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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331880776
Report Date: 09/23/2026
Date Signed: 09/23/2026 11:30:15 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/13/2026 and conducted by Evaluator Valerie Flores
COMPLAINT CONTROL NUMBER: 18-AS-20260413163843
FACILITY NAME:WESTMONT OF RIVERSIDEFACILITY NUMBER:
331880776
ADMINISTRATOR:MONYA HENRYFACILITY TYPE:
740
ADDRESS:17050 ARNOLD DRIVETELEPHONE:
(951) 697-2000
CITY:RIVERSIDESTATE: CAZIP CODE:
92518
CAPACITY:225CENSUS: 207DATE:
09/23/2026
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Executive Director Michael FountainTIME COMPLETED:
12:30 PM
ALLEGATION(S):
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The facility is not adhering to the admission agreement and is requiring the resident to pay for services not agreed upon
INVESTIGATION FINDINGS:
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On 9/22/2026, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced visit to the facility for the purpose of delivering the complaint findings into the allegation listed above. LPA Flores met with Executive Director Michael Fountain and explained the purpose of the visit. The investigation is summarized as follows:

On 4/13/2026, Community Care Licensing (CCL) receive information alleging the facility is adhering to the admission agreement and is requiring Resident #1 (R1) to pay for services not agreed upon. An interview conducted with Witness #1 (W1) reports that upon admission, the prior Executive Director agreed that it was appropriate for Resident #2 to administer R1 their medication. An interview with Staff #1 (S1) reports that during a reappraisal of R1, R1 began displaying early signs of cognitive impairment. S1 report that W1 was in attendance to the reappraisal and disrupted the assessment as W1 became unhappy with the results of the assessment. S1 explained that R1 was requiring assistance with medication management.
(Continue to LIC9099C)
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 18-AS-20260413163843
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: WESTMONT OF RIVERSIDE
FACILITY NUMBER: 331880776
VISIT DATE: 09/23/2026
NARRATIVE
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(Continuation from LIC9099)

S1 reports that due to liability purposes, the facility cannot allow another resident to be responsible for administering R1's medication properly. A records review of R1's admission agreement does not note any prior agreements made between the previous Executive Director. Admission agreement detailed that the facility may create an addendum to the admission agreement if level of care increases.

Therefore, the allegation of the facility is not adhering to the admission agreement and is requiring the resident to pay for services not agreed upon is deemed unfounded. A finding that the allegation is unfounded meaning that the allegation was false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted and a copy of this report was provided to Executive Director Michael Fountain.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Valerie Flores
LICENSING EVALUATOR SIGNATURE:

DATE: 09/23/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/23/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2