Waters Edge Lodge

Type of visit: Case Management - Other

On 01/07/2026 at 10:05 AM, Licensing Program Analyst (LPA) P.Manalo arrived unannounced to conduct a Case Management visit to follow up on the facility's Personnel Report (LIC500) that was emailed to the LPA on 12/30/2025. LPA met with Associate Administrator Arin Sartain, and Administrator, Stephen Zimmerman. Zimmerman gave verbal authorization for Sartain to sign the report. During the visit, LPA reviewed LIC500, staff files, and Guardian roster. LPA observed 5 staff that are not associated with the facility on Guardian and 2 staff members that are not fingerprint cleared. A civil penalty of $200 is assessed on today's date. The deficiencies were observed (see LIC 809D) and cited from the California Code of Regulations, Title 22. Failure to correct deficiencies may result in civil penalties. Exit interview conducted with Sartain. A copy of this report, LIC421BG, and appeal rights provided.the state’s words, verbatim · CDSS document, Jan 7, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87355(c) · Plan of correction due date: Jan 16, 2026

87355(c) A licensee or applicant for a license may request a transfer of a criminal record clearance from one state licensed facility to another, or from Trust Line to a state licensed facility by providing the following documents to the Department: This requirement is not met as evidenced by: Based on observation and record review, the licensee did not comply with the section cited above by not having 5 of 5 staff members not associated with the facility which poses a potential safety risk to persons in care.the state’s words, verbatim · CDSS document, Jan 7, 2026

Plan of correction: The Administrator agrees to review the LIC500 and associate the staff members on Guardian. Proof of correction will be sent to CCLD by POC date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87355(e) · Plan of correction due date: Jan 23, 2026

87355(e)All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: This requirement is not met as evidenced by: Based on observation and record review, the licensee did not comply with the section cited above by not having 2 of 2 staff members fingerprint cleared which poses a potential safety risk to persons in care.the state’s words, verbatim · CDSS document, Jan 7, 2026

Plan of correction: The Administrator agrees to have the 2 individuals fingerprint cleared and associated with the facility before returning to work. Proof of correction will be sent to CCLD by POC date.

Type of visit: POC

On 01/07/2026 at 11:30 AM, Licensing Program Analyst (LPA) P.Manalo arrived unannounced to conduct a Plan of Correction (POC) Visit. LPA met with Associate Administrator, Arin Sartain, and Administrator, Stephen Zimmerman. Zimmerman gave verbal authorization for Sartain to sign the report. On 12/17/2025, LPA P. Manalo and K. Nguyen conducted an annual inspection where the facility was cited for deficiency section 87412(a)(4) due on 12/29/2025. Administrator did not submit the proof of correction on the due date. During the visit, LPA reviewed the updated Personnel Report (LIC500). The following deficiency were cleared during the visit: 87412(a)(4). No deficiencies cited. Exit interview and a copy of this report provided.the state’s words, verbatim · CDSS document, Jan 7, 2026

Type of visit: Required - 1 Year

On 12/17/2025 at 9:30 AM, Licensing Program Analysts (LPAs) P. Manalo and K. Nguyen arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Stephen Zimmerman, and explained the purpose of the visit. LPA toured the facility inside and out including but not limited to 6 residents' apartments, bathrooms, activity rooms, kitchen, and courtyards. LPA observe lighting in all rooms is adequate for the comfort and safety of the residents. Hallway temperature was maintained at 75 degrees F. The hot water temperature in a sample of residents shared bathroom were measured at 110.6, 110, 112, 109.8 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid shower pans. There is a minimum of one week supply of nonperishable and 2-day of perishable foods. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 08/07/2025. Emergency disaster drill was last conducted on 12/03/2025. At 10:31 AM, LPA reviewed 7 residents records. At 11:20 AM, LPA reviewed 7 staff records and 6 of 7 have current first aid training. LPA reviewed a sample of resident’s medications. Continue to LIC809-C... Continue from LIC809... THE FOLLOWING DEFICIENCIES WERE OBSERVED DURING VISIT: At 12:45 PM, LPAs observed unlocked medications such as Systane eyedrops, knife, Lysol spray, etc. in R3’s room and Probiotic, Airborne, and Clean Smart Disinfectant Spray in R4’s room. At 12:53 PM, LPAs observed R5's bathroom toilet covered in feces and a diaper was left in the sink. At 2:53 PM, LPAs observed that S5 is under the age requirements. At 12:24 PM, LPAs observed multiple bugs in the flour and tempura flakes. LPAs observed fruit flies around the kitchen. The Facility was 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 with Administrator. Appeal Rights and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 17, 2025

The state marks this report as 9 pages; the online copy we transcribed has 5. You can request the full file from the county licensing office.

Allegation investigated: Residents developed pressure injuries while in care Staff do not ensure residents incontinent care needs are being met Staff do not ensure residents bathing needs are being met Staff do not ensure facility is kept free of pests

On 10/07/25 at 12:30 p.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct an initial 10-day complaint investigation and deliver findings in regard to the allegations above. LPA met with Stephen Zimmerman, Administrator and explained the purpose of the visit. During the course of the investigation LPA interviewed W1, facility staff, facility residents, reviewed residents’ records and toured residents' apartments. Allegation: Residents developed pressure injuries while in care W1 alleged that R1 has bedsores on her buttocks. LPA reviewed R1’s LIC602 dated 9/30/25. R1’s LIC602 documents that R1 has no skin breakdown. S1 and S2 both confirmed that R1 does not have any pressure injuries. LPA was unable to interview R1 as she is currently in the hospital due to Urinary Tract Infection. *** report continues on LIC9099C*** Unsubstantiated ***report continues from LIC9099*** Allegation: Staff do not ensure residents’ incontinent care needs are being met W1 alleged that R2 is often in a wet diaper when she comes on shift and that he smells of urine. LPA interviewed R2 in the dining room of the facility. R2 was in a good mood and enjoying his lunch. LPA observed R2 to be order free. LPA also toured R2’s apartment at the facility and observed a urinal by R2’s bedside and a pile of chucks at the foot of his bed. R2’s care plan states that R2 is a “Level 3” for incontinence care meaning his diaper is changed every 2 hours. LPA reviewed R2’s care notes which document that R2’s is receiving a high level of care on a daily basis. S2 stated that she reviews care plans to ensure that staff are following them as written. Allegation: Staff do not ensure residents’ bathing needs are being met W1 did not have any specific information on which residents she felt were not receiving their showers as needed. She felt most of the staff were lazy and not doing their jobs. S1 stated that all of the assisted living residents have shower schedules and staff document that they have given the resident their shower. S1 also stated that he is certain that if a resident did not get a shower as scheduled he would hear about it from the resident or their family and if a shower is missed it gets rescheduled. Allegation: Staff do not ensure facility is kept free of pets S1 stated that from time to time some apartments do have an issue with ants and when told about it S1 alerts the pest control company who come out and spray the affected apartment. In addition, the facility has a contract with the pest control company for regular and routine pest control. LPA toured apartments 112 and 262 and interviewed the residents residing in those apartments, R3 and R4. LPA did not observe any ants in either apartment. Both residents stated that they did have ants and that the facility handled the issue promptly. Both residents were happy with the service they received. This agency has investigated the above allegations. We have found that the complaint was unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. Exit interview conducted, a copy of this report provided.the state’s words, verbatim · CDSS document, Oct 7, 2025 · control 15-AS-20250929163353

Type of visit: Required - 1 Year

On 12/10/24, Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Lauren Zimmerman Cook, Administrator and explained the purpose of the visit. LPA toured the facility including but not limited to residents’ apartments, bathrooms, activity rooms, kitchen, common area and courtyard. There are no bodies of water observed. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. Hallway temperature was maintained at 70 degrees F. The hot water temperature in a hallway bathroom was measured at 107.2 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. Centrally stored medications, sharps and toxic are locked and inaccessible to residents in care. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 8/28/24. Emergency Disaster Plan was last posted on 12/19/23. First aid kit was observed to be complete. LPA reviewed 5 residents records and 5 staff records, and all were complete. LPA also reviewed a sample of resident’s medications. No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 10, 2024

Type of visit: Required - 1 Year

On 12/12/23 at 10:30 a.m.,Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct 1-Year Annual Required inspection. LPA met with Administrator, Marie Ann Lagasca-Cruz and explained the purpose of the visit. The facility’s fire clearance was approved for 120 residents. LPA toured facility including but not limited to 5 resident apartments, bathrooms, kitchen, common area and backyard. All outdoor and indoor passageways are kept free of obstruction. There are no bodies of water observed. A comfortable temperature is maintained at 70 degrees Fahrenheit. LPA observed lighting in all rooms are adequate for the comfort and safety of the residents. The hot water temperature in the residents’ bathrooms was measured at 107.5, 107.8 and 112.5 degrees Fahrenheit. Residents’ bathrooms are equipped with grab bars and non-skid mats. There is a minimum of one week supply of non-perishable and 2 day of perishable foods. Centrally stored medication and sharps were locked and inaccessible to residents. Smoke detectors and carbon monoxide detectors were in operating condition during visit. Fire extinguisher was last serviced on 8/10/23. First aid kit was observed to be complete. LPA reviewed 5 residents records and 5 staff records; all were complete. LPA also reviewed a sample of resident’s medications. Updated copies of the following document was requested for facility file and are to be submitted to CCL by 12/19/23: LIC 610E Emergency Disaster Plan No deficiencies cited during visit. Exit interview conducted and a copy of this report provided.the state’s words, verbatim · CDSS document, Dec 12, 2023