Inspection Reports for The Watermark at Almaden
4610 Almaden Expy, San Jose, CA 95118, United States, CA, 95118
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with regulations. The facility’s most recent report on July 22, 2025, was a complaint investigation with no deficiencies cited and allegations found to be unfounded. Past issues included a serious deficiency in August 2023 when a resident was left unattended, posing an immediate safety risk, and a $1,500 fine in December 2022 for staff fingerprinting noncompliance. Other complaints over time involved concerns about medication management, resident care, and environment, but these were mostly unsubstantiated or resolved without citations. The facility appears to have improved since the serious events, with no deficiencies noted in recent inspections.
Deficiencies (last 6 years)
Deficiencies (over 6 years)
1.3 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
68% better than California average
California average: 4 deficiencies/yearDeficiencies per year
8
6
4
2
0
Census
Latest occupancy rate
69% occupied
Based on a July 2025 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Census over time
Inspection Report
Complaint Investigation
Capacity: 240
Deficiencies: 0
Date: Jul 22, 2025
Visit Reason
The visit was an unannounced Case Management - Incident inspection conducted in response to an Incident Report received on 2025-07-16 alleging staff yelling at a resident.
Complaint Details
The complaint involved a resident reporting hearing two staff yelling at another resident, but the resident could not identify the staff or residents involved. Interviews with four staff and the resident did not corroborate the allegation. The resident's medical and service records indicated no cognitive impairments affecting reliability. The allegations were determined to be unfounded.
Findings
The investigation found the allegations to be unfounded based on interviews with staff and the resident, and review of the resident's records. No deficiencies were cited.
Report Facts
Facility capacity: 240
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brenda Ritter | Interim Executive Director | Met with during the inspection and stated the purpose of the visit |
| Simranjit Rai | Licensing Program Analyst | Conducted the unannounced Case Management - Incident visit |
| Romeo Manzano | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Capacity: 240
Deficiencies: 0
Date: Jul 22, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2025-05-06 regarding staff treatment of residents, adequacy of food service, and supervision of fall-risk residents.
Complaint Details
The complaint included allegations that facility staff did not treat residents with dignity and respect, did not provide adequate food service, and failed to supervise residents at fall risk. After interviews, observations, and record reviews, the allegations were determined to be unsubstantiated.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Observations and staff interviews indicated that residents were treated with dignity and respect, food service was adequate, and fall-risk residents were supervised appropriately.
Report Facts
Facility capacity: 240
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation and observations |
| Romeo Manzano | Licensing Program Manager | Oversaw the complaint investigation |
| Corey Miller | Administrator | Facility administrator during the investigation |
| Brenda Ritter | Interim Executive Director | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 165
Capacity: 240
Deficiencies: 0
Date: Jul 3, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2024-12-31 regarding facility staff not allowing a resident to make phone calls and withholding a resident's personal check without their knowledge.
Complaint Details
The complaint involved allegations that facility staff did not allow resident R1 to make phone calls and withheld R1's personal check without their knowledge. The investigation included interviews with seven staff members and the resident, review of the resident's physician report and financial arrangements, and attempts to contact the resident's responsible party. The allegations were found to be unfounded.
Findings
The investigation found the allegations to be unfounded after interviews with staff and the resident, review of records, and observation. The resident was able to make phone calls on their personal cellphone, and the facility did not withhold the resident's personal check.
Report Facts
Complaint Control Number: 26
Staff interviewed: 7
Resident interviewed: 1
Date complaint received: Dec 31, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation |
| Melissa Lummis | Business Office Director | Met with Licensing Program Analyst during investigation and exit interview |
| Corey Miller | Administrator | Facility administrator named in report header |
| Romeo Manzano | Licensing Program Manager | Named as Licensing Program Manager overseeing investigation |
Inspection Report
Complaint Investigation
Census: 165
Capacity: 240
Deficiencies: 0
Date: Jul 3, 2025
Visit Reason
The visit was conducted as a complaint investigation following allegations that facility staff were not answering residents' call buttons and were not providing incontinence care at night.
Complaint Details
The complaint included allegations that facility staff were not answering residents' call buttons and were not providing incontinence care at night. The allegations were found to be unfounded after investigation.
