Westmont of Morgan Hill.

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit and met with Executive Director Michael Fountain (ED) . LPA toured Compass Rose (Memory Care unit) with ED to include 4 apartments (RM #129, #126, #123, #120), bathrooms, activity room, kitchen, dining room, and patio area. All fire exit routes were free and clear of obstruction. LPA checked 2 common restrooms in memory care unit. One delayed egress exit door of memory care unit was observed in working condition and the other one was under repair. LPA observed a caregiver sit outside if the exit door of the memory care unit to monitor. Room temperature maintained between 76 degrees F. Kitchen refrigerator temperature maintained at 40 degrees F. Freezer temperature maintained at 0 degrees F. Hot water temperature measured at 118 degrees F. Chemicals, disinfectants, and medications observed locked in Compass Rose. During visit, resident's observed participating in various activities. 2 resident files in Compass Rose was reviewed. 2 out of 2 resident files were complete and no issues noted. LPA inspected 2 resident's centrally stored medication and records with staff. 2 out of 2 resident medications were complete and no issues noted. LPA entered in the kitchen with the ED. The facility has at least 2 days worth of perishables and 7 days worth of non-perishable foods. Items inside the refrigerator and freezer observed covered and labeled. Continue on LIC809-C. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA toured Assisted Living with ED to include 4 resident apartments (RM #225, #218, #206, and #243) and common restrooms. Hot water temperature was measured at 118 degree F. LPA checked 2 residents file in Assisted Living was reviewed. 2 out of 2 resident's files were complete. LPA inspected 2 resident's centrally stored medication and records with staff. 2 out of 2 resident medications were complete and no issues noted. 4 staff files were reviewed and observed complete. 4 out of 4 staff members are fingerprint cleared. 4 out of 4 staff have over 20 hours of annual training. Fire extinguishers observed throughout the facility, last service date was 06/26/2025. Facility has carbon monoxide and smoke detectors present. Carbon monoxide detector was tested and was observed functional. Facility has an emergency disaster plan and emergency non-perishable foods. LPA observed the facility has a box that contains emergency supplies to include (but not limited to) flash lights, batteries, radio, reflector vests, and band aids. The last time of the facility emergency drill was done on 1/30/2026. Elevator observed in working condition. LPA observed the facility has a first aid kit. 3 stairwells were observed with an evacuation chairs. LPA toured 2 court yards and side yard with ED. The court yard of memory care unit with 2 delayed opening doors and were observed in operational condition. No citation were cited today. This report was reviewed with Executive Director, and a copy of the report was provided.

Page 2 of 3. Facility staff are not adhering to residents’ care plan. It was alleged residents are being left in their wheelchairs “all day”, staff are not meeting resident’s care needs in memory care and assisted living. On 11/20/2025, LPA Rai interviewed four staff (S1-S4). Three out of four staff (S1-S3) are involved in the resident’s care. Three out of three staff stated the facility has an electronic system to generate residents’ care plan and staff initial as acknowledgment for providing care and supervision to the residents in a timely manner. The staff are able to make notes if the resident was delayed care or if resident refused care services. Three out of three staff stated they do not see residents in their wheelchairs all day as residents are transferred by staff. They stated there is one resident (R1) who sleeps in the assisted living side of the facility but spends the day on the memory care side of the facility for activities and meals. R1 stated the facility staff is able to provide care and supervision to the resident and the residents’ needs and services have been updated. Based on review of at random five resident’s records, LPA Rai reviewed 5 service plans which address resident’s care and attached care plans which show staff’s initials acknowledging providing care and supervision to the residents in a timely manner. LPA Rai reviewed R1’s care plan before and after moving to assisted living unit and the facility staff addressed resident’s care and supervision. On 2/4/2026, LPA Rai interviewed three staff (S5-S7). Three out of three staff stated the facility staff do not leave the residents in the wheelchair “all day”. The facility staff will assist the residents back to their bed for naps or help assist them in the dining room and activity room. Three out of three staff stated they are meeting the residents’ care needs in a timely manner and they acknowledge providing care and supervision by placing an initial in the resident’s care plan for each service for each shift of the day. Three of the three staff stated the facility staff did assist resident R1 in assisted living side and memory care side and they are able to meet the resident’s care and supervision needs. On 2/4/2026, LPA Rai interviewed five residents (R1-R5). Five out of five resident stated the facility staff do not leave the residents in the wheelchair “all day”. Five out of five residents stated the staff are meeting the residents’ care needs in a timely manner and they have no issues of staff not responding to their care needs in a timely manner. