Inspection Reports for Silverado Beverly Place Memory Care Community
330 Hayworth Ave, Los Angeles, CA 90048, United States, CA, 90048
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with several complaint investigations resulting in unsubstantiated allegations related to staff behavior, medication handling, and resident care. The facility generally maintained a clean, safe environment with proper infection control and adequate staffing. However, the most recent report from July 1, 2025, cited a deficiency for failing to provide necessary supervision after a resident eloped unattended, and the April 18, 2025, annual inspection noted medication documentation issues. There were no fines, enforcement actions, or severe harm-level findings reported. The record shows mostly consistent compliance with isolated issues, though the recent supervision and medication documentation deficiencies suggest some areas needing attention.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
0.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
90% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
43% occupied
Based on a July 2025 inspection.
Occupancy over time
Inspection Report
Complaint Investigation
Census: 110
Capacity: 256
Deficiencies: 1
Date: Jul 1, 2025
Visit Reason
The visit was an unannounced case management inspection conducted in reference to an incident where a resident eloped from the facility unsupervised on June 18, 2025.
Complaint Details
The complaint was substantiated based on the incident report and investigation of Resident #1's elopement on June 18, 2025.
Findings
The facility failed to provide necessary supervision to Resident #1, who eloped from the community unattended, posing a potential health and safety risk. Deficiencies were observed related to personnel requirements and citations were issued.
Deficiencies (1)
Failure to provide necessary supervision services to meet resident needs, resulting in a resident eloping from the facility unattended.
Report Facts
Deficiencies cited: 1
Plan of Correction Due Date: Jul 15, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Brynjolfson | Executive Director | Met with Licensing Program Analyst during inspection and named in incident report |
| Ernand Dabuet | Licensing Program Analyst | Conducted the inspection and authored the report |
Inspection Report
Annual Inspection
Census: 115
Capacity: 256
Deficiencies: 1
Date: Apr 18, 2025
Visit Reason
An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements.
Findings
The facility was found to be clean, sanitary, and appropriately furnished with adequate safety measures in place. However, discrepancies were found in medication administration documentation for two residents, resulting in a cited deficiency.
Deficiencies (1)
Facility not following Plan of Operation Regarding Medication documentation, specifically not documenting medication administration to 2 residents.
Report Facts
Residents reviewed: 6
Staff files reviewed: 6
Medication Administration Records reviewed: 6
Beds inspected: 9
Bathrooms inspected: 9
Fire/Disaster Drills date: Mar 6, 2025
Plan of Correction Due Date: May 5, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Brynjolfson | Administrator | Met with Licensing Program Analyst during inspection and received the Facility Evaluation Report |
| Alfonso Iniguez | Licensing Program Analyst | Conducted the inspection and authored the report |
| Eva M Alvarez | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 115
Capacity: 256
Deficiencies: 0
Date: Apr 14, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff behavior posed a risk to a resident and that staff forced a resident to take medication without consent.
Complaint Details
The complaint alleged that staff behavior posed a risk to a resident and that staff forced Resident #1 to take medication without informing them. The investigation found no evidence to support these allegations, and they were determined unsubstantiated.
Findings
The investigation included interviews with residents, staff, and witnesses, as well as a review of medical and personnel records. The allegations were found to be unsubstantiated due to insufficient evidence, with residents and staff denying the claims and confirming appropriate medication administration and staff behavior.
Report Facts
Number of residents interviewed: 10
Number of staff interviewed: 6
Number of witness members interviewed: 2
Number of prescription medications prescribed to Resident #1: 18
Number of medications with adverse side effects: 12
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation visit |
| Stephanie Brynjolfson | Executive Director | Met with Licensing Program Analyst during investigation and participated in exit interview |
| Janae Hammond | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Taylor L. Giunto | Administrator | Facility Administrator named in report header |
Inspection Report
Census: 111
Capacity: 256
Deficiencies: 0
Date: Jan 10, 2025
Visit Reason
An unannounced case management visit was conducted regarding the relocation of 45 residents from Silverado Senior Living—Calabasas to Silverado Senior Living-Beverly Place due to mandatory evacuation orders from a Fire Advisory.
Findings
A health and safety check was conducted with no concerns observed. The facility was found to have sufficient beds, supplies, food, medications, and emergency equipment to accommodate the relocated residents. Rooms inspected were in compliance with Title 22 regulations.
Report Facts
Residents relocated: 45
Ambulatory residents: 22
Non-ambulatory residents: 23
Residents using assistive devices: 32
Residents requiring assistance with incontinence care: 43
Personal Protective Equipment supply: 30
Fire Inspection and Disaster Drills last tested: Dec 15, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Patrice O'Grady | Executive Director | Met during inspection and provided information about resident relocation and facility conditions |
| Stephanie Brynjolfson | Executive Director | Met during inspection and confirmed backup generators and facility conditions |
| Ernand Dabuet | Licensing Program Analyst | Conducted the unannounced case management visit and inspection |
| Janae Hammond | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 256
Deficiencies: 0
Date: Nov 10, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2023-12-19 regarding multiple allegations of staff misconduct and inadequate care at Silverado Senior Living-Beverly Place.
