Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating generally good compliance with regulations. The most recent report from July 3, 2025, was a complaint investigation that found no evidence to support allegations of medication mismanagement. Earlier reports included two substantiated complaints: one in July 2023 where staff groomed residents without consent, violating personal rights, and another in October 2023 involving employment of staff without proper background clearance, posing a safety risk. No fines, license suspensions, or severe enforcement actions were listed in the available reports. The facility appears to have addressed past issues, with recent inspections showing no deficiencies and no ongoing substantiated complaints.
Deficiencies per Year
4
3
2
1
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 70
Capacity: 122
Deficiencies: 0
Jul 3, 2025
Visit Reason
An unannounced complaint investigation was conducted due to an allegation that staff mismanaged a resident's medications.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 122
Census: 70
Estimated Days of Completion: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nacole Patterson | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Calais Anguiano | Executive Director | Facility representative met during the investigation and exit interview |
Inspection Report
Annual Inspection
Census: 68
Capacity: 122
Deficiencies: 0
Mar 28, 2025
Visit Reason
An unannounced required Annual Inspection was conducted to evaluate compliance with licensing requirements and facility conditions.
Findings
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.
Report Facts
Fire extinguishers present: 26
Perishable food supply: 2
Non-perishable food supply: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Michelle Neumann | Administrator | Met during inspection and exit interview. |
| Kaitlyn Collins | Director of Resident and Family Services | Met during inspection and exit interview. |
| Josue Lopez | Director of Plant Operations | Accompanied inspection tour. |
| Keirstin Rodman | Clinical Staff and Office Manager | Participated in exit interview. |
| Kathy Roney | Culinary Director | Participated in exit interview. |
| Cindy Blenkarn | Director of Health Services | Participated in exit interview. |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 122
Deficiencies: 0
Mar 7, 2025
Visit Reason
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.
Findings
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.
Complaint Details
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.
Report Facts
Capacity: 122
Census: 76
Weight: 51.2
Weight range: 113
Weight range: 120
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Dyan Summerell | Executive Director | Interviewed regarding catheter and nutritional allegations |
| Kaitly Collins | Director of Resident and Family Services | Interviewed regarding complaint findings |
| Carmen Lopez | Licensing Program Analyst | Conducted the complaint investigation |
Inspection Report
Complaint Investigation
Census: 75
Capacity: 122
Deficiencies: 0
Feb 20, 2025
Visit Reason
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.
Findings
No deficiencies were cited during this visit. The visit included review of eviction procedures and records with the Director of Health Services.
Complaint Details
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.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Carmen Lopez | Licensing Program Analyst | Conducted the unannounced complaint investigation and case management visit. |
| Sabrina Pegros | Administrative Specialist | Participated in the exit interview and received the report. |
| Dyan Summerell | Executive Director | Participated in the exit interview. |
| Cindy Blenkarn | Director of Health Services | Reviewed eviction procedures and records with the Licensing Program Analyst. |
Inspection Report
Census: 70
Capacity: 122
Deficiencies: 0
Oct 3, 2024
Visit Reason
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.
Findings
The facility followed its elopement procedures appropriately, locating the resident within about 15 minutes of notification. No deficiencies were cited during the visit.
Report Facts
Time to locate resident: 15
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Executive Director | Met with during the inspection and involved in the visit regarding the elopement incident. |
| Sabrina Pegross | Administrative Specialist | Met with during the inspection and involved in the visit regarding the elopement incident. |
| Carmen Lopez | Licensing Program Analyst | Conducted the unannounced case management visit. |
Inspection Report
Complaint Investigation
Census: 70
Capacity: 122
Deficiencies: 0
Oct 2, 2024
Visit Reason
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.
Findings
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.
Complaint Details
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.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Executive Director | Met during the visit and involved in the incident review. |
| Sabrina Pegross | Administrative Specialist | Met during the visit and involved in the incident review. |
| Carmen Lopez | Licensing Program Analyst | Conducted the unannounced case management visit. |
Inspection Report
Census: 71
Capacity: 122
Deficiencies: 0
Sep 6, 2024
Visit Reason
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.
Findings
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.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Executive Director | Met with during the visit and involved in the exit interview. |
| Carmen Lopez | Licensing Program Analyst | Conducted the unannounced case management visit. |
| Cindy Blenkarn | Director of Health Services | Spoke with during the visit regarding the incident. |
Inspection Report
Complaint Investigation
Census: 76
Capacity: 122
Deficiencies: 0
May 7, 2024
Visit Reason
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.
