The Terraces of Los Gatos

Type of visit: POC

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management - POC visit and met with Wellness Director (WD) Alexandra Matjunas. The purpose of today's visit is to follow up with the case management conducted on 09/17/2026 and to review the plan of collection received on 09/18/2026 for the citation issued on 09/17/2026. LPA reviewed and discussed the plan of collection with WD. LPA toured the two medication rooms with WD. LPA obtained the training documents of all Med Techs and 3 Nurses. LPA reviewed the obtained training documents with WD. No citation issued today. Exit interview was conducted with WD. The report was provided to WD for review and signature.the state’s words, verbatim · CDSS document, Sep 23, 2026

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management visit and met with Wellness Director (WD) Alexandra Matjunas. On 08/21/2026, the Department received two incident reports regarding incidents of medication error of two residents (R1 and R2). On 08/20/2026, resident R1 of Assisted Living unit was administered wrong medications which were another resident's medications. On 08/18/2026, resident R2 of Memory Care unit was administered wrong dosage of medication. On 08/25/2026, LPA spoke with WD on the phone. LPA interviewed WD. LPA requested the physician reports, care plan, centrally stored medication forms, and Medication administration records of R1 and R2. LPA reviewed the incident reports with medication error of the facility in year 2026, there are 4 medication error SIRs. Deficiencies noted for today's visit. See LIC809-D. Exit interview was conducted with WD. The report was provided to WD for review and signature.the state’s words, verbatim · CDSS document, Sep 17, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(a) · Plan of correction due date: Sep 18, 2026

87411 Personnel Requirements - General (A) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. This requirement is not met as evidenced by: Based on the interview and records reviewed, on 8/20/2026, resident R1 was administered wrong medication, and on 8/18/2026 resident R2 was administered wrong dosage of medication. That poses an immediate Health, Safety, or Personal Rights risk to persons in care.the state’s words, verbatim · CDSS document, Sep 17, 2026

Plan of correction: Wellness Director agreed to submit a plan of correction to prevent the similar incident to happen again by the POC due date and agreed to submit a staff training log to CCL office.

Allegation investigated: Facility staff are overcharging residents.

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced investigation visit to deliver the investigation finding and met Wellness Director Alexandra Matjunas (WD). On 01/27/2026, the Department received a complaint with the allegation that facility staff are overcharging residents. On 02/04/2026, the Department conduct an initial investigation visit. On 02/25/2026, the complaint was referred to Continuing Care Contracts Bureau to investigate. On 03/05/2026, Continuing Care Contracts Bureau Financial Analyst started to interview witness and facility staff. Continue on LIC9099-C. Page 1 of 2. Unfounded On February 25, 2026, the Continuing Care Contracts Bureau received a complaint alleging that Terraces of Los Gatos is overcharging residents. It was further alleged that the community participates in the Below Market Price (BMP) Housing Program established by the Town of Los Gatos through Ordinance 2313, adopting Chapter 29 of the Town Code, and that the provider denied participation in the program. The Department conducted interviews with both the Witness and the Executive Director. Based on the information obtained, the Department determined that the allegation does not constitute a violation of laws or regulations within the Department’s jurisdiction. Rent control provisions and local BMP housing requirements do not apply to Continuing Care Retirement Communities (CCRCs), and rental agreements are not considered continuing care contracts subject to Continuing Care Contracts Bureau (CCCB) oversight. Accordingly, the Department has determined that the allegation is unfounded meaning that the allegation is false, could not have happened and/or is without a reasonable basis. No citations noted at today’s compliant investigation visit. Exit interview conducted with WD. This report was provided to review and for signature. A copy of this report was provided to WD. Page 2 of 2.the state’s words, verbatim · CDSS document, Apr 6, 2026 · control 26-AS-20260127093623