Complaint Details
The complaint included six main allegations: 1) Staff handled residents roughly, 2) Staff did not ensure a resident's incontinence needs were met, 3) Staff did not ensure residents' dietary needs were met, 4) Staff did not monitor residents for changes in condition, 5) Staff did not provide residents with clean linen, and 6) Staff did not report incidents to appropriate parties. The investigation involved interviews with staff, residents, and a witness, as well as review of service plans, incident reports, dietary reports, and schedules. The allegations were found unsubstantiated due to lack of sufficient evidence.
Findings
The investigation reviewed multiple allegations including rough handling of residents, unmet incontinence and dietary needs, failure to monitor residents' condition changes, lack of clean linens, and failure to report incidents. After interviews, record reviews, and observations, the Department found insufficient evidence to substantiate any of the allegations, resulting in an unsubstantiated complaint report.
Report Facts
Facility capacity: 256
Resident census: 111
Number of allegations: 6
Number of residents interviewed: 10
Number of staff interviewed: 5
Date complaint received: Dec 19, 2023
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Krystal Milosevic | Director of Resident & Family Services | Met with during the investigation and exit interview |
| Taylor L. Giunto | Administrator | Facility administrator named in the report header |
| Ernand Dabuet | Licensing Program Analyst | Conducted the complaint investigation |
| Janae Hammond | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 111
Capacity: 256
Deficiencies: 0
Date: Sep 25, 2024
Visit Reason
The visit was conducted as a Case Management site visit to ascertain information pertaining to a Licensee-initiated Incident Report regarding an incorrect dosage of medication administered to a resident on 2024-09-06.
Complaint Details
The visit was complaint-related due to an incident where resident #1 received an incorrect dosage of Ativan (2.5 mg instead of 0.025 mg) from a hospice nurse. The incident was reported and managed with notification to the health services director, physician, and family. The physician indicated the dosage would not lead to the resident's demise.
Findings
The investigation found that a resident received an incorrect dosage of Ativan from a hospice nurse, but the facility staff followed physician instructions and monitored the resident. No deficiencies were observed and no citations were issued.
Report Facts
Medication dosage: 0.025
Medication dosage: 2.5
Facility capacity: 256
Resident census: 111
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Brynjolfson | Administrator | Met with Licensing Program Analyst during visit and assisted with investigation |
| Jane Edwards | Hospice RN | Administered incorrect dosage of Ativan to resident #1 |
| Maria Gabriel | Assistant Director of Health Services | Informed about the medication error and involved in incident management |
| Tommy Anderson | Director of Health Services | Interviewed during the visit regarding the incident |
| Maria Roldan | Assistant Director of Health Services | Interviewed during the visit regarding the incident |
Inspection Report
Complaint Investigation
Census: 110
Capacity: 256
Deficiencies: 0
Date: Jul 2, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 09/01/2022 regarding medication mishandling, understaffing, and incomplete admission documents at Silverado Senior Living-Beverly Place.
Complaint Details
The complaint involved three allegations: 1) Facility staff mishandled resident's medications, 2) Facility is understaffed, and 3) Incomplete admission documents. All allegations were found to be unsubstantiated due to lack of sufficient evidence.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Residents and staff denied the claims of medication mishandling, understaffing, and incomplete admission documents. The Licensing Program Analyst observed appropriate medication administration, adequate staffing ratios, and proper admission document distribution.
Report Facts
Residents denying medication mishandling: 7
Staff denying medication mishandling: 5
Residents denying understaffing: 7
Staff denying understaffing: 5
Residents denying incomplete admission documents: 5
Staff denying incomplete admission documents: 5
Staff to resident ratio on 1st floor: 7
Staff to resident ratio on 2nd floor: 6
Staff to resident ratio on 3rd floor: 6
Standby staff per floor: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sparkle Day | Licensing Program Analyst | Conducted the complaint investigation and authored the report. |
| Stephanie Brynjoyfson | Administrator | Met with Licensing Program Analyst during the investigation and assisted with the visit. |
| Janae Hammond | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
Inspection Report
Annual Inspection
Census: 112
Capacity: 256
Deficiencies: 0
Date: Apr 10, 2024
Visit Reason
The inspection was an unannounced annual random site visit conducted to evaluate compliance with regulatory standards using the CARE Inspection Tool.
Findings
The facility was found to be in compliance with no deficiencies observed. The environment was safe, well-maintained, and adequately stocked, with proper infection control practices and emergency preparedness measures in place.