Findings
The investigation found the allegations to be unfounded based on staff interviews, resident refusals to be interviewed, and review of call button reports and incontinence care records. No deficiencies were cited.
Report Facts
Census: 165
Total Capacity: 240
Number of staff interviewed: 5
Number of residents interviewed: 5
Call button report months reviewed: 2
Residents reviewed for incontinence care: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Melissa Lummis | Business Office Director | Met with Licensing Program Analyst during the visit and exit interview |
| Romeo Manzano | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Census: 167
Capacity: 240
Deficiencies: 0
Date: Jun 23, 2025
Visit Reason
The visit was an unannounced case management follow-up on an Incident Report and Death Report concerning a resident who sustained an unwitnessed fall and subsequently passed away at the hospital.
Findings
The Licensing Program Analyst reviewed the incident and death reports, obtained relevant medical and service documents, and determined that further investigation is needed regarding the case management of the incident.
Report Facts
Capacity: 240
Census: 167
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brenda Ritter | Executive Director | Met with Licensing Program Analyst during the visit and discussed the incident |
| Simranjit Rai | Licensing Program Analyst | Conducted the unannounced case management visit |
| Romeo Manzano | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 140
Capacity: 240
Deficiencies: 0
Date: Mar 7, 2025
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility did not maintain the fuel/diesel for the back-up power generator causing power outages.
Complaint Details
The complaint alleged failure to maintain fuel for the back-up power generator causing power outages. The allegation was found to be unfounded after interviews and document review.
Findings
The investigation found that the allegation was unfounded. The power outage on 4/22/2024 was due to low fuel in the generator maintained by a third-party vendor, not the facility. No deficiencies were cited.
Report Facts
Capacity: 240
Census: 140
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wes McKinley | Maintenance Director | Interviewed during complaint investigation and exit interview |
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation |
| Romeo Manzano | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 166
Capacity: 240
Deficiencies: 0
Date: Dec 19, 2024
Visit Reason
An unannounced annual inspection visit was conducted to evaluate compliance with licensing requirements and facility operations.
Findings
The inspection included a tour of the facility, review of resident and staff records, and safety checks. No deficiencies were cited during the visit, and all safety equipment and supplies were found to be in order.
Report Facts
Residents in assisted living: 135
Residents in memory care: 31
Staff records reviewed: 5
Resident records reviewed: 5
Resident medications reviewed: 5
Staff interviewed: 2
Residents interviewed: 4
Room temperature: 70
Hot water temperature range: 114
Hot water temperature range: 116
Fire extinguisher service date: Nov 2, 2024
Sprinkler system inspection date: 202409
Last drill date: Oct 7, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corey Miller | Administrator | Met with Licensing Program Analyst during the inspection and provided census information |
| Manuel Monter | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Complaint Investigation
Capacity: 240
Deficiencies: 0
Date: Dec 16, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on 2023-06-14 alleging multiple issues including billing for services not rendered, failure to adhere to dietary restrictions, lack of dental hygiene assistance, and failure to follow the resident's Needs and Services Plan.
Complaint Details
The complaint included allegations that the facility billed a resident for services not rendered, staff did not adhere to dietary restrictions, did not assist with dental hygiene, and did not follow the resident's Needs and Services Plan. The investigation concluded the allegations were unsubstantiated or unfounded based on interviews, record reviews, and observations.
Findings
The investigation found that the allegations were either unfounded or unsubstantiated. The facility reimbursed a resident for billing errors, staff followed dietary orders as per physician instructions, and residents received appropriate dental hygiene reminders and assistance as documented. No deficiencies were cited.
Report Facts
Facility capacity: 240
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation visit |
| Corey Miller | Executive Director | Met with Licensing Program Analyst during the investigation |
| Julie May Estrellado | Administrator | Facility administrator named in the report |
| Romeo Manzano | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 147
Capacity: 240
Deficiencies: 0
Date: Dec 16, 2024
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 2024-06-10 regarding failure to submit death and incident reports and failure to maintain room temperatures within a comfortable range.
