Covenant Living at Mount Miguel

Allegation investigated: Facility is in disrepair Facility falsely advertised amenities

Licensing Program Analyst (LPA), Tiffany Holmes conducted an unannounced complaint visit to deliver findings on the above-mentioned allegations. LPA met with Ron Alamario, Assisted Living Director and we discussed the allegations. LPA conducted interviews, made observations, and obtained and reviewed pertinent records. It was alleged that the facility is in disrepair and that the facility falsely advertised amenities. Interviews revealed that the facility advertises what they are offering. Interviews revealed that the sales department offers new residents the option of a light refurbish and full refurbish apartment home. The prospective resident will then choose which one they want. Interviews revealed Resident 1 (R1) signed the Reservation document stating they would take the apartment home with a light refurbish while they were with their realtor on 12/18/2025. Interviews revealed that R1 wanted to change the paint since it was a light color and change the flooring. Interviews revealed the appliances were used but were still in good condition operable and clean. Interviews revealed they had normal wear and tear, no bugs and there was one little nick on the fridge. There was no rust and the sales department did not make any promises to R1 about possibly changing them out. Interviews revealed on a full refurbish, appliances are sometimes not swapped out if they are still operating. The unit was sold to R1 as a light refurbish as is. Interviews revealed that R1 and their realtor picked out the paint and the flooring off the selection sheet without R1s family. On another day R1 came in with their adult child and they were concerned about the unit and the sales department was able to advise them it was a light refurb. On a different day they met with R1 and their two children and they were saying the apartment was not move in ready and that the appliances should be replaced. Interviews revealed that R1 knew that the light refurb comes with used appliances but their children did not. Unsubstantiated Interviews revealed that R1's children wanted another unit that was a full refurbish with all new paint, flooring, cabinets and appliances, literally gutted out and brand new. Interviews revealed the family was told they had another unit that will become available in 2-3 weeks that had the same lay out, same building but not the same cost. Interviews revealed the sales department talked to the family and walked them to the other unit and they were weighing their options and a few days after this they wanted new appliances in the new unit that was a light refurb also. Interviews revealed the sales department was willing to give them a new dishwasher and fridge only. Interviews revealed the family was not in agreement with that and wanted the sales department to replace the fridge, stove, microwave and dishwasher. Interviews revealed that the children expressed dissatisfaction with the appliances and they gave them two options one which was brand new and at first R1 said yes then changed their mind and decided to keep the original apartment. Interviews revealed that staff did observe a few spiders and tried to explain to the family that they called the terminator to the unit so prior to R1 moving in it would be all clear and they reiterated to them that the unit had been empty since December of 2025 and it was now March/April 2026. Interviews and a review of signed documents reveal R1 signed the selection sheet on 01/09/2026, they met with the children on 2/26/26 and explained to them that a full refurb involves updating to current finishes, appliances, countertops and millwork, lighting, showers/tub replacement plumbing, draperies, cabinets and flooring. A light refurb was flooring, minor repairs, appliances (if needed) Minor millwork or counter tops (if needed) painting. On 02/26/26 R1 came with their two children to look at the community and see their apartment on that day they had quite a bit of concerns and questions about the unit. They spoke with the facilities maintenance team so they could address the concerns with them. They confirmed with the refurb team that the apartment would be cleaned and ready to put items in on Tuesday of the next week. R1's contract was signed on 3/16/2026 and their move in date was scheduled for 3/18/2026. Interviews later revealed that on 04/23/2026 the facilities maintenance purchased all new appliances for R1s apartment that later R1 did not accept. The Department has investigated the above-mentioned allegations and based on interviews, LPA observations, and records review, it was determined that the complaint allegations are Unsubstantiated. The allegations may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was left at the facility with Ron Alamario Assisted Living Director and was provided a copy of the Appeal Rights (LIC 9058 3/22) and their signature on this form acknowledges receipt of these rights.the state’s words, verbatim · CDSS document, Sep 9, 2026 · control 08-AS-20260413163048

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Ron Alamario, Director of Assisted Living. According to the facility’s license, the facility has a maximum capacity of four hundred and thirty five residents, of whom four hundred and twenty (420) may be non ambulatory. Hospice waiver for twenty five (25) residents. (Current Census is 342 residents) LPA toured the interior and exterior of the facility and inspected each room. The facility was sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Residents bedrooms contained the required furnishings. Doors, windows, toilets, and showers were in working order. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Cooking/dining equipment and utensils were present. There were no toxic chemicals/poisons accessible to residents. Medications were labeled, as required, and stored in locked areas. Pools and bodies of water on the premises are covered and or secured. Per Almario, there are certain residents that have firearms or ammunition that are kept at the facility. Carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were present. First aid kits were complete and readily accessible. No deficiencies were cited on today's visit. An exit interview was conducted with Ron Alamario, Director of Assisted Living, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Apr 22, 2026

Allegation investigated: Licensee did not ensure staff followed proper infection control protocols. Licensee did not ensure sufficient staffing to assist residents with medication needs.

