435202775-2-4-2026-26-AS-CKAI-DSFU28-20260323151129

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435202775
Report Date: 02/04/2026
Date Signed: 02/04/2026 03:46:30 PM

Unsubstantiated

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
09/18/2025 and conducted by Evaluator Marcela Yanez

COMPLAINT CONTROL NUMBER: 26-AS-20250918153803

FACILITY NAME:	WATERMARK AT ALMADEN, THE		FACILITY NUMBER:	435202775
ADMINISTRATOR:	SHEARER, KELLIE		FACILITY TYPE:	740
ADDRESS:	4610 ALMADEN EXPRESSWAY		TELEPHONE:	(669) 258-4567
CITY:	SAN JOSE	STATE: CA	ZIP CODE:	95118
CAPACITY:	240	CENSUS: 190	DATE:	02/04/2026
		UNANNOUNCED	TIME BEGAN:	02:35 PM
MET WITH:	Melissa Lumis Business Office Manager		TIME COMPLETED:	03:55 PM

ALLEGATION(S):

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Residents' needs are not being met due to insufficient staffing.

INVESTIGATION FINDINGS:

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On 02/04/25 Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced complaint investigation visit to deliver findings. LPA announced the purpose of the visit and met with Melissa Lummis, Business Office Manager.

During visit LPA toured the memory care unit and observed residents in a circle in community area playing bingo. Memory Care Director stated the facility has increased staff to 5 per shift to assist residents in care from 4 staff per shift, except on the NOC shift has 3 staff.

On 09/18/25 the department received a complaint with the above allegation.

On 09/22/25 LPA conducted a 10-day complaint investigation visit and obtained pertinent documents and interviewed 7 staff and 7 residents.
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Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 26-AS-20250918153803

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: 02/04/2026

NARRATIVE

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During the investigation 7 Staff (S1-S7) were interviewed and 7 Resident (R1-R7). 7 out of 7 staff stated that they provide care to residents with bathing, changing, assist with feeding and ambulating. 7 out of 7 staff stated that the Medication Technician and Assisted living staff will help when a staff member calls out sick or if the Memory Care department is short staffed. 7 out of 7 staff stated that the facility will check on residents who stay in their room every hour to see if they need assistance. During visit LPA observed staff helping residents and assisting with activities. During the investigation LPA reviewed the groupings for the residents and observed that the residents are grouped together and assigned a designated staff in memory care to give showers and change adult briefs. 7 out of 7 staff stated that Assisted Living Medication Technician will help the memory care unit if they need assistance.

7 out of 7 staff stated that there are 4 caregivers on average to cover for memory care. S1 stated that the memory care unit has 33 total residents and 4 staff per shift, sometimes there is 5 in the evening more often. S1 stated that the daily schedule is from 6:00 AM to 230 PM, 2:00 PM to 10:00pm and 10:00 PM to 6:30 AM. S1 stated that there are 2 residents who have 1 on 1 caregivers and only 1 of those provide care to the residents. 5 out of 7 staff stated residents are checked on every 2 hours and changed if soiled. 1 out of 7 staff were still in training and still shadowing but still provided care to residents with senior staff.

1 out of 7 residents stated that the facility staff provide care on time. 1 out of 7 residents stated that the facility on 1 occasion took 3 hours to change adult brief but R1 stated he/she wanted only female staff to assist with care. R1 stated the facility cleans the room every week and as needed. R1 stated that he/she likes the facility and likes the staff.

Based on the interviews, observation and records review, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the above allegations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

No deficiencies cited from California Code of Regulations, Title 22. Exit interview conducted with Melissa Lummis and a copy of the report was provided.

SUPERVISORS NAME: Christine Kabariti
LICENSING EVALUATOR NAME: Marcela Yanez
LICENSING EVALUATOR SIGNATURE:	DATE: 02/04/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2026

LIC9099 (FAS) - (06/04)

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