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Page 3 of 3. Facility staff are not addressing ants in the facility in resident's rooms and kitchen area. It was alleged that there are ants in the kitchen and resident rooms and the facility staff are not addressing the issue. On 11/20/2025, LPA Rai interviewed four staff (S1-S4). Four out of four staff stated the facility staff do address ant issues in the facility. Four out of four staff stated there is a third-party vendor that comes out to the facility twice a month as maintenance care to ensure there are no issues in the facility. Four out of four staff stated the maintenance team at the facility do have commercial spray to address ant issues in the facility right away and if there are repeat issues with the resident rooms, then the third-party vendor will address the issue during the monthly spray schedule. Based on review of facility system of recording maintenance issues at the facility, LPA Rai reviewed 6 incidents between May 2025 to November 2025 wherein there were ants present in resident rooms. LPA Rai did not observe any records wherein there were any incidents recorded of ants present in kitchen area. LPA Rai reviewed the third party vendor services from September 2025 to November 2025 and LPA Rai did not observe any records where technician observed any pests at the facility and technician provided the semi-monthly treatment in the kitchen, resident rooms, and exterior areas of the facility. On 2/4/2026, LPA Rai interviewed three staff (S5-S7). Three out of three staff stated they have brought up issues of ants being present in resident rooms, but the maintenance team has addressed it right away. Three out of three staff stated they have observed the third-party vendor present at the facility addressing the concerns in the kitchen and resident rooms and the facility staff have addressed the ant concerns right away. On 2/4/2026, LPA Rai interviewed five residents who reported incidents of ants in their room between May 2025 to November 2025. Five out of five residents stated they brought up the concerns of ants to the facility staff and they addressed the issue right away by spraying the area or bring in the third-party vendor to address the issue. 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 Executive Director, Michael Fountain and Resident Service Director, Jmy Ramos and a copy of the report was provided.

LPA Tarin interviewed staff S1 & (Former) Resident Services Director Gladys Desmarais, referred to as S2. S1 stated he/she isn’t aware of any incident of alleged physical abuse from any resident by staff. Staff S2 stated S2 states not aware of any incidents of physical abuse. S2 stated R1 was confused and having hallucinations and believed he/she was drugged and told S2 that he/she believed someone gave him/her date rape drug and someone molested him/her. S2 stated R1 said it was 2 male staff members, and R1 didn’t know their names. S2 stated paramedics came to assess him/her and paramedics called the R1’s responsible party, referred to as FM to inform. S2 stated the paramedic told him/her that FM stated R1 has been making this allegation about being molested for years. On October 30, 2025, LPA Manuel Monter interviewed staff S3-S6. 4 Out of 4 staff are not aware or didn’t observe any physical altercations between staff and or residents on the assisted side of the facility in the past 6 months. LPA Manuel Monter interviewed current Resident Services Director (RSD) Jmy Ramos. RSD stated R1 was not physically assaulted. RSD stated there was no observed bruising, bleeding or marks on R1. RSD stated there were no incidents of residents physically assaulting R1. On November 3, 2025, LPA interviewed Witness W1. W1 stated he/she became aware of the allegations based on his/her conversation with R1’s responsible party, referred to as FM. W1 stated FM stated, that R1 has been stating he/she has been molested for multiple years. W1 stated he/she also spoke to R1, who told W1, that after he/she was given his/her UTI medication, R1 expressed to W1 that he/she was just hallucinating and the assault didn’t occur. On November 10, 2025, LPA Monter interviewed residents R13-R17. 5 Out of 5 residents (R13-R17) stated there are not aware of or have not heard about any physical altercation occurring between residents in the facility. 5 Out of 5 residents (R13-R17) stated they are not aware of or have not heard about any physical altercation occurring between staff and residents in the facility. Page 2 Out of 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA Monter interviewed staff S7-S10. 