Licensing Program Analyst (LPA), Tiffany Holmes conducted an unannounced complaint visit to deliver findings on the above-mentioned allegations. LPA met with Ron Alamario, Assisted Living Director and we discussed the allegation. LPA conducted interviews, made observations, and obtained and reviewed pertinent records. It was alleged that the licensee did not ensure staff followed proper infection control protocols. Interviews revealed that the facility is supplied with plenty of Personal Protective Equipment (PPE). Interviews revealed that when a resident has tested positve for covid and is put on isolation that the facility staff provides a PPE box outside of their door for the staff. Interviews and LPA observations revealed there were masks, gloves, gowns and shields inside of the drawers of the PPE boxes. Interviews revealed there is sanitizer on top of the PPE boxes for staff to use as soon as they take their gloves off. Interviews revealed the staff denied not ensuring the staff are not following proper infection control protocols. Unsubstantiated It was alleged that the licensee did not ensure sufficient staffing to assist residents with medication needs. Interviews revealed that the staff are med tech's as well as caregivers. On every shift there are med tech's. Interviews revealed that staff are hired to do both jobs as needed. Interviews revealed the caregivers and CNAs can do medication for the residents and the caregiving. There are CNAs on every shift. Interviews revealed that there are 5 staff in the mornings that work from 6am -230 pm. There are 5 staff in the evenings from 215 pm- 1045 pm then there are 4 staff that work overnight from 1030 pm -7am and they all can do medications. The Department has investigated the above-mentioned allegations and based on interviews, LPA observations, and records review, it was determined that the complaint allegations are Unsubstantiated. The allegations may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was left at the facility with Ron Alamario Assisted Living Director and was provided a copy of the Appeal Rights (LIC 9058 3/22) and their signature on this form acknowledges receipt of these rights.the state’s words, verbatim · CDSS document, Dec 9, 2025 · control 08-AS-20250728153034

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Ron Alamario, Administrator. According to the facility’s license, the facility has a maximum capacity of four hundred and thirty five (435) residents. During today’s inspection, there were a total of three hundred and fifty four (354) residents in care. LPA, accompanied by staff, toured the interior and exterior of the facility, and inspected ten (10) rooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident rooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Hot water temperature at taps accessible to residents were all compliant: Bathroom sinks ranged from 105.2 F - 118.2 F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to residents. Medications were labeled, as required, and stored in locked areas. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] There is a pool and jacuzzi on the premises that is gated and locked. Per staff, there are firearms or ammunition that are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and residents and reviewed multiple staff and resident records/files. LPA interviews did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Ron Alamario, Administrator to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Apr 30, 2025

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced Case Management visit. LPA was greeted at the front door by Janette Getgen, Administrative Assistant and was granted facility entry. The purpose of the visit was to gather resident information. During today’s visit the LPA received the information regarding the resident date of move in and what part of the facility the resident lives. There were no deficiencies during todays visit. An exit interview was conducted and a copy of this report along with the licensee rights (LIC 9058 01/16) was provided to Janette Getgen, Administrative Assistant.the state’s words, verbatim · CDSS document, May 7, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced Required Annual Inspection. The facility file was reviewed prior to the visit. LPA was welcomed by, identified themselves to, and discussed the purpose of the visit with Ron Alamario, Administrator. According to the facility’s license, the facility has a maximum capacity of four hundred and thirty five (435) residents. During today’s inspection, there were a total of three hundred and fifty four (354) residents in care. LPA, accompanied by staff, toured the interior and exterior of the facility, and inspected twenty seven (27) rooms. The facility was clean, sanitary, and in good repair. Pathways were free of obstruction and slip hazards. Resident rooms contained the required furnishings. Doors, windows, screens, toilets, and showers were in working order. Extra linens and hygiene supplies were present, as well as Personal Protective Equipment. The facility had sufficient space and equipment to facilitate dining, laundry, visitation, meetings, and resident activities. Hot water temperature at taps accessible to residents were all compliant: Bathroom sinks ranged from 105.2 F - 120 F. There was at least 2 days of perishable food, and at least 7 days non-perishable food present, all safely stored. Cooking/dining equipment and utensils were present. There were no sharp objects, toxic chemicals/poisons, or open-faced heaters accessible to residents. Medications were labeled, as required, and stored in locked areas. [CONTINUED ON LIC 809-C] [CONTINUED FROM LIC 809] There is a pool and jacuzzi on the premises that is gated and locked. Per staff, there are firearms or ammunition that are kept at the facility. Smoke alarms, carbon monoxide detectors, emergency lighting, and facility telephone were all working. Fire extinguisher(s) were serviced within the last 12 months. First aid kit(s) were complete and readily accessible. Required licensing postings were observed in visible areas of the facility. LPA interviewed staff and residents and reviewed multiple staff and resident records/files. LPA interviews did not raise any licensing concerns. The files which LPA reviewed contained required documents. Confidential records were stored in locked areas. No deficiencies were observed or cited during today's annual inspection. An exit interview was conducted with Ron Alamario, Administrator to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.the state’s words, verbatim · CDSS document, Apr 30, 2024