Inspection Reports for
Silverado Berkeley Memory Care Community

The Licensing Program Analysts reviewed the resident's care plan, physician's report, toured the facility, and found that the resident was returned to the community and re-assessed for any changes in condition. A random sample of staff records showed all trainings were up to date.

The complaint alleged inadequate supervision leading to a resident being sexually assaulted. The resident had bruises and was a fall risk. Multiple staff and witnesses were interviewed, and medical and police reports were reviewed. The resident's dementia limited their ability to provide details. The staff member accused was not employed by the facility but by the resident's family. The investigation concluded there was insufficient evidence to prove the sexual assault occurred, resulting in an unsubstantiated finding.

The investigation found no evidence to substantiate the allegation of sexual assault. Despite bruises on the resident and involvement of police and fire departments, the evidence did not support that the alleged sexual assault occurred, and the complaint was deemed unsubstantiated.

The visit was triggered by a complaint and included a 10-day complaint investigation; no deficiencies were found during the investigation.

The facility was toured and inspected with no deficiencies cited. Areas were found clean, safe, and well-maintained, including proper medication storage, operational safety equipment, and adequate food supplies.

The visit was triggered by a complaint or report of an infectious outbreak involving fifteen residents with gastrointestinal symptoms. No substantiation status was explicitly stated.

The facility had closed communal dining and placed affected residents on a BRAT diet with clear fluids every 2 hours. Visitors and staff were instructed to wear PPE and practice hand hygiene. Environmental services inspected the kitchen with no infectious disease found. Public Health estimated the outbreak would clear by 03/25/25.

The facility reported two incidents of staff making physical contact with residents; investigations are ongoing and inconclusive. Staff involved were suspended, one resigned, and additional caregivers and nurses were assigned to assist.

The facility was found to be in good condition with no deficiencies cited. Safety equipment was operational, staff and resident records were complete, and the environment was safe and sanitary.

The complaint alleged that the facility did not provide information to family about where the resident moved. The investigation found no preponderance of evidence to prove the violation, and the allegation was unsubstantiated.

The investigation included interviews and record reviews which revealed conflicting information about notification of the resident's move and family communication. The allegation was found to be unsubstantiated due to lack of preponderance of evidence.

The complaint was unsubstantiated after investigation. Allegations included failure to ensure resident's oxygen canister was full, failure to implement doctor's orders, and failure to administer new prescription medications timely. Evidence reviewed did not support these claims.

The investigation found no preponderance of evidence to prove the alleged violations occurred; records showed that the resident's oxygen saturation levels were stable and doctor's orders were followed. Therefore, the allegations were unsubstantiated.

The facility was found to be in good condition with no deficiencies cited. Safety equipment was operational, staff and resident records were complete, and the environment was safe and sanitary.

The complaint alleged that resident (R1) pushed another resident (R2) while in care. The allegation was closed as unsubstantiated due to lack of preponderance of evidence. No citation was issued.

The investigation found that although the incident may have happened, there was insufficient evidence to substantiate the allegation. Both residents have dementia, and staff separated them after the incident. No citation was issued.

The visit was related to allegations and a complaint received on 12/24/2020, case number 15-AS-20201224083234 for facility #0191920079.

The Licensing Program Analyst conducted the visit to explain the purpose and deliver findings related to the complaint. An exit interview was conducted and a copy of the report was provided to the facility administrator.

The visit was triggered by an incident report of a resident eloping. The resident was found confused but unharmed and returned to the facility. No deficiencies were cited.

The investigation revealed that R1 was not a flight or elopement risk, the alarm system had been disarmed by staff, and R1 wandered about two blocks away before being returned safely by police. No deficiencies were cited during the visit.

The facility had a COVID-19 mitigation plan on file, proper signage and PPE supplies, operational fire safety equipment, and adequate food supplies. Hand washing stations were properly equipped and hot water temperature was measured. Some forms were noted to require updating and submission to the licensing division.

The complaint involved allegations of a resident sustaining injury and lack of supervision. The investigation included interviews and record reviews. The resident was treated for a contusion with no new orders. The facility had a care plan in place with no 1:1 care needed. The allegations were unsubstantiated due to lack of preponderance of evidence.

The investigation found that a resident sustained an injury when their finger was smashed in a bathroom door. Despite the incident, there was insufficient evidence to substantiate the allegations, and the complaint was deemed unsubstantiated.

The visit was triggered by incident reports involving three residents received on 12/06/2021. No deficiencies were cited.

The Licensing Program Analyst conducted an interview with the Administrator and reconfirmed actions the facility is taking to ensure resident safety. No deficiencies were cited during the visit.

The facility was found to have adequate infection control measures including proper PPE use, sufficient food supply, visitor policies, and screening procedures. No deficiencies were cited during the visit.

The Licensing Program Analyst toured the facility with the Executive Director and found the facility to be well-equipped with safety features such as smoke detectors, carbon monoxide detectors, sprinklers, and locked medication carts. The fire clearance was approved, and the facility had sufficient food supplies. Hot water temperature was advised to be maintained between 105 and 120 degrees Fahrenheit. No deficiencies were explicitly noted.