4 Out of 4 Staff (S7-S10) stated there are not aware of or have not heard about any physical altercation occurring between residents in the facility. 4 Out of 4 Staff (S7-S10) stated they are not aware of or have not heard about any physical altercation occurring between staff and residents in the facility. he Department reviewed R1's Service Plan, dated July 23, 2025. Under behavioral expressions, the plan states "resident has a history of hallucinations as a medication reaction." The Department has completed the investigation of the above allegations. Based on interviews conducted and records review, 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. Facility did not provide proper care and supervision to resident in care. On August 21, 2025 the Department received a complaint alleging Facility did not provide proper care and supervision to resident in care. It has been alleged that resident R1 was not being given their medication, not being bathed and are not being assisted with escorting. On August 25, 2025, LPA Tarin conducted the initial complaint investigation visit. LPA interviewed residents R2-R12. 8 Out of 11 residents (R2, R4-R6,R8,R9,R11) stated they receive their medications on time and have not had any issues with medications. 4 Out of 11 residents (R3, R7, R10, R12) interviewed stated they don’t need staff assistance with medication administration. 11 Out of 11 residents (R2-R12) stated they don’t have any issues with the care they are receiving at the facility. LPA Tarin (Former) Resident Services Director Gladys Desmarais, referred to as S2. S2 stated to her knowledge, he/she is not aware of any issues with R1 not receiving his/her medications on time. On October 30, 2025, LPA Manuel Monter interviewed Staff S1, S3-S6. 5 Out of 5 staff (S1, S3-S6) stated isn’t aware of any issues regarding medication errors. 5 Out of 5 staff (S1, S3-S6) stated there hasn’t been a time when a resident who needed to be escorted, wasn’t escorted. 5 Out of 5 staff (S1, S3-S6) stated there hasn’t been a time when a resident who needed assistance with showers, wasn’t assisted. Page 3 Out of 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 On, October 30, 2025, LPA Manuel Monter randomly audited 4 resident’s medications. LPA audited the medications by cross referencing the medication bottles/ containers and cross referencing with the Centrally Stored Medication Record and Medication Administration Record. No discrepancies were noted during review. On November 10, 2025, LPA Monter interviewed residents R13-R17. 5 Out of 5 residents (R13-R17) stated they have not had any issues with their medication administration. 3 Out of 5 residents (R13, R14, R16) stated they do not need assistance with showers. 4 Out of 5 residents (R13-R16) stated they do not need assistance with escorting. 2 Out of 5 residents (R15, R17) stated they need assistance with showers and there hasn’t been a time when they were neglected their shower. Resident R17 stated he/she does need assistance with escorting and stated there hasn’t been a time when he/she was neglected his escorting needs. LPA Monter interviewed staff S7 – S10. 4 Out of 4 staff (S7-S10) stated they have not heard about or observed a resident who was neglected their shower. 4 Out of 4 staff (S7-S10) stated they have not heard about or observed a resident who was not escorted and neglected. 4 Out of 4 staff (S7-S10) stated they have not heard about or observed any instance of a resident not getting their medication. On November 13, 2025, LPA Monter interviewed Resident Services Director (RSD) Jmy Ramos. RSD stated on care track, they have the days the residents are scheduled to have a shower. RSD stated once it has been completed, it will be updated on care track. RSD stated there hasn't been an instance where a resident was neglected, and not given their shower. RSD stated there hasn't been any instance of R1 being neglected and not escorted. RSD stated in terms of medications for R1, there hasn't been any instance of R1 not receiving their medication and/or the facility not administering R1 medication per physician's order. The Department reviewed R1's Service Plan, dated July 23, 2025. Under Mobility, the service plan states R1 does need escorting to meals as needed / As requested. The Department reviewed R1's Medication Administration Record for the month of July and August 2025. Based on a review, there was no discrepancies noted. Page 4 Out of 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 The Department reviewed R1's Care Summary for July October 2025. Based on a review, the summary notes detail all the instances of R1 receiving assistance with his/her bathing needs. LPA did not note any discrepancies. The Department has completed the investigation of the above allegations. Based on interviews conducted and records review, 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. Page 5 Out of 5. END OF REPORT.