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection visit and met with Health Service Administrator (HSA). The facility has 40 Assisted Living residents and 16 Memory Care residents. License, ADM certificate, and Personal rights posters were observed in the facility. LPA reviewed 7 resident files and 6 staff files. LPA toured the Memory Care Unit. LPA tested the delay exit door. The alarm sounded when the exit door was pushed; and the door was able to open after 30 seconds. Two caregivers came on site around 20 seconds after the alarm sounded. The memory care unit has 16 bedrooms. LPA randomly picked up one resident room to inspect. LPA toured the activity room and living room, and dining area in memory care unit. Room temperature was observed at 74 degree F. LPA toured the memory care unit patio area. LPA toured Assisted Living unit. The elevator was observed functional. LPA toured 2 resident rooms in Assisted Living Unit. LPA toured the activity rooms, dining room. Laundry room and chemical supplies room were observed locked. Evacuation chairs were observed in the stairs. LPA toured the Independent Living Unit and toured one resident room and fitness center. LPA toured the common area. Two days perishable foods and seven day nonperishable foods were observed sufficient. Room temperature was observed at 74 degree F, hot water temperature was observed at 118 degree F. The temperature of the freezer was observed at 0 degree F and the temperature of the refrigerator was observed at 37 degree F. Medication room, laundry room were observed locked. Continue on LIC809-C. page 1 of 2. The facility was equipped with fire alarm, smoke and carbon monoxide detectors. Carbon monoxide detector was tested, and was working. Fire extinguisher was serviced on 4/24/2025. The last the facility fire drill was last conducted on 12/08/2025. No citation issued today. This report was reviewed with HSA and a copy of this report was provided.the state’s words, verbatim · CDSS document, Dec 18, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management visit and met with Director of Wellness (DW) Alexandra Matjunas. DW stated all these residents live in Independent Living unit.On 12/05/2025, the Department received 4 incident reports regarding resident R1, R2, R3 and another incident report regarding R1. On 12/02/2025, resident R1 was given wrong medication nurse (S1) found the mistake immediately. R1 was also given the correct medication. S1 wanted to assessed R1 to check if R1 was fine but R1 refused and stated he/she was fine upon incorrect administration. R1 allowed S1 to assess later. The facility notified R1' PCP, and follows PCP's instruction. The facility notified pharmacist who stated the medications that S1 gave to R1 had no interaction to each other. DW stated R1 is fine and still lives in independent living unit. After the incident, the facility provide the staff training to S1, nurses and Med Techs. DW stated this is the first time of the incident regarding S1 and R1. On 12/01/2025, resident R2 reported R2's jewelry was lost to staff. Around 2:00PM, R1 called police department and reported the incident. DW stated police officers came to the facility to interview staff and residents. On 12/03/2025, Housekeeper supervisor reported that resident R3 lost Diamond Omega Watch. DM stated police officers came to the facility to interview staff and residents. Continue on LIC809-C. Page 1 of 2.. On 12/03/2025, resident R1's fiduciary reported that someone outside may financial abuse R1. DW stated police officers conducted interview on 12/09/25. LPA interviewed DW, Housekeeper Supervisor, 3 residents, and 1 staff. LPA toured resident rooms. LPA obtained the staff training material, copies of the updates of the incidents, and the statement of staff. At this time, these cases are under review and the Department will conduct a follow visit if warranted. Exit interview was conducted with DW. The report was provided to DW for review. A copy of the report was provided to DW. Page 2 of 2..the state’s words, verbatim · CDSS document, Dec 10, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management visit and met with Director of Wellness (DW) Alexandra Matjunas. Today's visit is to follow up with the case management visit on 09/04/2025. . On 8/12/2025, resident R1's private companion (PC) noticed that R1 breathing changed and lip turned in blue color. PC notified the facility wellness center. The facility LVN went on site and 911 was called immediately. R1 was sent to hospital. On 08/12/2025, at 08:55AM, R1 passed away in the hospital. On 09/04/2025, LPA conducted an unannounced case management visit at the facility. LPA interviewed DW and Health Service Administrator (HSA). LPA requested R1's physician report, assessment, and progress notes. On 09/09/2025, LPA received R1's death certificate. Based on the review of R1's death certificate, R1's cause of death is heart disease, natural cause. Based on the interview and records reviewed, there is no suspicion of R1's death. No citation noted today. Exit interview was conducted with WD. The report was provided to WD for review and signature. A copy of the report was provide to WD.the state’s words, verbatim · CDSS document, Sep 16, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management visit and met with Assisted Living Director Lady Anthonett Turman (ALD). On 6/4/2025, the department received an incident report regarding resident R1 from ALD. On 6/6/2025, LPA interviewed ALD. ALD stated on 6/4/2025, R1's old bank account was closed and a new bank account was opened. On 6/6/2025, R1's bank already reimbursed the full amount of money of the 3 unknown transactions to R1. ALD provided the police report case number. ALD stated R1 did not leave bank statement in the room and did not have any missing check. LPA toured R1's room in the assisted living unit and interviewed R1. R1 stated he/she does not have any complaint. R1 stated the facility staff are helpful. R1 confirmed he/she received the refund from the bank of the full amount of money of the 3 unknown transactions. On 9/4/2025, LPA interviewed 3 staff and a private companion of R1. 4 out of 4 stated they never saw R1's bank statement, checkbook or bank card. Based on the interview and records reviewed, The investigation finding for this case is UNSUBSTANTIATED. An unsubstantiated finding indicates that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the allegation did or did not occur. No Citation noted today. Exit interview was conducted with ALD. The report was provided to ALD for review and signature. A copy of the report was provide to ALD.the state’s words, verbatim · CDSS document, Sep 4, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management visit and met with Director of Wellness (DW) Alexandra Matjunas. On 8/13/2025, the Department received a report from DW regarding resident R1. On 8/12/2025, R1's private companion (PC) noticed that R1 breathing changed and lip turned in blue color. PC notified the facility wellness center. The facility LVN went on site and 911 was called immediately. R1 was sent to hospital. LPA interviewed DW and Health Service Administrator (HSA) Bill Penrod. LPA requested R1's physician report, assessment, and progress notes. DW stated he/she will send R1's death certificate to CCL office when available. This case needs further investigation. Exit interview was conducted with DW. The report was provided to DW for review and signature. A copy of the report was provided to DW.the state’s words, verbatim · CDSS document, Sep 4, 2025