Complaint Details
The complaint alleged the facility did not submit a Death Report for a resident, did not submit Incident Reports for positive COVID-19 cases, and did not maintain room temperatures between 78 and 85 degrees Fahrenheit. The investigation concluded these allegations were unfounded.
Findings
The investigation found all allegations to be unfounded. The facility submitted required death and incident reports timely, and temperatures in resident rooms and common areas were maintained within the required range of 78 to 85 degrees Fahrenheit.
Report Facts
Capacity: 240
Census: 147
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Corey Miller | Executive Director | Met with Licensing Program Analyst during the investigation |
| Ronald Ellenich | Administrator | Facility administrator named in the report |
| Romeo Manzano | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 147
Capacity: 240
Deficiencies: 0
Date: Dec 16, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2023-09-07 alleging multiple issues including inadequate incontinence care, missed meal service, resident wearing the same clothing for over 24 hours, lack of snack provision, resident injury due to safety concerns, and inadequate staffing.
Complaint Details
The complaint included allegations that facility staff did not check residents for incontinence care, forgot to serve a meal, allowed a resident to wear the same clothing for at least 24 hours, did not provide snacks prior to supplemental fees, failed to ensure resident safety resulting in injury, and did not have adequate staffing. The investigation involved interviews with staff, residents, and review of care plans and records. The complaint was found to be unsubstantiated.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff interviews, resident interviews, and record reviews indicated that care and services were generally provided as required. The allegations were determined to be unsubstantiated and no deficiencies were cited.
Report Facts
Complaint Control Number: 26-AS-20230907100701
Number of residents present (census): 147
Total licensed capacity: 240
Staffing levels: 2-3 care staff and 1 Medication Technician per shift (morning and afternoon), 1-2 care staff and 1 Medication Technician during nocturnal shift
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corey Miller | Executive Director | Met with Licensing Program Analyst during inspection and exit interview |
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation |
| Ronald Ellenich | Administrator | Interviewed regarding billing and staffing during complaint investigation |
| Romeo Manzano | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Complaint Investigation
Census: 147
Capacity: 240
Deficiencies: 0
Date: Dec 16, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 2023-12-07 regarding resident care and facility conditions at Watermark at Almaden.
Complaint Details
The complaint included allegations of unexplained skin injuries, multiple falls leading to hospitalization, unsafe resident rooms, failure to safeguard personal clothing, unattended medications, lack of activities and snacks, missed meal service, obstructed passageways, and absence of nighttime staff. The investigation concluded all allegations were unfounded.
Findings
The investigation found all allegations to be unfounded after interviews with staff and residents, and review of incident reports, resident files, work orders, and activity calendars. No evidence supported claims of unexplained skin injuries, multiple falls, unsafe rooms, unattended medications, lack of activities or snacks, missed meals, obstructed passageways, or absent nighttime staff.
Report Facts
Incident Reports reviewed: 20
Incident Reports related to hospitalization: 3
Activities per week: 13
Work orders related to passageways: 0
Night shift staff coverage: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Corey Miller | Executive Director | Facility representative met during the investigation |
| Ronald Ellenich | Facility Administrator | |
| Romeo Manzano | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 147
Capacity: 240
Deficiencies: 0
Date: Dec 16, 2024
Visit Reason
The visit was conducted as an unannounced complaint investigation following allegations received on 2023-01-26 regarding expired medication administration, improper medication dispensing and management, and inadequate feeding of residents.
Complaint Details
The complaint included allegations that facility staff gave residents expired medication, did not properly dispense or manage medications, and failed to ensure residents were adequately fed. Investigations included staff and resident interviews and observations. The complaint was determined to be unsubstantiated.
Findings
After interviews with staff and residents, observations, and records review, the allegations were found to be unsubstantiated due to lack of preponderance of evidence. No deficiencies were cited.
Report Facts
Complaint Control Number: 26-AS-20230126091157
Number of staff interviewed: 3
Number of residents interviewed: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corey Miller | Executive Director | Met with Licensing Program Analyst during investigation and exit interview |
| Simranjit Rai | Licensing Program Analyst | Conducted complaint investigation visit and interviews |
| Romeo Manzano | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 145
Capacity: 240
Deficiencies: 0
Date: Sep 18, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation following allegations of lack of staff supervision resulting in resident injury and understaffing at the facility.