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced case management visit in regards an incident report, which stated a resident had eloped from the facility. LPA's met with Business office director Brianne Merritt. LPA's explained the purpose of the visit. On October 16, 2025, the Department received an incident report from the facility. The incident report stated, on October 15, 2025, around 7:20pm, medtech noticed R1 was not in their bedroom. After double checking the room, medtech alerted staff and initiated a thorough search of the community. The resident was located outside the community by a care giver and was safely escorted back inside. No visible injuries were observed upon return. During the visit LPA interview 4 staff. LPA requested staff schedule for October 15, 2025, and a copy of R1's care plan prior to October 15, 2025. LPA determined this incident requires further investigation. This report was reviewed with Brianne Merritt. A copy was provided.

Licensing Program Analyst (LPA) Christine Kabariti arrived unannounced to conduct the facility's annual required - 1 year inspection. LPA met with Executive Director (ED), Jolie Higgins and Resident Services Director Ria Hernandez. LPA toured Compass Rose (aka Memory Care) with ED to include 4 apartments (RM 138B, 133, 134, and 129), bathrooms, activity room, kitchen, dining room, and patio area. All fire exit routes were free and clear of obstruction. Delayed egress exit doors observed in working condition. Temperature maintained between 72 - 74 degrees F. Kitchen refrigerator temperature maintained at 26 degrees F. Freezer temperature maintained at 0 degrees F. Hot water temperature measured between 109.4 - 111.2 degrees F in RM 133 and 138B. Chemicals, disinfectants, and medications observed locked in Compass Rose. Activities calendar observed posted for the month. During visit, resident's observed participating in various activities. 2 resident files in Compass Rose was reviewed. 2 out of 2 resident files were complete and no issues noted. LPA inspected 2 resident's centrally stored medication and records with staff. 2 out of 2 resident medications were complete and no issues noted. LPA entered in the kitchen with the ED. The facility has at least 2 days worth of perishables and 7 days worth of non-perishable foods. Walk-in refrigerator temperature maintained at 36 degrees F. Walk-in freezer temperature maintained at 0 degrees F. Items inside the refrigerator and freezer observed covered and labeled. LPA observed a menu posted in the Compass Rose and Assisted Living section. See LIC809-C. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA toured Assisted Living with ED to include 4 resident apartments (RM 223, 219, 206, and 248). Hot water temperature was measured between 109.4 - 111.5 in RM 219 and 248. 2 residents file in Assisted Living was reviewed. 2 out of 2 resident's files were complete. LPA inspected 2 resident's centrally stored medication and records with staff. 2 out of 2 resident medications were complete and no issues noted. 4 staff files were reviewed and observed complete. 4 out of 4 staff members are fingerprint cleared. 4 out of 4 staff have over 20 hours of annual training. Fire extinguishers observed throughout the facility, last service date was 06/28/2024. Facility has carbon monoxide and smoke detectors present. Facility has an emergency disaster plan and emergency non-perishable foods. LPA observed the facility has a box that contains emergency supplies to include (but not limited to) flash lights, batteries, radio, reflector vests, and band aids. Emergency drills are being completed monthly and the last drill was completed in January 2025. Elevator observed in working condition. LPA observed the facility has a first aid kit. 3 stairwells were observed with an evacuation chair. Activities calendar posted in the elevator in assisted living. Based on resident interviews, the activity calendars are also provided to the residents weekly. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Executive Director, Jolie Higgins and Resident Services Director Ria Hernandez and a copy of the report was provided.

