Inspection Reports for Westmont of Encinitas
1920 S El Camino Real, Encinitas, CA 92024, United States, CA, 92024
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Inspection Report
Annual Inspection
Census: 101
Capacity: 101
Deficiencies: 0
May 7, 2025
Visit Reason
Licensing Program Analyst conducted an unannounced Required Annual Inspection to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required safety equipment, furnishings, and records were in order, and the facility met all licensing standards.
Report Facts
Hospice waiver residents: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stefanie Ancheta | Resident Services Director | Met with Licensing Program Analyst during inspection and exit interview |
| Nacole Patterson | Licensing Program Analyst | Conducted the unannounced Required Annual Inspection |
Inspection Report
Census: 101
Capacity: 101
Deficiencies: 0
May 7, 2025
Visit Reason
The visit was an unannounced Case Management visit in response to two self-reported incidents involving two residents.
Findings
A wellness check was conducted with no health or safety issues identified and no deficiencies cited or observed during the visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stefanie Ancheta | Resident Services Director | Met with during the visit and involved in the exit interview. |
| Nacole Patterson | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Benjie Doctolero | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Complaint Investigation
Census: 97
Capacity: 101
Deficiencies: 0
Dec 3, 2024
Visit Reason
The visit was conducted in response to a self-reported incident of possible financial abuse of a resident.
Findings
The Licensing Program Analyst conducted an unannounced case management visit, interviewed staff and residents, and completed a wellness check. No health or safety issues were identified, and no deficiencies were cited or observed.
Complaint Details
The visit was complaint-related due to a self-reported incident of possible financial abuse of a resident. No deficiencies or substantiated issues were found.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Donelle Williams | Executive Director | Met with during the inspection and involved in exit interview. |
| Nacole Patterson | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Benjie Doctolero | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 101
Deficiencies: 0
May 31, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that a resident was sexually assaulted while in care.
Findings
The investigation included interviews with staff, residents, and review of records. The allegation was found to be unsubstantiated due to inconsistent statements from the resident, lack of evidence, no witnesses, and no corroborating reports.
Complaint Details
The complaint alleged a resident was sexually assaulted by Staff #1. The resident provided inconsistent statements and could not specify dates or times. The Sheriff's investigation found no evidence or witnesses, and no Sexual Assault Response Team exam was conducted. Staff denied the allegations. The allegation was unsubstantiated.
Report Facts
Capacity: 101
Census: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sabel Martinez | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings |
| Benjie Doctolero | Operation Specialist | Met with during the investigation and exit interview |
| Charles Bloom | Administrator | Facility administrator named in the report |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 101
Deficiencies: 0
Mar 12, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the licensee did not address a resident's change in condition, resulting in multiple falls.
Findings
The investigation found that the licensee updated the resident's care plan, communicated with the family and responsible party, monitored the resident's condition, and assisted with the transition to Hospice care. There was insufficient evidence to substantiate the allegation, and the complaint was unsubstantiated.
Complaint Details
The complaint alleged failure to address a resident's change in condition leading to numerous falls. The allegation was unsubstantiated based on interviews, observations, and records review.
Report Facts
Capacity: 101
Census: 80
Complaint control number: 08-AS-20240205151341
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation visit |
| Steven Harms | Senior Regional VP of Operations | Present during the investigation and exit interview |
| Angie De Asis | Business Office Director | Met with Licensing Program Analyst during the visit |
Inspection Report
Annual Inspection
Census: 80
Capacity: 101
Deficiencies: 0
Mar 12, 2024
Visit Reason
An unannounced required annual inspection was conducted to evaluate compliance with licensing requirements for the facility.
Findings
The facility was found to be clean, sanitary, and in good repair with no deficiencies cited. All required safety equipment, furnishings, and supplies were present and in working order.
Report Facts
Capacity: 101
Census: 80
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Steven Harms | Senior Regional VP of Operations | Met with Licensing Program Analyst during inspection and participated in exit interview |
| Nacole Patterson | Licensing Program Analyst | Conducted the inspection |
| Lizzette Tellez | Licensing Program Manager | Named in report header |
Inspection Report
Census: 82
Capacity: 101
Deficiencies: 0
Feb 13, 2024
Visit Reason
The visit was an unannounced Case Management visit conducted in response to the self-reported death of Resident 1 on 2024-02-11.
Findings
A wellness check was conducted at the facility with no health or safety issues identified. No deficiencies were cited or observed during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Randal Newton | Executive Director | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 101
Deficiencies: 1
Feb 6, 2024
Visit Reason
The visit was conducted in response to an LIC624 Incident Report submitted on 01/17/2024 regarding a medication error where Resident #1 received double doses of eight prescribed medications.