Type of visit: Case Management - Other

Licensing Program Analysts Steve Chang conducted an unannounced case management visit and met with Health Service Administrator Bill Penrod (BP). The purpose of today's visit is to deliver immediate exclusion letter for an individual (referred as PC1). LPA read and explain the immediate exclusion letter to BP that the Department determined that PC1 must not have continued or future contact with clients/residents or presence in the facility constitutes a threat to the health and safety of clients/residents in care. BP agreed and understood that PC1 is not allowed to work, resident or volunteer in the facility. PC1 is not an employee or employed by the facility; he/she was hired by resident as Private Caregiver through a Home Care Agency (HCA). Exit interview was conducted with BP. The report was provided to BP for review and signature. A copy of this report and the exclusion letter for PC1 were provided to BP.the state’s words, verbatim · CDSS document, Jun 17, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management visit and met with Assisted Living Director Lady Anthonett Turman (ALD). On 6/4/2025, the department received an incident report from ALD. On 6/3/2025 at 11:25AM, ALD received a notice from resident R1 that his/her bank account has been hacked. There were 3 transactions he/she cannot recognize. ALD spoke with R1 and R1's family member. ALD suggested R1's family member to report to police depart. On 6/6/2025, LPA interviewed ALD. ALD stated on 6/4/2025, R1's old bank account was closed and a new bank account was opened. On 6/6/2025, R1's bank already reimbursed the full amount of money of the 3 unknown transactions to R1. ALD provided the police report case number. ALD stated R1 did not leave bank statement in the room and did not have any missing check. LPA toured R1's room in the assisted living unit and interviewed R1. R1 stated he/she does not have any complaint. R1 stated the facility staff are helpful. R1 confirmed he/she received the full amount of money of the 3 unknown transactions. LPA requested R1's physician report and appraisal needs and service plan. This case needs further investigation. Exit interview was conducted with LAD. The report was provided to ALD for review and signature. A copy of the report was provided to ALD.the state’s words, verbatim · CDSS document, Jun 6, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced case management visit and met with Director of Wellness Alexandra Matjunas (DW). On 5/13/2025, the Department received a incident report regarding an private caregiver abuse a resident. On 5/14/2025, the Department interviewed a staff on the phone. On 5/15/2025, LPA interviewed DW, resident R1's family on the phone and NextGen Operation Supervisor on the phone. DW stated R1 is an independent living resident. LPA and DW went to tour resident R1's room and to interview R1, R1 refused to have an interview. LPA was unable to enter R1's room. LPA toured another room with similar layout as R1's room with DW. LPA requested R1's physician report, appraisal needs and service plan, and the contract between R1 and NextGeb. The case need further investigation. Exit interview was provided with DW. The report was provided to DW for review and signature. A copy of the report was provided to DW.the state’s words, verbatim · CDSS document, May 15, 2025