Licensing Program Analyst (LPA) Christine Dolores arrived unannounced to conduct the facility's required 1- year annual inspection. LPA met with Executive Director (ED) Jolie Higgins. LPA entered the kitchen with the ED. Refrigerator temperature maintained at 32 degrees F and freezer temperature maintained at 1 degree F. Facility has at least 7 days worth of non-perishables and 2 days worth of perishable foods. Items inside the refrigerator observed covered and labeled. Fire extinguisher last serviced on 05/30/2023. Facility has sufficient amount of silverware and dishes. LPA toured Compass Rose (aka Memory Care) with ED to include 6 resident apartments (RM 137B, 133, 130, 128, 124, and 123), bathrooms, activity room, dining room and exterior. Temperature in memory care maintained at 74 degrees Fahrenheit. Hot water temperature in RM 133 maintained at 110 degrees Fahrenheit. Oxygen in use signs posted in appropriate areas. All chemical, disinfectants, and hygiene items observed secured. Residents observed participating in activities during visit. 1 out of 2 egress doors in the patio observed in disrepair as the egress door does not open or alarm. The facility has another fire exit egress door in the patio area in case of emergency. 1 egress door inside memory care observed in disrepair and does not alarm. Facility initially had a latch lock on the door installed at the very top of the door that is not within arms length. LPA advised to remove the latch lock on the door in case of emergency. Facility staff immediately removed the lock and taped multiple caution tape signs on the door. Facility placed the lock temporarily to avoid resident elopements while they wait for the door to be repaired. The facility scheduled technicians to repair the egress doors this week. SEE LIC809-C. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA reviewed 4 resident files in memory care contained a signed admission agreement, updated medical assessment, TB result, service plan, consent form, and personal rights form. 3 out of 4 residents uses oxygen and has a physician order for oxygen on file. 2 out of 4 residents uses half rails and has a physician's order for half rails on file. LPA reviewed 4 resident centrally stored medication records and centrally stored medication. 1 out of 4 resident was missing 1 PRN medication that was not written in the centrally stored medication record. LPA observed the facility has the physician's order on file along with the PRN log. LPA toured Assisted Living with ED to include 6 resident apartments (RM 247, 239, 236, 229, 226, and 225) bathrooms, and common areas. Temperature maintained at 74 degrees F. Hot water temperature in RM 247 AND 236 observed at 112 degrees F. LPA observed the residents are provided with an activity schedule weekly. 1 stairwell observed free and clear of obstruction with a stairwell chair. LPA reviewed 4 resident files in Assisted Living contained a signed admission agreement, medical assessment, TB result, service plan, consent form, and personal rights form. LPA reviewed 4 residents centrally stored medication records. LPA observed 2 medications were not part of the centrally stored medication records for 2 out of 4 residents. LPA observed the physician's order for each medication. Staff immediately inputted the medication on the centrally stored medication record. 5 residents were interviewed in their apartments. LPA reviewed 6 staff records to include a fingerprint clearance, health screening, TB result, employee rights, and job application. 1 out of 6 staff members had a 1st Aid Certification. Facility has at least one person per shift who has a first aid certification. Facility has a scheduled 1st Aid certification course scheduled on 02/26/2024. LPA reviewed staff training records included training on topics to include but not limited to medication, dementia/Alzheimer, postural supports, and hospice care. LPA recommended to document the hours for each in-service training. Facility has an updated emergency disaster plan. Fire drills are being conducted quarterly with the drills dated on 11/2023, 12/2023, and 01/2024. No deficiencies are being cited per California Code of Regulations, Title 22. Advisory notes provided. This report was reviewed with Executive Director, Jolie Higgins, Resident Care Director, Ria Hernandez and Memory Care Director, Myrene Carasi and a copy of the report was provided.