Findings
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.
Complaint Details
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.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Executive Director | Met with Licensing Program Analyst during the investigation and was informed about follow-up and documentation requests. |
| Carmen Lopez | Licensing Program Analyst | Conducted the unannounced case management investigation visit. |
Inspection Report
Annual Inspection
Census: 122
Capacity: 122
Deficiencies: 1
Feb 29, 2024
Visit Reason
An unannounced required one-year inspection was conducted to evaluate compliance with licensing regulations for the Silverado Senior Living-Encinitas facility.
Findings
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.
Deficiencies (1)
| Description |
|---|
| Technical violation issued |
Report Facts
Hospice Waiver residents: 25
Food supply duration: 2
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Administrator | Facility Administrator who accompanied the Licensing Program Analyst during the inspection and acknowledged receipt of the report |
| Amy Rodgers | Licensing Program Analyst | Conducted the inspection and authored the report |
| Denise Powell | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 122
Deficiencies: 1
Oct 13, 2023
Visit Reason
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.
Findings
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.
Complaint Details
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.
Deficiencies (1)
| Description |
|---|
| Failure to obtain an approved criminal exemption request prior to allowing staff to continue working at the facility, posing a potential safety risk to residents. |
Report Facts
Residents at risk: 77
Facility capacity: 122
Plan of Correction due date: Oct 27, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Executive Director | Met with Licensing Program Analyst during investigation and discussed findings and plan of correction. |
| Carmen Lopez | Licensing Program Analyst | Conducted the unannounced complaint investigation visit and authored the report. |
| Denise Powell | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation. |
Inspection Report
Complaint Investigation
Census: 80
Capacity: 122
Deficiencies: 2
Jul 24, 2023
Visit Reason
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.
Findings
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.
Complaint Details
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.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| 87468.1 Personal Rights of Residents in All Facilities (a)(1) To be accorded dignity in their personal relationships with staff, residents, and other persons … this requirement was not met as evidence by staff grooming residents without consent. | Type B |
| Based on interviews and records, staff did not protect the personal rights of the residents in care. This posed a potential personal rights risk to 3 of 80 residents in care. | Type B |
Report Facts
Residents involved: 3
Census: 80
Total capacity: 122
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Administrator | Named in relation to the complaint investigation and exit interview |
| Carmen Lopez | Licensing Program Analyst | Conducted the complaint investigation |
| Denise Powell | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 77
Capacity: 122
Deficiencies: 0
Jan 30, 2023
Visit Reason
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.
Findings
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 Details
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.
Report Facts
Complaint control number: 08-AS-20210726113635
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marisel Garcia-Centeno | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit. |
| Marivel Johnson | Administrator | Facility administrator who was interviewed and participated in the exit interview. |
| John Rante | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 83
Capacity: 122
Deficiencies: 0
Mar 22, 2022
Visit Reason
An unannounced Required 1-Year Visit was conducted to evaluate the facility's compliance with licensing requirements and infection control protocols.
Findings
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.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Executive Director | Met with Licensing Program Analyst during the inspection and participated in the exit interview. |
| Ramon Serrano | Licensing Program Analyst | Conducted the unannounced Required 1-Year Visit and inspection. |
| Denise Powell | Licensing Program Manager | Named in the report header. |
Inspection Report
Original Licensing
Census: 80
Capacity: 122
Deficiencies: 0
Mar 2, 2021
Visit Reason
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.
Findings
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.
Report Facts
Capacity: 122
Census: 80
Freezer temperature: -10
Refrigerator temperature: 38
Hot water temperature range: 109.4
Hot water temperature range: 113.9
Facility temperature: 73
Fire extinguisher expiration: 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Applicant | Facility representative and applicant during pre-licensing visit |
| Debbie Correia | Licensing Program Analyst | Conducted the announced pre-licensing and Component III virtual visit |
| Simon Jacob | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Original Licensing
Census: 80
Capacity: 122
Deficiencies: 0
Mar 2, 2021
Visit Reason
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.
Findings
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.
Report Facts
Facility capacity: 122
Census: 80
Freezer temperature: -10
Refrigerator temperature: 38
Hot water temperature range: 109.4
Hot water temperature range: 113.9
Facility temperature: 73
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Marivel Johnson | Applicant | Facility representative present during the pre-licensing visit |
| Debbie Correia | Licensing Program Analyst | Conducted the announced pre-licensing and Component III virtual visit |
| Simon Jacob | Licensing Program Manager | Named in the report as Licensing Program Manager |
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