Type of visit: Required - 1 Year

Licensing Program Analysts (LPAs) Marcela Yanez and Manuel Monter conducted an unannounced Required 1 Year visit and met with Sandra Mirasol, Residential Living Director (RLD). LPAs stated the purpose of the visit. LPAs toured Assisted Living building with RLD inside and out, which include upstairs and downstairs. LPAs randomly inspected the following, but not limited to resident bedrooms: 45,47, 60, 66,70,and 72 LPAs randomly tested 4 resident bedrooms water with thermometer and measured range from 116.0 to 118.0 degrees F. LPAs also inspected the dining area and kitchen of the Assisted Living building. LPAs observed the kitchen area LPAs observed perishable food supply of at least two days and a non-perishable food supply of at least seven days. No obstructions were noted during tour. LPAs toured the Memory Care building inside and out. LPAs randomly inspected the following, but not limited to resident bedrooms: 1,2,3,4,5 and 9. LPAs randomly tested 6 bedrooms water temperature with thermometer and measured to range from 110.0 to 115 degrees F. LPA tested delayed egress doors which activated auditory sound when pressed. LPAs toured the Independent Living with RLD inside and out which included 3 floors and multiple different buildings. LPAs randomly toured the following, but not limited to, resident bedrooms: M151, M153, M154,M155, Q66,M355, and P397. LPA observed fire extinguisher was last serviced on 04/16/2024. LPA reviewed Fire and Earthquake log. the last Drill was last conducted on 12/06/2024. Facilities Sprinkler system was last inspected on 09/06/2024 Page 1 Out of 2. LPA reviewed resident records for 10 residents.. LPA reviewed 5 staff records and found them to be complete. LPAs interviewed 13 residents and 3 staff. LPA provided RLD with a flyer "Important updates to Dementia Care & Miscellaneous Changes, Effective January 1, 2025." LPA requested a copy of the following documents: 1.LIC 500, Personnel Summary 2. LIC 308, Designation of Administrative Responsibility 3.LIC400, Affidavit Regarding Client/Resident Cash Resources 4. Liability Insurance 5. Qualifications of Administrator (Certificate) 6. Please review your facility program for updates (incorporating new laws and/or regulations) No deficiency were cited as per California Code of Regulations Title 22. This report was reviewed with Residential Living Director Sandra Mirasol and a copy of this report and appeal rights were provided. Page 2 Out of 2. END OF REPORT.the state’s words, verbatim · CDSS document, Dec 26, 2024

Allegation investigated: A resident was inappropriately touched by a staff

Licensing Program Analysts (LPAs) Manuel Monter and Marcella Tarin conducted an unannounced complaint investigation visit and met with Residential Living Director Sandy Mirasol. On September 26, 2024, the Department received a complaint alleging a resident was inappropriately touched by a staff. It has been alleged that R1 was inappropriately touched on September 19, 2024. On September 28, 2024, LPA obtained and reviewed Independent, Assisted and Memory Care Unit’s copy of resident and staff rosters including names of residents who were recently, temporarily, and permanently admitted at their Skilled Nursing Facility (SNF) which is under the CA Department of Health. Page 1 Out of 2. Unfounded Staff S1 provided a detailed information of each 3 residents who were from their Assisted, Independent and Memory Care. 1 Out 3 residents (referred as R1) were transferred to Skilled Nursing Facility on September 2024, because of a fall while others need higher level of care and/or rehabilitation. S1 stated that R1 has never been back to his/her independent residence since he/she was admitted to SNF. S1 stated R1 will be returning to his/her independent living unit on September 28, 2024. S1 is the director of independent living unit wherein S1 was informed about the alleged sexual abuse by R1 that happened on September 19, 2024, and the investigation conducted by law enforcement agency at SNF. S1 stated that the alleged sexual abuse did not occur within the premises of the Assisted, Independent and Memory Units. S1 stated that they don't have staff working at SNF. Based on record review and interviews, R1 has neurocognitive disorder. On October 4, 2024, LPA Monter and Tarin interviewed Skilled Nursing Health Services Administrator (HSA). HSA stated resident R1 was located at the SNF from September 10 - September 28, 2024. HSA stated he/she is aware of the allegations that R1 has made during his/her stay at the SNF and reported it. HSA stated local law enforcement did come to the SNF and took a report. 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. No deficiencies cited, an exit interview conducted with Residential Living Director Sandy Mirasol and a copy of the report was provided. Page 2 Out of 2. END OF REPORT.the state’s words, verbatim · CDSS document, Oct 4, 2024 · control 26-AS-20240926164112