On 09/20/2023, 1 staff member and 2 witnesses were interviewed. Based on staff interview, the facility was provided a visitation list signed by the resident (R1) and R1’s POA during admission. The list includes a list of residents who are allowed to visit and not visit R1. The list was maintained at the front desk. It was explained that if a visitor from the list were to arrive to the facility, the Executive Director (ED) would still ask R1 if he/she would like to see the visitor per the resident’s right. ED stated that R1 refused to see visitors. The review of records show that R1 signed a list of visitors who were allowed to visit and not allowed to visit R1. On 08/28/2023, the facility received communication to add another visitor to the “no visit” list. Based on interview with witness (W2), it was R1’s decision to put together a list of people who can visit and not visit R1. The Department has investigated the above allegation. Based on interview, record review and observation the above allegation is unsubstantiated. An unsubstantiated finding indicates that although the allegation may have happened and/or is valid there is not a preponderance of evidence to prove the alleged violation did or did not occur. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Executive Director, Jolie Higgins and a copy of the report was provided.

Based on record review of R1's physicians report sign & dated 2/20/2019, R1 does not have a special diet. LPA requested 2020 facility menu, ADM stated facility menu for the year 2020 is not available. LPA interviewed Food Service Director (FSD). FSD stated he/she does not recall complaints or interactions from R1. FSD stated he/she only follows the pre-set menu and has never deviated from the menu. Based on the interviews conducted and record 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. Staff are not responding to resident's call button in a timely manner . The incident occurred on 8/23/2020 and 8/25/2020 where R1's pendent was not answered for over an hour. On 8/10/2023, the Department interviewed ADM. ADM stated the staff need to respond to the resident's call pendent within 12 minutes. Per ADM, the facility changed the signal system to a new model. Per Stanley Healthcare Invoice the facility installed the new call system on 5/25/2022. Per ADM, the facility does not have records from the previous signal system which was used when the incident occurred. Based on interview of S1-S3 who worked at the facility in 2020, 3 of 3 staff members stated the resident's pendent would be cleared within 10 minutes and 2 of 3 staff stated the previous signal system would not clear the call pendent signal after the resident was assisted, which is why the facility replaced the signal systems. Based on the interviews conducted and record 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. Page 2 out of 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Facility failed to maintain resident's room in good repair It has been alleged that the facility does not respond to work orders. LPAs interviewed ADM. ADM stated the facility will assist if the residents notify maintenance via work order. ADM stated, as long as it is requested, the facility will address the issue. ADM stated how quickly they address the work order depends on the priority level. ADM stated if its high priority, like something that may endanger a resident, then it will be address immediately. ADM stated if its low priority, then that will take longer to address. ADM wanted to note that the facility will fix the things the facility is responsible but will not fix the residents personal property. ADM stated that the refrigerators does make a noise which is normal when the refrigerator is functioning properly. ADM stated if there was noise coming from the fridge would be considered a potential health and safety risk for the resident, then the facility would remove the fridge. ADM also stated if the residents fridge is not working, they will replace it the same day. ADM stated maintenance will do rounds one a month, which includes, but not limited to, changing filters and inspecting residents apartments. ADM stated if maintenance sees an issue during the monthly rounds, it will be addressed immediately. LPAs reviewed facility work orders made by R1. R1 work order request made on 08/09/2020 was completed on 8/19/2020. R1's work order on 8/26/2020 was completed on 8/27/2020. R1's work order on 8/27/2020 was completed on 8/27/2020. LPA did not interview maintenance director. The maintenance director who worked during the time period of the complaint no longer works at the facility. Based on the interviews conducted and record 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. Page 3 out of 3

Based on interview, 5 out of 5 staff state the facility has a cell phone that is provided for residents to make telephone calls. Staff (S5) states the cell phone is used to make calls to family along with receive calls from family. LPA observed the cell phone is capable of telephone calls and video calls. Staff (S4) states the staff assist the residents with telephone calls and/or video calls when needed. Telephone calls to family members are not scheduled and based on request of the family member. The residents are able to receive calls anytime throughout the day. The Department has investigated the above allegations. Based on interview, record review and observation the above allegations are unfounded. An unfounded finding means the allegation is false, could not have happened and/or without a reasonable basis. No deficiencies were cited per California Code of Regulations, Title 22. This report was reviewed with Executive Director (ED) Jolie Higgins and Resident Service Director (RSD) Ria Hernandez and a copy of the report was emailed to ED and RSD due to technical difficulties.