Findings
The investigation found that a documentation error by staff led to Resident #1 receiving double doses of medications, but no adverse health effects occurred. One deficiency was cited related to failure to assist the resident with self-administered medications as needed. A Plan of Correction was developed and technical violations and assistance were issued.
Complaint Details
The visit was complaint-related, triggered by a self-submitted incident report about a medication error involving Resident #1. The incident was substantiated with one deficiency cited.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Licensee did not assist 1 of 80 residents (R1) with self-administered medications as needed/prescribed, posing a potential health risk. | Type B |
Report Facts
Medications involved: 8
Deficiencies cited: 1
Observation period: 72
Plan of Correction due date: Mar 5, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dang Nguyen | Licensing Program Analyst | Conducted the inspection and authored the report |
| Lizzette Tellez | Licensing Program Manager | Supervisor of the inspection |
| Randal Newton | Executive Director | Facility administrator involved in the exit interview |
Inspection Report
Complaint Investigation
Census: 83
Capacity: 101
Deficiencies: 0
Oct 31, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility did not protect a resident from financial abuse.
Findings
The investigation included interviews with staff and residents and a review of relevant documents. It was found that the facility does not handle residents' personal finances but only business services for billing. The allegation of financial abuse was unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that resident #1 purchased and withdrew excessive funds due to prompting by resident #2. The investigation found that resident #1 has mild cognitive impairment but has assigned a power of attorney to assist with finances. The allegation was deemed unsubstantiated.
Report Facts
Capacity: 101
Census: 83
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carmen Lopez | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Katie Ferguson | Resident Service Director | Interviewed during the investigation and received the report |
| Denise Powell | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Census: 81
Capacity: 101
Deficiencies: 0
Apr 28, 2023
Visit Reason
The visit was an unannounced Case Management visit regarding an Incident Report submitted to the San Diego Regional Office by the Licensee.
Findings
During the visit, the Licensing Program Analyst toured the facility, conducted a resident interview, completed a Health and Safety check, and collected facility records. No deficiencies were cited during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Randal Newton | Executive Director | Met during the visit and participated in the exit interview. |
| Nacole Patterson | Licensing Program Analyst | Conducted the unannounced Case Management visit. |
| Lizzette Tellez | Licensing Program Manager | Named in the report header. |
Inspection Report
Annual Inspection
Census: 67
Capacity: 101
Deficiencies: 0
Jun 2, 2022
Visit Reason
An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with licensing requirements, including infection control measures.
Findings
No deficiencies were cited or observed during the inspection. The facility demonstrated compliance with infection control protocols and staff had current criminal record clearances.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Charles Bloom | Executive Director | Met with Licensing Program Analyst during inspection and received report copy. |
| Claire Molina | Resident Services Director | Met with Licensing Program Analyst during inspection. |
Inspection Report
Census: 46
Capacity: 101
Deficiencies: 0
Jan 27, 2022
Visit Reason
The Department conducted an on-site visit to provide technical assistance and to evaluate the facility's mitigation plan including disinfection, testing, vaccination, screening protocols, and use of personal protective equipment (PPE).
Findings
No deficiencies were cited during the visit. A walk-through of the facility was conducted and a debriefing was held with the Regional Director of Operations.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Ramon Serrano | Licensing Program Analyst | Conducted the on-site HAI assessment visit and evaluation. |
| Jennifer West | Public Health Nurse | Participated in the on-site HAI assessment visit. |
| Robert Montillano | Public Health Nurse | Participated in the on-site HAI assessment visit. |
| Maria Rossi | Regional Director of Operations | Met with the inspection team and participated in the debriefing. |
Inspection Report
Original Licensing
Capacity: 101
Deficiencies: 0
Jun 22, 2021
Visit Reason
An announced pre-licensing visit was conducted to observe the facility's compliance with Title 22, Division 6 regulations and the California health and safety code as part of the initial licensing process.
Findings
The facility was found to have proper furnishings, adequate linens, appropriate water temperatures, working fire extinguishers, operational smoke and carbon monoxide alarms, and sufficient space for activities. The facility met safety requirements including fire department clearance and secure storage for medications and records.
Report Facts
Facility capacity: 101
Census: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Charles Bloom | Administrator | Met with Licensing Program Analysts during the pre-licensing visit |
| Maria Rossi | Regional Director of Operations | Met with Licensing Program Analysts during the pre-licensing visit |
Inspection Report
Original Licensing
Capacity: 101
Deficiencies: 0
Jun 3, 2021
Visit Reason
The visit was an initial licensing evaluation conducted via telephone interview to verify the applicant/administrator's understanding of California Code Title 22 regulations and readiness for facility operation.
Findings
The applicant/administrator successfully completed the Component II evaluation, confirming understanding of licensing requirements including facility operation, admission policies, staffing, emergency preparedness, and complaint reporting.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Charles Bloom | Administrator | Participant in the Component II telephone interview verifying licensing readiness. |
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