Discovery Commons San Ramon

Type of visit: Required - 1 Year

On 4/29/2026 at 9:30 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Executive Director (ED), Kiel Stromgren and explained the purpose of the visit. The facility’s fire clearance was approved for 95 non ambulatory of which 15 may be bedridden. LPA toured the facility with ED including but not limited to 26 residents apartments, bathrooms, multiple activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observe lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 73 degrees F. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in a sample of residents’ shared bathroom were measured at 119.8, 119.5, 117.6 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. LPA observed sharps and toxics unlocked and accessible to residents (sharps in assisted dining and memory care, chemicals and hot tools in memory care bedrooms). Fire extinguisher was last serviced on 12/4/2025. Emergency Disaster Plan was last reviewed on 4/29/2026. First aid kit was observed to be complete. Emergency disaster drill was last conducted on 4/24/2026. At 1:20pm, LPA reviewed 7 residents records. At 3:15pm, LPA reviewed 6 staff records and 5 of 6 have current first aid training and 6 of 6 are associated to the facility. LPA reviewed a sample of resident’s medications. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 5/5/2026: LIC 308 Designation of Administrative Responsibility LIC 309 Administrative Organization LIC 500 Personnel Report LIC 610E Emergency Disaster Plan Liability Insurance Current Administrator’s Certificate The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Apr 29, 2026

The state marks this report as 5 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Case Management - Incident

On 03/4/2026 at 9:00AM Licensing Program Analyst (LPA) A Gomez conducted an unannounced Case Management visit regarding a self-reported incident. LPA met with Executive Director (ED), Kiel Stromgren, and explained the purpose of the visit. A self-reported incident report was received on 2/26/2026 from facility that indicated Resident 1 (R1) eloped from the facility on 2/24/2026. R1 is a memory care resident. During the visit, LPA interviewed ED. ED states that on the day R1 eloped from the facility the alarm went off in memory care that the door had been activated. Staff assumed that a resident (R2) with a history of triggering the door had activated the alarm and when they checked and saw R2 was present they reset the alarm and did not follow proper procedure. ED states that staff should have done a head count and room inspection to ensure all residents were accounted for. Because this did not happen staff did not realize that R1 had eloped until police notified the facility that they had found one of their residents. According to incident report the alarm went off at at approximately 10:45pm and police notified the facility of finding a resident at approximately 11:20pm. ED states that they provided additional training to staff and a disciplinary action to S1. The following deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22 and/or Health and Safety Code Failure to correct deficiencies by POC date may result in additional Civil Penalties. Exit interview conducted. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Mar 4, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(a) · Plan of correction due date: Mar 4, 2026

(a) Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs. In facilities licensed for sixteen or more, sufficient support staff shall be employed to ensure provision of personal assistance and care as required in Section 87608, Postural Supports. Additional staff shall be employed as necessary to perform office work, cooking, house cleaning, laundering, and maintenance of buildings, equipment and grounds. The licensing agency may require any facility to provide additional staff whenever it determines through documentation that the needs of the particular residents, the extent of services provided, or the physical arrangements of the facility require such additional staff for the provision of adequate services. This requirment was not met as evidence by: Based on interview the facility did not meet this requirement by S1 not providing the service neccesary to insure R1's safety because they did not follow procedure when the memory care egress door alarmed which posed an immediate safety risk to residents in care.the state’s words, verbatim · CDSS document, Mar 4, 2026

Plan of correction: Staff received an inservice training and S1 received a write up and additional coaching. POC clear

Type of visit: Case Management - Incident

On 01/27/2026 at 3:00PM Licensing Program Analyst (LPA) A Gomez conducted an unannounced Case Management visit regarding a self-reported incident. LPA met with Executive Director (ED), Kiel Stromgren, and explained the purpose of the visit. A self-reported incident report was received on 1/13/2026 from facility that indicated Resident 1(R1) was verbally threatened by Staff 1 (S1). During the visit, LPA collected the facilities internal investigation documents, S1's notice of resignation, and R1's admission documents. LPA also requested to interview S2 who was present during the interaction between R1 and S1 however they were not on shift. LPA requested contact information for all staff involved in incident be emailed by 2/1/2026. LPA will return to conduct additional interviews. No deficiencies cited during visit. Exit interview conducted and a copy of this report providedthe state’s words, verbatim · CDSS document, Jan 27, 2026

Type of visit: Case Management - Incident

On 08/1/2025 at 8:30AM Licensing Program Analyst (LPA) A Gomez conducted an unannounced Case Management visit regarding a self-reported incident. LPA met with Resident Care Director (RCD), Ashley Paris, and explained the purpose of the visit. A self-reported incident report was received on 7/25/2025 from facility that indicated Resident 1 (R1) complained of pain however they had not had a fall and after visit summary indicated that the resident had a hip fracture. During the visit, LPA interviewed RCD. RCD states that R1 did not have a fall however during morning transfer they maneuvered in a way that caused the injury. The maneuver was common for R1 while being transferred and R1 did not immediately disclose any pain. When R1 did disclose discomfort their responsible party was notified and they were later sent out to the hospital. RCD states that R1's physician verbally told them that R1 was pre-disposition to this new injury due to them having a prior fracture in the same area. RCD also states that the doctor stated that they observed the area with the fracture to have Osteoarthritis which also contributed to R1 becoming injured. R1's care plan has since been updated to include a hoyer lift during transfer to elevate future strain and minimize R1's maneuvers during transfer. No deficiencies cited during visit. Exit interview was conducted with Resident Care Director and a copy of this report was provided.the state’s words, verbatim · CDSS document, Aug 1, 2025

Type of visit: Prelicensing

On 03/06/2025 at 9:00 AM, Licensing Program Analyst (LPA) A. Gomez arrived unannounced/announced to conduct a pre-licensing inspection. LPA met with Executive Director, Kiel Stromgren and explained the purpose of the visit. The facility currently has no residents. LPA toured facility with Executive Director including but not limited to bedrooms, bathrooms, kitchen, common areas and courtyards. Bedrooms and living rooms were equipped with the proper furniture. Bathrooms were equipped with grab bars and non-skid mats. Linens and hygiene supplies were observed inside a cabinet. There is sufficient lighting throughout facility. Room temperature was maintained at 72 degrees F and hot water temperature was observed at 115.3, 110.4, and degrees F. First-aid kit was observed to be complete. Smoke detectors and carbon monoxide were operational. Fire extinguisher was last serviced on 12/20/2024. No bodies of water observed. Comp III Conducted/Completed No issues noted during inspection. LPAs observed that facility is ready to be licensed. This report will be submitted to the Central Applications Unit (CAU) and a final review of the application will be conducted. This facility is not yet licensed, and is subject to final approval by CAU. Additional requirements may still be required. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Mar 6, 2025

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE Application Type: CHOW Capacity: 95 Census (if any clients in care): 78 Method: Telephone call with CAB COMP II Participants: Kiel Stromgren, Administrator; David Adams, Company President; Shannon Betker, analyst. Applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. 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, Feb 6, 2025