Complaint Details
The complaint alleged lack of staff supervision resulting in injury to resident R1 and understaffing. The investigation included interviews with staff and paramedics, review of resident medical reports, and observation. The allegations were determined to be unsubstantiated.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Staff interviews, resident assessments, and record reviews indicated the allegations were unsubstantiated, and no deficiencies were cited.
Report Facts
Complaint Control Number: 26-AS-20221018164411
Facility Capacity: 240
Census: 145
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Corey Miller | Executive Director | Met with Licensing Program Analyst during the investigation |
| Romeo Manzano | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 145
Capacity: 240
Deficiencies: 0
Date: Sep 18, 2024
Visit Reason
The inspection visit was conducted as an unannounced complaint investigation following a complaint received on 2024-07-08 regarding an alleged unresolved water leak in a resident's room.
Complaint Details
The complaint alleged the facility did not address a water leak in a resident's room. The allegation was found to be unfounded based on interviews with the Maintenance Director and resident, and review of work orders showing timely response and resolution.
Findings
The investigation found the allegation to be unfounded after interviews and record reviews showed the facility addressed the water leak promptly with maintenance responding the day after the work order was submitted. No deficiencies were cited.
Report Facts
Complaint control number: 26
Complaint received date: Jul 8, 2024
Work order dates: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Simranjit Rai | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Corey Miller | Executive Director | Met with Licensing Program Analyst during investigation |
| Wes McKinley | Maintenance Director | Interviewed regarding work order and maintenance response |
| Ronald Ellenich | Administrator | Facility administrator present during exit interview |
| Romeo Manzano | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Census: 149
Capacity: 240
Deficiencies: 0
Date: Jul 16, 2024
Visit Reason
Licensing Program Analyst conducted a case management visit to perform a wellness check after power was restored at the facility.
Findings
The facility passed inspections by PG&E and City of San Jose after power restoration. The maintenance team will conduct regular checks on the generator and power grid. No deficiencies were cited at this time.
Report Facts
Capacity: 240
Census: 149
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Corey Miller | Executive Director | Met with Licensing Program Analyst during the visit |
| Wesley McKinley | Maintenance Director | Interviewed regarding power restoration and facility maintenance |
Inspection Report
Census: 112
Capacity: 240
Deficiencies: 0
Date: Apr 23, 2024
Visit Reason
The visit was an unannounced Case Management visit conducted to perform a health and wellness check following two power outage incidents reported by the facility on 2024-04-14 and 2024-04-22.
Findings
The facility was able to maintain normal operations during both power outages using a power generator. No issues were observed with water or room temperatures, medication administration, or meal services. Emergency food and water supplies were adequate, and no deficiencies were cited.
Report Facts
Incident date: Apr 14, 2024
Incident date: Apr 22, 2024
Power outage duration (minutes): 345
Power outage duration (minutes): 59
Perishable food supply (days): 2
Non-perishable food supply (days): 7
Resident rooms observed: 3
Residents requiring oxygen: 3
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wes McKinley | Maintenance Director | Met during inspection and involved in discussion of power outage incidents |
| Angel Bustos | Resident Services Director | Interviewed regarding medication administration and resident care during power outages |
| Debbie Teixiera | Dining Service Director | Interviewed regarding meal services during power outages |
Inspection Report
Census: 107
Capacity: 240
Deficiencies: 0
Date: Apr 4, 2024
Visit Reason
Licensing Program Analyst conducted a case management visit to perform a wellness check after power was restored at the facility.
Findings
The facility passed inspections by PG&E and City of San Jose after power restoration. The facility's electrical grid and power generator were inspected, with no deficiencies cited. Resident rooms were observed to have appropriate room temperature and functioning equipment.
Report Facts
Capacity: 240
Census: 107
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brenda Ritter | Interim Executive Director | Met with Licensing Program Analyst during the visit |
| Wesley McKinley | Maintenance Director | Interviewed regarding power restoration and facility maintenance |
| Simranjit Rai | Licensing Program Analyst | Conducted the case management visit |
| Romeo Manzano | Licensing Program Manager | Named in report header |
Inspection Report
Follow-Up
Census: 118
Capacity: 240
Deficiencies: 0
Date: Jan 26, 2024
Visit Reason
Unannounced case management visit to follow up on the Type A and Type B deficiencies cited on 1/11/2024.
