Inspection Reports for Silverado Encinitas Memory Care Community

An unannounced complaint investigation was conducted due to an allegation that staff mismanaged a resident's medications.

The investigation found no evidence to substantiate the allegation of medication mismanagement. Interviews, record reviews, and outside sources confirmed no medication errors occurred during the timeframe of the complaint.

The complaint alleged staff mismanaged Resident 1's medication. The allegation was unsubstantiated after investigation including staff interviews, outside agency input, and review of medication administration records.

An unannounced required Annual Inspection was conducted to evaluate compliance with licensing requirements and facility conditions.

The facility was found to be clean, sanitary, and in good repair with no deficiencies observed or cited during the annual inspection. All safety measures, including fire safety and medication storage, were compliant.

An unannounced complaint investigation was conducted based on allegations that the facility did not allow a resident to refuse medical care and did not meet the resident's nutritional needs.

The investigation included interviews, record reviews, and observations. It was found that the resident had a catheter upon admission per hospital orders but it was later removed. The facility provided snacks and assistance with meals, and the resident was observed eating. There was insufficient evidence to substantiate the allegations, and the complaint was deemed unsubstantiated.

The complaint alleged that the facility did not allow resident #1 to refuse medical care (specifically regarding a Foley catheter) and did not meet the resident's nutritional needs. The investigation found that the catheter was in place upon admission per hospital discharge orders but was later removed. The resident was provided snacks and assistance with meals, and weight fluctuations were documented. The allegations were unsubstantiated due to insufficient evidence.

Licensing Program Analyst Carmen Lopez conducted an unannounced visit to open a complaint investigation and conducted a case management visit related to a Report of Suspected Dependent Adult/Elder Abuse received for a resident.

No deficiencies were cited during this visit. The visit included review of eviction procedures and records with the Director of Health Services.

The complaint investigation was triggered by a Report of Suspected Dependent Adult/Elder Abuse (SOC 341) for resident #1. The report was not a formal eviction notice but a notification that one will be forthcoming.

The visit was an unannounced case management inspection in response to an Unusual Incident/Injury Report regarding a resident who eloped from the facility on September 24, 2024.

The facility followed its elopement procedures appropriately, locating the resident within about 15 minutes of notification. No deficiencies were cited during the visit.

The visit was conducted in response to an Unusual Incident/Injury Report received on September 20, 2024, regarding an alleged assault on resident #1 on September 18, 2024.

The Licensing Program Analyst verified that resident #1 had delusions and an underlying condition of hallucinations, with behavior altered by an infection. No deficiencies were cited during the visit.

The complaint involved an alleged assault on resident #1, but no person was identified. The facility made proper notifications to law enforcement, Long Term Care Ombudsman, responsible party, and the Department. Resident #1's altered behavior was linked to medical conditions.

The visit was an unannounced case management inspection conducted in response to an Unusual Incident/Injury Report received on August 20, 2024, regarding an incident between two residents on August 13, 2024.

The inspection found that the incident involved two residents in the communal kitchen area, with no injuries sustained by either resident. The facility was toured, staff and residents were interviewed, and relevant documents were reviewed. Further follow-up may occur.

The visit was conducted in response to an Unusual Incident/Injury Report received regarding an incident on April 30, 2024, involving a resident who sustained injuries.

The Licensing Program Analyst conducted an unannounced case management investigation, reviewed relevant documents, verified staff actions related to the incident, and informed the Executive Director that further follow-up may occur. A request was made for the death certificate upon receipt.

The investigation was initiated due to an incident involving resident #1 who sustained injuries on April 30, 2024. The facility staff responded by contacting nurses and paramedics who transported the resident to the hospital. Further follow-up was indicated.

An unannounced required one-year inspection was conducted to evaluate compliance with licensing regulations for the Silverado Senior Living-Encinitas facility.

No deficiencies were cited during the inspection; however, a technical violation was issued. The facility was found to be compliant with safety, sanitation, medication storage, and resident care standards, with sufficient staff and proper documentation.

An unannounced complaint investigation visit was conducted due to an allegation that the facility employed staff without background clearance between June 2023 and October 2023.

The investigation substantiated that the facility did not obtain appropriate criminal background clearance for a staff member who worked at the facility from July 2023 through October 2023 despite receiving an exemption letter indicating disqualification. This posed a potential safety risk to all 77 residents in care.

The complaint was substantiated. It was alleged and confirmed that the facility employed staff without background clearance from June 2023 through October 2023. The staff worked after an exemption letter was received, which indicated disqualification. The investigation included interviews, records review, and observations.

An unannounced complaint investigation was conducted following an allegation that facility staff violated residents' personal rights by grooming hair from residents' peri/groin area without consent.

The investigation substantiated the allegation that staff groomed three residents without consent, violating their personal rights. The facility conducted an internal investigation and took corrective action including staff training.

The complaint was substantiated. It was alleged that staff groomed hair from two residents' peri/groin area without consent. The facility's internal investigation found that three residents were involved. No injuries were reported. The facility took internal action including staff training.

The inspection was conducted as an unannounced complaint investigation following an allegation received on 07/26/2021 that facility staff did not have residents participate in self-administering medication and that uncredentialed staff were improperly administering medication.

The investigation, which included a facility tour, staff interviews, and records review, found no evidence to support the complaint allegation. Staff were properly trained and followed physician orders for medication administration, and no medication errors were found during the relevant period. The complaint was determined to be unfounded.

Complaint alleged that staff did not allow residents to participate in self-administering medication and that uncredentialed staff were crushing, mixing, and administering medication directly into residents' mouths. The complaint was found to be unfounded.

An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with licensing requirements and infection control protocols.

No deficiencies were cited or observed during the inspection. The Licensing Program Analyst provided technical assistance and evaluated the facility's infection control mitigation plan including disinfection, testing surveillance, screening protocols, and use of personal protective equipment.

The visit was an announced pre-licensing and Component III virtual inspection to ensure compliance with California Code of Regulations, Title 22, Division 6 and the Health and Safety Code for the purpose of licensing the facility to serve elderly residents.

The facility was found to be in compliance with applicable regulations, with well-maintained resident rooms and bathrooms, proper safety measures including secured pool area and fire safety equipment, sufficient supplies, proper medication management, and adequate emergency preparedness. Final approval is pending management review.

The visit was an announced pre-licensing and Component III virtual visit conducted to ensure compliance with California Code of Regulations, Title 22, Division 6 and the Health and Safety Code for the purpose of licensing the facility to serve elderly residents.

The facility was found to be in compliance with applicable regulations, with all safety systems operational, sufficient supplies and equipment, proper medication management, and well-maintained resident rooms and common areas. Final approval is pending management review.