435202775-7-3-2025-26-AS-KHOS-DJDMWM-20250708095834

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435202775
Report Date: 07/03/2025
Date Signed: 07/03/2025 02:03:46 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
12/31/2024 and conducted by Evaluator Simranjit Rai

COMPLAINT CONTROL NUMBER: 26-AS-20241231084257

FACILITY NAME:	WATERMARK AT ALMADEN, THE		FACILITY NUMBER:	435202775
ADMINISTRATOR:	COREY MILLER		FACILITY TYPE:	740
ADDRESS:	4610 ALMADEN EXPRESSWAY		TELEPHONE:	(669) 258-4567
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95118
CAPACITY:	240	CENSUS: 165	DATE:	07/03/2025
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Business Office Director, Melissa Lummis		TIME COMPLETED:	11:30 AM

ALLEGATION(S):

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Facility staff does not allow resident to make phone calls.
Facility staff witholding resident's personal check without resident's knowledge.

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 Business Office Director, Melissa Lummis and stated the purpose of today’s visit.

On 12/13/2024, the Department received a complaint with the above allegations. On 1/7/2025, the Department conducted an initial investigation at the facility.

Continuation on LIC 9099-C, Page 1 of 3.

Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Simranjit Rai
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2025

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 3

Control Number 26-AS-20241231084257

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: 07/03/2025

NARRATIVE

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Page 2 of 3.

Facility staff does not allow resident to make phone calls.
It was alleged that facility staff does not allow resident R1 to make phone calls.

On 1/7/2025, the Department interviewed 7 staff (S1-S7). S3 stated R1 requested for a phone number to be blocked on her phone and S3 assisted with R1’s request. S3 stated that he/she only followed R1’s request and ensured R1’s personal rights were not violated. Five out of seven staff stated they have observed R1 with his/her personal cellphone and R1 was able to make phone calls on his/her own.

On 1/7/2025, the Department interviewed 1 resident (R1). R1 stated he/she she uses her personal cellphone to make phone calls. R1 stated he/she is able to make phone calls on the cellphone. R1 stated he/she asked the facility staff help her to block phone numbers that she did not want to receive calls from in the future. R1 stated that it was his/her decision. While talking to R1, LPA Rai observed R1’s cellphone on the charger next to R1’s bed. R1’s cellphone was in working condition. R1 demonstrated how to use the cellphone and showed LPA Rai the call log of making phone calls in the past 7 days.

Facility staff withholding resident’s personal check without resident’s knowledge.

On 1/7/2025, the Department interviewed 7 staff (S1-S7). Five out of seven staff are not involved with residents’ finances and do not know what the facility’s policy is regarding resident’s finances. One out of seven staff do oversee the residents’ finances at the facility. S1 stated the facility does not keep residents’ personal check at the facility and if there is a check under a resident’s name, they will release it to the resident and/or resident’s responsible party. S7 stated he/she provided the personal check to the R1 on 11/24/2025 and informed R1’s responsible party W1.

On 1/7/2025, the Department interviewed 1 resident (R1). R1 stated he/she does not recall a check being sent to the facility. R1 stated he/she has a financial responsible party (W1) which will assist with finances.

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Simranjit Rai
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 26-AS-20241231084257

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: 07/03/2025

NARRATIVE

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Page 3 of 3.

On 1/22/2025 and 1/24/2025, the Department attempted to reach W1 to obtain additional information but was unsuccessful.

Based on review of R1’s Physician’s Report dated 7/14/2023, R1 is not able to manage own cash resources and R1’s family manages her finances. Based on review of conversations between facility staff and W1 on 11/27/2024, facility staff surrender R1’s personal check to R1 and R1’s responsible party was informed.

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 Business Office Director, Melissa Lummis and a copy of the report was provided.

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Simranjit Rai
LICENSING EVALUATOR SIGNATURE:	DATE: 07/03/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2025

LIC9099 (FAS) - (06/04)

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