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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435202775
Report Date: 03/07/2025
Date Signed: 03/07/2025 12:15:05 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/10/2024 and conducted by Evaluator Simranjit Rai
COMPLAINT CONTROL NUMBER: 26-AS-20240610163702
FACILITY NAME:WATERMARK AT ALMADEN, THEFACILITY NUMBER:
435202775
ADMINISTRATOR:RONALD ELLENICHFACILITY TYPE:
740
ADDRESS:4610 ALMADEN EXPRESSWAYTELEPHONE:
(669) 258-4567
CITY:SAN JOSESTATE: CAZIP CODE:
95118
CAPACITY:240CENSUS: 140DATE:
03/07/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Maintainence Director, Wes McKinleyTIME COMPLETED:
12:20 PM
ALLEGATION(S):
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Facility did not maintain the fuel/diesel for back up power generator causing power outages.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Simi Rai conducted an unannounced visit to conclude the complaint investigation. LPA Rai met with the Maintainence Director, Wes McKinley and stated the purpose of today’s visit.

On 6/10/2024, the Department received a complaint with the above allegation. On 6/14/2024, the Department conducted an initial investigation at the facility. It was alleged the facility did not maintain the fuel/diesel for the back-up power generator causing power outages.

On 4/22/2024 at approximately 12:24pm, the facility power generator had low fuel which caused a power outage. At approximately 1:23pm, the power was restored at the facility. Based on Incident Report dated 4/22/2024, the facility self-reported the incident and stated the facility was able to run normal operations.

Continuation on LIC 9099-C, Page 1 of 2.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Simranjit Rai
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2025
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 26-AS-20240610163702
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
FACILITY NAME: WATERMARK AT ALMADEN, THE
FACILITY NUMBER: 435202775
VISIT DATE: 03/07/2025
NARRATIVE
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Page 2 of 2.

On 4/23/2024, the Department had conducted a wellness check visit and observed no issues which posed a health, safety, or personal rights risks to persons in care. LPA Rai interviewed the Maintenance Director (MD). MD stated the third-party vendor was responsible for maintaining the fuel/diesel for the back-up power generator.

On 3/7/2025, LPA Rai reviewed documents provided by the third-party vendor stating the facility was not responsible of the power generator and their company was responsible for the low fuel which caused the power outage.

The Department has completed the investigation of the above allegations. Based on interviews conducted and record reviews, the department has found that the above allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis.

No deficiencies cited from California Code of Regulations, Title 22. Exit interview conducted with Maintainence Director, Wes McKinley and a copy of the report was provided.
SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Simranjit Rai
LICENSING EVALUATOR SIGNATURE:

DATE: 03/07/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/07/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2