Inspection Reports for
The Watermark at Almaden

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

The investigation found the allegations to be unfounded after reviewing medical records, incident reports, staff interviews, and law enforcement findings. No deficiencies were cited.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.