Findings
No deficiencies were cited at this time as per California Code of Regulations Title 22. Observations included unlocked bathrooms and resident rooms, in-service trainings, weight logs, updated physician reports, and ongoing electrical system repairs.
Report Facts
Room temperature range: 68
Room temperature range: 74
Water temperature range: 109
Water temperature range: 116
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angel Bustos | Resident Care Director | Met during visit and discussed report findings |
| Leann Marquez | Memory Care Director | Accompanied tour of Memory Care Unit |
| Jacque Bercellano | Resident Services Coordinator | Accompanied tour of Memory Care Unit |
| Wes McKinley | Maintenance Director | Provided update on electrical system repairs |
| Simranjit Rai | Licensing Program Analyst | Conducted the unannounced case management visit |
Inspection Report
Census: 120
Capacity: 240
Deficiencies: 0
Date: Jan 19, 2024
Visit Reason
Unannounced case management visit to follow up on the recent power outage and assess the facility's ability to maintain essential services.
Findings
The facility was operating at full capacity without interruption to services. Temperatures in refrigerators and freezers were maintained appropriately, and water and room temperatures were within acceptable ranges. No deficiencies were noted during the visit.
Report Facts
Water temperature range (F): 109-116
Room temperature range (F): 68-74
Refrigerator temperature (F): 40
Freezer temperature (F): 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Cheryl Grace | Interim Program Director | Met during visit and participated in exit interview |
| Wesley McKinley | Maintenance Director | Provided information about the temporary generator and power status |
| Steve Chang | Licensing Program Analyst | Conducted the inspection visit |
| Mita Partoza | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Annual Inspection
Census: 118
Capacity: 240
Deficiencies: 5
Date: Jan 11, 2024
Visit Reason
The visit was an unannounced continuation of the annual inspection to evaluate compliance with licensing regulations and facility operations.
Findings
The inspection found multiple deficiencies including inaccurate medication records, lack of weight monitoring for Assisted Living residents, hot water temperatures exceeding regulatory limits, locked bathrooms and bedrooms in the Memory Care unit, and missing annual medical assessments for residents with dementia.
Deficiencies (5)
Inaccurate records of centrally stored prescription medications for residents R1 and R2.
Lack of weight logs and monitoring of Assisted Living residents' weight.
Hot water temperatures in resident bathroom sinks ranged from 120.9F to 130.3F, exceeding the allowed maximum of 120F.
Bedrooms and bathrooms in the Memory Care Department were locked, restricting resident access and posing safety risks.
Resident R2 with dementia did not have an updated annual medical assessment on file.
Report Facts
Resident bathroom sinks with hot water temperature out of range: 9
Medications reviewed for resident R1: 4
Medications reviewed for resident R2: 8
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Angel Bustos | Resident Service Director | Participated in inspection and interview regarding medication records and facility operations |
| Patty Cuzia | Regional Director of Health Services | Participated in inspection and interview regarding facility operations and findings |
| Leann Marquez | Memory Care Director | Agreed and understood the requirement to not lock common bathrooms and resident rooms in Memory Care unit |
Inspection Report
Annual Inspection
Census: 118
Capacity: 240
Deficiencies: 0
Date: Jan 9, 2024
Visit Reason
The visit was an unannounced annual inspection conducted to evaluate the facility's compliance with licensing requirements.
Findings
The Licensing Program Analyst toured the facility, observed the use of a back-up generator due to repairs, checked common areas and resident rooms for safety and hygiene, and noted that the facility will submit daily updates while using the back-up generator. The inspection was not completed on this day and will continue on another day.
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brenda Ritter | Interim Executive Director | Met with Licensing Program Analyst during the inspection and reviewed the report. |
| Simranjit Rai | Licensing Program Analyst | Conducted the annual inspection visit. |
| Romeo Manzano | Licensing Program Manager | Named in the report header. |
Inspection Report
Census: 118
Capacity: 240
Deficiencies: 0
Date: Jan 8, 2024
Visit Reason
The visit was an unannounced Case Management visit conducted to perform a health and wellness check after the facility reported being without electrical power since 2024-01-06.
Findings
During the visit, the facility was observed to have emergency food and water supplies, continued access to medication systems, and residents were provided with necessary items such as flashlights and blankets. No deficiencies were cited at this time.
Report Facts
Residents electing to stay with family: 36
Residents on hospice: 2
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Brenda Ritter | Executive Director | Met with Licensing Program Analysts during the visit and provided information about the facility's response to the power outage |
| David Marrufo | Licensing Program Analyst | Conducted the unannounced Case Management visit and requested a Plan of Action |
| Steve Chang | Licensing Program Analyst | Conducted the unannounced Case Management visit |
| Sarah Yip | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Follow-Up
Census: 110
Capacity: 240
Deficiencies: 1
Date: Aug 22, 2023
Visit Reason
The visit was an unannounced case management follow-up on an incident that occurred on 2023-06-26, where a resident (R1) was left unattended outside a doctor's clinic during transportation.
Findings
The facility admitted fault for leaving R1 unattended, which posed an immediate health, safety, and personal rights risk. Deficiencies were cited related to failure to provide adequate care and supervision to meet the resident's needs.
Deficiencies (1)
Licensee did not provide care and supervision to meet R1's needs wherein R1 was left unattended in front of the doctor's office which poses an immediate Health, Safety, or Personal Rights risk to persons in care.
Report Facts
Capacity: 240
Census: 110
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ron Ellenich | Executive Director | Met with Licensing Program Analyst during visit and admitted fault for incident |
| Angel Bustos | Resident Care Director | Interviewed during visit regarding supervision of Memory Care residents |
| Simranjit Rai | Licensing Program Analyst | Conducted the unannounced case management visit and authored the report |
| Romeo Manzano | Licensing Program Manager | Supervisor of the Licensing Program Analyst |
Inspection Report
Complaint Investigation
Census: 95
Capacity: 240
Deficiencies: 0
Date: Jul 14, 2023
Visit Reason
The inspection was an unannounced complaint investigation triggered by allegations of lack of supervision resulting in a resident suffering a fall while in care.
Complaint Details
The complaint alleged that a resident (R1) in the Memory Care unit suffered a fall caused by their spouse (R2) residing in the Assisted Living unit due to lack of supervision. The investigation included review of medical and incident reports, staff interviews, and law enforcement welfare check. The allegations of elder abuse and neglect were determined to be unfounded.
Findings
The investigation found the allegations to be unfounded after reviewing medical records, incident reports, staff interviews, and law enforcement findings. No deficiencies were cited.
Report Facts
Complaint Control Number: 26-AS-20210630114224
Facility Capacity: 240
Census: 95
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chihhsien Chang | Licensing Program Analyst | Conducted the complaint investigation visit |
| Ronn Ellenich | Executive Director | Met with Licensing Program Analyst during investigation |
| Charmaine Verador | Resident Services Director | Interviewed during initial investigation |
| Steve Chang | Licensing Program Analyst | Conducted unannounced complaint visit to deliver investigation findings |
Inspection Report
Annual Inspection
Census: 120
Capacity: 240
Deficiencies: 1
Date: Dec 28, 2022
Visit Reason
An unannounced annual required inspection was conducted to evaluate compliance with licensing regulations and infection control measures.
Findings
The facility was found to have proper infection control practices and clear fire exit routes; however, a deficiency was cited for failing to ensure 3 out of 3 staff members were properly associated with the facility, posing an immediate safety risk. A civil penalty totaling $1500 was assessed.
Deficiencies (1)
Facility failed to ensure 3 out of 3 staff members were fingerprint cleared and associated with the facility, posing an immediate safety risk.
Report Facts
Civil penalty amount: 1500
Civil penalty daily rate: 100
Penalty duration days: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Hunter Obrero | Assistant Executive Director | Met with Licensing Program Analyst during inspection and corrected deficiency related to staff fingerprint clearance. |
Inspection Report
Complaint Investigation
Census: 122
Capacity: 240
Deficiencies: 0
Date: Dec 12, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by allegations received on 11/30/2021 regarding accessibility of public restrooms, insufficient hallway lighting, and resident apartment door fitting issues.
Complaint Details
The complaint included allegations that public restrooms were not accessible to residents, hallways had insufficient lighting, and a resident apartment door was not properly fitted. The investigation concluded these allegations were unfounded with no citations issued.
Findings
The investigation found the allegations to be unfounded. Public restrooms were accessible and ADA supported after renovations completed in June 2022. Hallway lighting was sufficient with motion detectors and emergency lights. The resident apartment door was properly fitted, though a threshold bar initially made it difficult for a resident using a walker, which was subsequently removed.
Report Facts
Facility capacity: 240
Resident census: 122
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Chihhsien Chang | Licensing Program Analyst | Conducted the complaint investigation visit and authored the report |
| Hunter Obrero | Administrator | Met with Licensing Program Analyst during inspection |
| Shay Arias | Community Business Director | Interviewed regarding restroom construction completion |
| Romeo Manzano | Licensing Program Manager | Named as Licensing Program Manager on report |
| Wesley Whittemore | Administrator | Named as facility administrator in report header |
| Assistant Executive Director | Assistant Executive Director | Interviewed regarding restroom accessibility and apartment door threshold |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 240
Deficiencies: 0
Date: Mar 18, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by a complaint received on 2021-05-14 alleging that facility staff did not allow resident's family to attend care meetings and did not inform family of resident's condition, among other concerns.
Complaint Details
The complaint involved allegations that facility staff did not allow resident's family to attend care meetings and did not inform family of resident's condition. The investigation included interviews with staff and family, review of resident records and incident reports, and found the allegations to be unsubstantiated or unfounded.
Findings
The investigation found the allegations to be unsubstantiated or unfounded after reviewing records, conducting interviews, and examining incident reports. No deficiencies were cited under California Code of Regulations Title 22.
Report Facts
Capacity: 240
Census: 73
Complaint received date: May 14, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the complaint investigation |
| Jackie Jin | Licensing Program Manager | Oversaw the complaint investigation |
| Paul Shepodd | Administrator | Facility administrator named in report |
| San Sor | Assistant Executive Director | Met with during investigation and reviewed report |
Inspection Report
Complaint Investigation
Census: 73
Capacity: 240
Deficiencies: 0
Date: Mar 18, 2022
Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that the facility violated a resident's personal rights related to the execution of a Power of Attorney (POA).
Complaint Details
The complaint alleged violation of resident's personal rights regarding the execution of a Power of Attorney. The investigation determined the allegation was unsubstantiated as the facility had a valid POA from the resident's spouse, and the resident's child/family member was not involved or aware of the POA until after the resident's death.
Findings
The investigation found that the facility had a validly executed POA signed and notarized by the resident's spouse, who was involved in the resident's care and finances. The resident's child/family member was unaware of the POA and not involved in care or finances. The allegation of violation of personal rights was unsubstantiated due to lack of preponderance of evidence.
Report Facts
Facility capacity: 240
Census: 73
Complaint received date: Jan 27, 2022
POA provided date: Jul 14, 2021
Resident death date: 202111
Employees mentioned
| Name | Title | Context |
|---|---|---|
| David Marrufo | Licensing Program Analyst | Conducted the complaint investigation visit |
| San Sor | Assistant Executive Director | Met with Licensing Program Analyst during investigation |
| Steve Chang | Licensing Program Analyst | Interviewed Community Business Director during investigation |
| Jackie Jin | Licensing Program Manager | Oversaw complaint investigation |
Inspection Report
Annual Inspection
Census: 72
Capacity: 240
Deficiencies: 0
Date: Dec 10, 2021
Visit Reason
An unannounced required 1-year visit was conducted to evaluate the facility's compliance with regulations.
Findings
The Licensing Program Analyst toured the facility and observed compliance with COVID-19 protocols, adequate food and PPE supplies, and clear exits. No deficiencies were cited according to California Code of Regulations Title 22.
Report Facts
PPE supply duration: 30
Perishable food supply duration: 3
Non-perishable food supply duration: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Wesley Whittemore | Administrator | Met with Licensing Program Analyst during inspection and reviewed report |
| David Marrufo | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Complaint Investigation
Census: 38
Capacity: 240
Deficiencies: 1
Date: Jun 9, 2021
Visit Reason
The visit was an unannounced Case Management follow-up on a report received regarding alleged verbal abuse by a staff member towards a resident.
Complaint Details
The complaint was substantiated based on interviews and review of documentation. The verbal abuse incident occurred on 06/06/21 and was witnessed by a family member and captured via virtual video chat.
Findings
A care staff member was witnessed verbally abusing a resident by scolding and ordering them in an unprofessional manner during assistance with activities of daily living. The staff member involved was suspended and a deficiency was cited.
Deficiencies (1)
Care staff verbally abused a resident by scolding and ordering them in an unacceptable and unprofessional manner while assisting with activities of daily living, posing a potential health and safety risk.
Report Facts
Deficiency Type B: 1
Plan of Correction Due Date: Jun 16, 2021
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Charmaine Verador | Resident Services Director | Interviewed during investigation |
| Antoine Rabbat | Memory Care Director | Interviewed during investigation and received copy of reports |
| Joanne Roadilla | Licensing Program Analyst | Conducted the inspection and investigation |
| Paul Shepodd | Administrator | Facility administrator named in report header |
Inspection Report
Monitoring
Census: 18
Capacity: 240
Deficiencies: 0
Date: Feb 8, 2021
Visit Reason
The visit was a case management tele-visit conducted to provide technical assistance to prevent and mitigate the spread of COVID-19 at the facility.
Findings
The facility was observed to have COVID-19 related postings, screening stations, hand sanitizers, and staff following infection control practices including mask wearing and social distancing. No deficiencies were cited during the tele-visit, but recommendations were made to improve infection control measures.
Report Facts
Capacity: 240
Census: 18
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paul Shepodd | Executive Director | Met with licensing staff during the tele-visit |
| Joanne Roadilla | Licensing Program Analyst | Conducted the tele-visit and provided technical assistance |
| Barbie Henson | Health Facilities Evaluator Nurse | Conducted the tele-visit and provided technical assistance |
Inspection Report
Original Licensing
Capacity: 240
Deficiencies: 0
Date: Dec 17, 2020
Visit Reason
The inspection was a pre-licensing tele-inspection visit conducted via Zoom due to COVID-19 restrictions, to evaluate the facility prior to licensing approval.
Findings
The facility was inspected virtually and found to have no issues during the pre-licensing tele-inspection. The physical plant was approved pending completion of the Centralized Application Bureau review. Various areas including resident rooms, common areas, and safety features were observed to be in good condition and compliant with requirements.
Report Facts
Water temperature: 113.3
Water temperature: 115.4
Water temperature: 113.2
Water temperature: 113
Fire extinguisher last serviced: Oct 22, 2020
Nonperishable food supply: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paul Shepodd | Executive Director | Met with Licensing Program Analyst during inspection |
| Joanne Roadilla | Licensing Program Analyst | Conducted the pre-licensing tele-inspection |
| Jason Walthour | Regional Vice President | Met with Licensing Program Analyst during inspection |
| Jordan Pope | Project Director Operations Management | Met with Licensing Program Analyst during inspection |
| Alisa Salluce | Divisional Director of Care | Met with Licensing Program Analyst during inspection and observed during pull cord alarm test |
Inspection Report
Original Licensing
Capacity: 240
Deficiencies: 0
Date: Nov 20, 2020
Visit Reason
Initial licensing evaluation and new construction application for the facility, including verification of applicant and administrator qualifications and understanding of regulatory requirements.
Findings
The applicant and administrator successfully completed the Component II evaluation, demonstrating understanding of facility operation, staff qualifications, program policies, and application requirements. Technical assistance was provided regarding licensing documentation and compliance.
Report Facts
Capacity: 240
Census: 0
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Paul Shepodd | Administrator | Facility administrator met during the visit and participated in the licensing evaluation |
| Jude De La Concepcion | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Bethany Hunter | Licensing Program Analyst | Named as Licensing Program Analyst who signed the report |
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