Report Facts
Hospice residents: 14
Hospice capacity: 36
Residents' rooms inspected: 11
Fire drill date: Feb 23, 2024
Residents reviewed: 11
Staff reviewed: 11
Residents interviewed: 5
Staff interviewed: 5
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Taylor Giunto | Regional Director of Operations/Administrator | Met during inspection and named in report |
| Stephanie Brynjolfson | Administrator/Family Ambassador | Met during inspection and named in report |
| Maria Diaz-Anna | Assistant Director of Health Services | Named in report as part of facility staff |
| Jasmine Garcia | Staff #2 | Provided information during risk assessment |
| Sparkle Day | Licensing Program Analyst/Retired Annuitant | Conducted inspection |
| Elizabeth Ceniceros | Licensing Program Analyst | Conducted inspection and signed report |
Inspection Report
Complaint Investigation
Capacity: 256
Deficiencies: 0
Date: Sep 29, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 08/28/2023 regarding staff not intervening in resident-on-resident altercations and staff not ensuring that a resident received medical attention while in care.
Complaint Details
The complaint alleged that staff did not intervene in resident-on-resident altercations and did not ensure that a resident received medical attention after being injured. The investigation included interviews with staff, residents, and a witness, as well as review of relevant documents. The findings were unsubstantiated due to insufficient evidence.
Findings
The investigation found insufficient evidence to substantiate the allegations. Interviews with staff and residents did not confirm that resident-on-resident altercations occurred without staff intervention or that medical attention was not provided. The allegation was therefore unsubstantiated.
Report Facts
Facility capacity: 256
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Felisa Shirley | Licensing Program Analyst | Conducted the complaint investigation |
| Stephanie Cifuentes | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Jean Deguzman | Director of Health Services | Met with Licensing Program Analyst during investigation |
| Stephanie Brynjolfson | Administrator Assistant | Participated in exit interview |
Inspection Report
Annual Inspection
Census: 111
Capacity: 256
Deficiencies: 0
Date: Apr 14, 2023
Visit Reason
An unannounced annual required visit was conducted using the CARE Inspection Tool to evaluate compliance with licensing requirements for Silverado Senior Living-Beverly Place.
Findings
The facility was found to be in good condition with no deficiencies noted. All resident rooms, bathrooms, and common areas were inspected and found to be properly maintained. Infection control practices, medication administration records, and safety equipment were all in order.
Report Facts
Hospice residents: 13
Hospice capacity: 36
Resident rooms inspected: 16
Resident interviews: 6
Staff interviews: 5
Resident service files audited: 7
Staff personnel files audited: 7
PPE supply: 30
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Vida Gwinn | Administrator | Met during inspection and exit interview |
| Jean DeGuzman | Director of Health Services | Met during inspection |
| Ernand Dabuet | Licensing Program Analyst | Conducted inspection and signed report |
| Wendy Gibbs | Licensing Program Analyst | Conducted inspection and resident/staff interviews |
| Mario Leon | Licensing Program Analyst | Conducted inspection and resident/staff interviews |
Inspection Report
Complaint Investigation
Census: 105
Capacity: 256
Deficiencies: 0
Date: Aug 2, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2022-06-07 regarding safety concerns, unexplained bruising, and staff training at the facility.
Complaint Details
The complaint investigation was unsubstantiated for all allegations: unsafe environment, unexplained bruising, and improper staff training. The preponderance of evidence standard was not met to prove violations.
Findings
The investigation found no evidence or witnesses to support the allegations. Interviews with residents, staff, and a conservator, as well as document reviews and a plant inspection, indicated the facility provides a safe environment, residents did not have unexplained bruising, and staff received proper training. All allegations were unsubstantiated.
Report Facts
Capacity: 256
Census: 105
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Don Senaha | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Eva M Alvarez | Licensing Program Manager | Oversaw the complaint investigation report |
| Taylor Giunto | Administrator | Facility administrator involved in the investigation |
| Jean De Guzman | Senior Director of Health Services | Participated in the complaint investigation |
Inspection Report
Original Licensing
Census: 99
Capacity: 256
Deficiencies: 0
Date: Apr 6, 2021
Visit Reason
The visit was conducted as a pre-licensing evaluation for an initial license application for a Residential Care for Elderly facility.
Findings
The facility was evaluated for compliance with licensing requirements including capacity, room arrangements, safety features, and emergency preparedness. No corrections were required at the time of the evaluation.
Report Facts
Requested capacity: 256
Census: 99
Bathrooms: 124
Rooms: 114
Smoke detectors: 118
Pets: 10
Fire extinguishers: 3
Perishables: 2
Non-perishables: 7
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Myla Belson | Administrator | Facility administrator met during the pre-licensing evaluation |
| Ana Soto | Licensing Program Analyst | Conducted the announced pre-licensing visit |
| Janae Hammond | Licensing Program Manager | Named as Licensing Program Manager overseeing the evaluation |
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