Facility Evaluation Report

Westminster Terrace, Westminster04/25/2025Licence 306006195

Capacity152
Census110
Date signed04/25/2025 05:38:02 PM
Name of licensing program analystMichael Tea
Name of licensing program managerAlisa Ortiz
The inspector’s account

Licensing Program Analyst (LPA) Michael Tea conducted a case management visit to follow up on a co-complaint report received by Community Care Licensing (CCL) on April 8, 2025, in regard to the facility not changing resident’s sheets on a regular weekly basis.

LPA spoke to Executive Director Carmen Galicia regarding linens and bedding. She said that facility does change the residents’ sheets on a weekly basis. Per interview with Staff 1 (S1), they reiterate that housekeeping does change the sheets at least once a week, in some cases, some residents do need reminders to change their sheets. ED Galicia stated some residents do refuse to change their bedding sheets, but she redirects those residents stating its for health and hygienic problems and they do comply with changing their bedding. ED Galicia provided LPA invoices from Mission Linen Supply, who supplies their weekly bedding and linen supplies for the facilities. From the inventory invoices it shows they maintain on average of 160 quantities of various types of bedding, sheets and linens that is replenished weekly for the 110 residents currently residing at the facility. LPA interviewed residents, per interviews 8 out of 11 residents interviewed said that the facility does change the sheets at least once a week. Some residents have also stated they can request new sheets whenever they want.

Based on LPA Tea's observations and interviews conducted, and records reviewed the allegation facility is not changing residents sheets on a regular weekly basis has been determined to be unsubstantiated meaning that although the allegations may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violations occurred.

No deficiencies cited at this time and an exit interview was conducted with ED Carmen Galicia. A copy of the report was provided to the facility.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction