435202744-9-30-2025-26-AS-RMAO-DMEKJR-20251013075710

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 435202744
Report Date: 09/30/2025
Date Signed: 09/30/2025 03:00:03 PM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/12/2024 and conducted by Evaluator Manuel Monter

COMPLAINT CONTROL NUMBER: 26-AS-20240612114650

FACILITY NAME:	WESTMONT OF MILPITAS		FACILITY NUMBER:	435202744
ADMINISTRATOR:	BECKER, GREGORY		FACILITY TYPE:	740
ADDRESS:	80 CEDAR WAY		TELEPHONE:	(408) 770-9575
CITY:	MILPITAS	STATE: CA	ZIP CODE:	95035
CAPACITY:	225	CENSUS: 183	DATE:	09/30/2025
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Administrator Meghian Geul		TIME COMPLETED:	03:10 PM

ALLEGATION(S):

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Staff are not following emergency disaster plan procedures

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Monter conducted an unannounced complaint inspection to deliver the findings on the above allegation. LPA met with Administrator Meghian Geul.

On June 12, 2024 the Department received a complaint alleging Staff are not following emergency disaster plan procedures.

On June 12 and 13, 2024, the Department interviewed witness W1. W1 stated he/she was called at 10:50pm because his/her family member can’t reach anyone to have his/her apartment’s power back on. W1 stated he/she was informed the hallways light were on but when his/her family member calls the front desk, there is no answer. W1 stated a nurse eventually showed up and provided some information to his/her family member around 11:00pm.

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Unfounded

Estimated Days of Completion:

SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 26-AS-20240612114650

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

FACILITY NAME: WESTMONT OF MILPITAS	FACILITY NUMBER: 435202744
	VISIT DATE: 09/30/2025

NARRATIVE

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On June 12, 2025, the Department interviewed Administrator (ADM) Gregory Becker. ADM stated the power outage was unplanned, from PG&E. ADM stated once the power went out, managers were notified and staff on duty. ADM stated the safety of residents was the highest priority, while most of the residents were already asleep at the time of the outage. ADM stated in memory care they did a 15 minute checks and head counts on all residents throughout the power outage. ADM stated for assisted living residents, they checked on residents to see how they were doing or needed anything. ADM stated the residents did not complain about any issue or discomfort. ADM stated staff members were posted on each floor of the community to be eye and ears for the safety of residents. ADM stated they have back up generators that powers hallways on each floor, refrigerator and freezer, which was working properly. ADM stated there was 12 staff on duty at the time of the power outage.

On June 12, 2025, the Department received an incident report regarding the power outage. The incident report stated, on June 11, 2024, the power went out the community around 9:30pm. The incident report states the power outage was due to PG&E, and the power came back on June 12, 2024 at 3:45pm.

On September 30, 2025, LPA Manuel Monter interviewed residents R1-R5. Residents, 4 Out of 5 residents interviewed (R1-R4) stated they don't remember the power outage that occurred on June 11 & 12, 2024. R5 stated he/she remembers when the power outage occurred on June 11 and 12, 2024. R5 stated staff did come to check on him/her, but doesn't remember how many times that night.

LPA interviewed staff S1-S5. Staff S1 and S3 stated they were working on June 11 when the power outage occurred at the facility. Both staff (S1 and S3) stated they did health and safety checks on the residents every 15-30 minutes, while the power was out. Staff S2, S4 and S5 stated they were not working when the power went out on June 11 and 12, 2024.

Based on a review, the facility has documented for June 11, 2024 and June 12, 2024, checks for memory care residents at the following times: 10pm, 11pm, 12:15am, 1:30am, 2:30am.

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SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025

LIC9099 (FAS) - (06/04)

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Control Number 26-AS-20240612114650

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131

FACILITY NAME: WESTMONT OF MILPITAS	FACILITY NUMBER: 435202744
	VISIT DATE: 09/30/2025

NARRATIVE

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The Department reviewed the facility’s Power Failure Procedures. The procedures includes the following but not limited to: Reassure residents and to accommodate for call buttons that may be inoperable during a power failure, direct care staff will preform a check on residents assigned to them every 15 minutes until power is restored.

Based on a review of PG&E’s Outage status tracker webpage, the facility outage was first reported on June 11, 2024, at 9:28pm. The power was restored on June 13, 2024, at 3:26pm.

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.

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SUPERVISORS NAME: Romeo Manzano
LICENSING EVALUATOR NAME: Manuel Monter
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025

LIC9099 (FAS) - (06/04)

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