Westmont of Santa Cruz

Type of visit: Case Management - Incident

Licensing Program Analysts (LPA) Marcella Tarin and Marcela Yanez conducted a case management incident visit. LPAs stated the purpose of the visit. On 8/24/2026 LPA Tarin received a call from Resident Services Director (RSD) Valentine Mathangani, who called to report that aresident, referred to as R1, had exited the Memory Care (2nd floor) delayed egress doors, and made it down to the first floor lobby front door area on 8/20/2026. RSD stated R1 was not injured during the incident, and R1's responsible party was notified. On 8/25/2026 an incident report was submitted by the facility to CCLD regarding the above incident noted. During today's visit, LPAs toured the second floor memory care with ED and RSD. LPAs observed the delayed egress doors in Memory Care to be functioning properly when tested by ED and LPAs. All exits and passageways were free and clear of obstruction. LPAs requested pertinent documentation. LPAs determined this incident requires further investigation. No deficiencies were cited during today's visit, per California Code of Regulations, Title 22. An exit interview was conducted ED and a copy of this report was providedthe state’s words, verbatim · CDSS document, Sep 23, 2026

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Marcella Tarin conducted an announced Prelicensing visit. LPA met with Applicant Cassondra Bradford, Regional Vice President and Maintenance Director Robert Bianchi. LPA stated the purpose of the visit. No residents were present during inspection. Per the facility fire clearance, the facility has an approved capacity for 96 NON-AMBULATORY. LPA toured the interior and exterior of the facility with Applicant and Maintenance Director, to include all three floors of the facility, dining areas, kitchens, activity areas, laundry room, stairways and med rooms. LPA observed the facility has a wooden fence around the exterior of the facility, with no bodies of water observed. All exits and passageways were free and clear of obstruction. The facility front living area has a fire place with a protective screen. LPA touched the protective screen, which was not hot to the touch. The facility has three floors, with Assisted Living (AL) located on all three floors. Memory Care (MC) is located on the second floor, with 23 rooms. The MC is equipped with delayed egress doors, which functioned properly when tested by the Maintenance Director. Page 1 of 3 LPA inspected 8 random unoccupied resident rooms (2 rooms on first floor, 3 rooms on second floor, and 3 rooms on third floor). LPA measured the water temperature in the above 8 random unoccupied resident rooms, with a range from 108.3 F to 111 F. Each resident room has a pull cord located in the bathroom. Applicant states residents bring in their own furniture and bedding upon moving into the facility. LPA observed Medication rooms are located on the second and third floor, and were observed locked and inaccessible to residents in care. Each medication room had a first aid kit. LPA also observed toxins and cleaning supplies secured in a locked room on the first floor. LPA observed the facility has three kitchens, with the main kitchen located on the third floor. LPA observed each kitchen to have refrigerators and freezers, and observed refrigerator temperatures at 40 F and freezers temperatures at 0 F. LPA observed the facility's laundry room with a 4 washers and 8 dryers. The laundry room is locked and inaccessible to residents in care. The laundry room is located on the third floor. LPA observed the following posters to include the Licensing Complaint Poster, emergency telephone numbers, personal rights, resident council rights and facility sketch. LPA observed an exit door (outside of the MC delayed egress door) leading to the stairwell on the second floor to be equipped with an alarm which alerts the front desk that the door has been opened. Facility was advised to ensure that the licensee shall ensure that the facility has an auditory device or other staff alert feature to monitor exits on exterior doors and perimeter fence gates accessible to those residents who may be at risk for elopement. LPA observed the facility to be equipped with fire extinguishers which were last inspected on 4/1/2026. The facility smoke alarm system was tested by the Maintenance Director and functioned properly (auditory alarm and flashing lights). Page 2 of 3 LPA observed a facility van in the parking lot. Applicant states the facility van will used to transport residents to appointments and activities. Pre-Licensing is complete and this facility has no deficiencies. Component III orientation was completed with Applicant. LPA observed the facility is ready to be licensed. However, this report will be submitted to the Centralized Application Bureau (CAB) and a final review of the application will be conducted. This facility is not yet licensed and is subject to final approval by CAB. Additional requirements may still be required. This report was reviewed with Applicant Cassondra Bradford and a copy of the report was provided. Page 3 of 3 END OF REPORTthe state’s words, verbatim · CDSS document, Jul 8, 2026

Type of visit: Office

Facility Type: RCFE Application Type: INITIAL Capacity: 96 Census (if any clients in care): COMP II Participants: COREY MILLER-ADMINISTRATOR & MICHAEL O'ROURKE Interview Method: Telephone interview On 6/5/26, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jun 5, 2026