as part of housekeeping services, and resident restrooms contained toilet paper. Residents in independent living were asked to provide their own toiletries if they preferred specific types. The allegation was deemed unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility 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 the Licensing Program Analyst during the investigation |
| Patrick Frazier | Administrator | Named as facility administrator |
| Luz Adams | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 140
Capacity: 152
Deficiencies: 0
Date: 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.
Complaint Details
The complaint alleging that facility staff did not provide toilet paper to residents was investigated and found to be unsubstantiated.
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.
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
Date: Mar 10, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-11-28 regarding allegations that facility staff did not meet residents' showering needs and did not provide meals of the quality necessary to meet residents' needs.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included failure to meet residents' showering needs and inadequate meal quality. Interviews and documentation showed individualized shower schedules and meal options with alternatives. Resident feedback was mostly positive, and no preponderance of evidence supported the allegations.
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. Residents generally reported satisfaction with showering assistance and meal quality, and facility practices were consistent with policies.
Report Facts
Residents on weekly shower schedules: 54
Number of residents interviewed: 7
Staffing counts: 3
Staffing counts: 2
Staffing counts: 5
Staffing counts: 6
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Jenifer Tirre | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Sheryl McCaskill | Executive Director | Met with Licensing Program Analyst during the investigation |
| Patrick Frazier | Administrator | Facility administrator named in the report |
| Luz Adams | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 132
Capacity: 152
Deficiencies: 0
Date: 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.
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.
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.
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
Date: 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.
Complaint Details
The complaint alleged that staff did not prevent an infestation of bed bugs. The allegation was investigated and found to be unfounded.
Findings
The investigation found that bed bugs were present in one resident's unit and treated with a scheduled extermination protocol. No evidence of bed bugs was found in the second unit. The allegation that staff did not prevent an infestation of bed bugs was deemed unfounded.
Report Facts
Capacity: 152
Census: 136
Number of weekly extermination interventions: 3
Number of 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 the Licensing Program Analyst during the visit |
| Sheila Santos | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 136
Capacity: 152
Deficiencies: 0
Date: 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.
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.
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.
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
Date: Nov 1, 2022
Visit Reason
Licensing Program Analysts conducted an unannounced required annual investigation focusing on Infection Control procedures 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, visitor screening, and medication management were found to be in compliance. No deficiencies or violations were explicitly noted in the report.
Report Facts
Residents in Memory Care Unit: 21
Visit start time: 9
Visit end time: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Patrick Frazier | Executive Director | Facility representative who greeted LPAs and participated in the tour and exit interview |
| Kevin Saborit-Guasch | Licensing Evaluator | Licensing Program Analyst conducting the inspection |
| Alvaro Ramirez Jr | Licensing Program Analyst | Licensing Program Analyst conducting the inspection |
Inspection Report
Annual Inspection
Census: 133
Capacity: 152
Deficiencies: 0
Date: 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
Date: Dec 3, 2021
Visit Reason
The visit was conducted as a pre-licensing inspection for a Residential Care Facility for the Elderly to evaluate the facility's readiness for licensure.
Findings
The facility was found to meet the requirements for licensure, with adequate accommodations, safety measures, and posted policies. The licensure process was informed that the facility is ready for final approval.
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 during inspection |
| Robert Henderson | Administrator | Facility administrator |
Inspection Report
Original Licensing
Capacity: 152
Deficiencies: 0
Date: 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
Date: Aug 27, 2021
Visit Reason
Initial licensing evaluation conducted via telephone call with applicant and administrator to confirm understanding of Title 22 and review application documents.
Findings
Applicant and administrator successfully completed Component II, demonstrating understanding of facility operation, staff qualifications, program policies, and compliance requirements. COVID-19 mitigation plan was discussed and emailed.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Andrew Plant | Applicant/administrator | Participated in Component II telephone call confirming understanding of Title 22. |
| Samuel Faye | Applicant/administrator | Participated in Component II telephone call confirming understanding of Title 22. |
Inspection Report
Original Licensing
Capacity: 166
Deficiencies: 0
Date: 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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