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Case Management visit and met with Administrator Peter Morris. The purpose of the visit was to follow up on a Death Report submitted to the Department on 05/21/2024. The Death Report stated that resident R1 was found deceased on 05/20/2024 at approximately 08:00 AM. The Death Report stated that R1 had complained of neck pain as well as having experienced vomiting and a headache at 12:01 AM on 05/20/2024. The Death Report states R1 was offered to call 911 but R1 refused. R1 was observed deceased in R1's bed at around 08:00 AM. During today's visit, LPA Marrufo interviewed staff S1 and S2. S1 stated to have received a call from R1's spouse on 05/20/2024 stating that R1 appeared deceased. S1 stated to have entered R1's living unit and observed R1 to be laying on R1's bed with R1's feet touching the floor and R1's back resting on pillows and blankets. S1 stated 911 was called and firemen, paramedics, and police arrived. S1 stated police approved of the removal of R1's body from the facility. S2 stated during interview that the facility has not received a coroner's report. No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Administrator Peter Morris and a copy of this report was provided.the state’s words, verbatim · CDSS document, Oct 2, 2024

Type of visit: Case Management - Other

Licensing Program Analyst Manuel Monter conducted an unannounced case management to amend a complaint investigation deficiency page, LIC9099-D issued on January, 22, 2024.(26-AS-20230404163203) LPA met with Residential Living Director Sandy Mirasol. The deficiency page is being amended due to citing the incorrect deficiency. LPA printed out a copy of the amended report. LPA requested Residential Living Director resend POC, with updated code section. No deficiencies cited during todays visit. A copy of the report was provided to Residential Living Director Sandy Mirasol.the state’s words, verbatim · CDSS document, Jan 24, 2024

Allegation investigated: Residents are being financially abused.

Licensing Program Analyst (LPA) Manuel Monter conducted an unannounced visit to conclude the complaint investigation. LPA Monter met with ADM and stated the purpose of the visit. On 4/4/2023, the Department received a complaint with the above allegation. On 4/11/2023 the Department conducted the initial investigation of financial abuse by private caregiver PC1 and PC2 who misappropriated resident R1’s finances and applies undue influence toward R1 for financial gain. On 4/04/2023, the Department conducted an initial investigation visit to the facility that a resident is being financially abused. On 4/11/23 the Department received additional information and the case was reopened. page 1 of 2 Substantiated page 2 of 2 Continuation from page 1 Based on investigation, document reviews, and interviews, private caregiver 1(PC1) & private caregiver 2 (PC2) engaged in conduct that is inimical to the health and morals, welfare or safety of either an individual in or receiving services. PC1 & PC 2 engaged in acts of financial malfeasance concerning the operation of a facility, including, but not limited to, improper use or embezzlement of client moneys and property or fraudulent appropriation for personal gain of facility moneys and property, or willful or negligent failure to provide services for the care of clients. Based on documentation, interviews and observation, the preponderance of evidence standard has been met therefore the above allegations are found to be SUBSTANTIATED. Deficiencies were cited from California Code of Regulations, Title 22 during today’s visit, see LIC 9099-D. This report was reviewed with Administrator and a copy of the report was provided. Appeal Rights was provided.the state’s words, verbatim · CDSS document, Jan 22, 2024 · control 26-AS-20230404163203

From the deficiency page — Deficiency type: Type A · Section cited: HSC 1569.58(a) · Plan of correction due date: Jan 24, 2024

1569.58 Persons prohibited from being a licensee, ... or holding certain positions ... appeal; petition for reinstatement (a)The department may prohibit any person ... person who is not a client and who has done any of the following This requirement was not met as evidenced by; Based on interviews conducted, and evidenced reviewed, private caregiver PC1 and PC2 misappropriated resident R1’s finances and applied undue influence toward R1 for financial gain. This poses an immediate threat to residents health, safety and personal rights.the state’s words, verbatim · CDSS document, Jan 22, 2024

Plan of correction: ADM stated those two private care givers would no longer be let back in the facility. ADM stated he will send a written plan of action on overseeing private care givers hired by residents, including those in independent living. ADM to submit POC to LPA by 01/24/24.

Type of visit: Case Management - Other

On 12/22/2023 at 3:30 p.m. Licensing Program Analysts (LPAs) Steve Chang and Maria (Mita) Partoza conducted an unannounced Case Management visit and met with Health Services Administrator (HSA) Bill Penrod and explained that the purpose of the visit was to hand deliver a letter of exclusion for 2 individuals private care giver 1 (PC 1) and private care giver 2 (PC 2) from the facility. No deficiencies were cited at this time as per California Code of Regulations Title 22. This report was reviewed with Health Services Administrator Bill Penrod and a copy of the report was provided.the state’s words, verbatim · CDSS document, Dec 22, 2023