Inspection Reports for Silverado Newport Mesa

CA, 92627

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Inspection Report Complaint Investigation Census: 56 Capacity: 82 Deficiencies: 0 Oct 17, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to an allegation that the facility did not implement interventions to prevent residents from eloping.
Findings
The investigation determined that the complaint was filed against the wrong facility. After reviewing documents and touring the facility, the allegation was deemed unfounded as it was false and could not have happened.
Complaint Details
The complaint allegation was that the facility did not implement interventions to prevent residents from eloping. The allegation was found to be unfounded after investigation.
Report Facts
Facility capacity: 82 Census: 56
Employees Mentioned
NameTitleContext
Jerome HaleyLicensing Program AnalystConducted the complaint investigation visit
Heather YounanAdministratorFacility administrator met with the investigator
Inspection Report Complaint Investigation Census: 53 Capacity: 82 Deficiencies: 1 Sep 16, 2025
Visit Reason
The inspection was conducted as a Case Management visit to obtain information regarding a self-reported incident of elopement involving resident 1 (R1), who left the facility and returned to their original residence.
Findings
The facility was found to have a deficiency for failing to ensure supervision of a resident with wandering behaviors, resulting in an elopement that posed an immediate health and safety risk. The facility appeared clean and organized with no other imminent health or safety concerns observed during the visit.
Complaint Details
The visit was complaint-related due to a self-reported elopement incident involving resident 1 (R1). The incident was substantiated by the finding that the facility failed to supervise the resident, who eloped after being left alone for approximately 6 minutes. The resident has not returned and is currently hospitalized.
Severity Breakdown
Type A: 1
Deficiencies (1)
DescriptionSeverity
Facility did not ensure supervision of resident with continued safety when wandering from the facility, posing an immediate health and safety risk to persons in care.Type A
Report Facts
Deficiencies cited: 1 Time resident left alone: 6 Facility capacity: 82 Resident census: 53
Employees Mentioned
NameTitleContext
Fred AriasLicensing Program AnalystConducted the case management visit and authored the report
Heather YounanAdministrator/DirectorFacility administrator met during the inspection
Alisa OrtizLicensing Program ManagerNamed in relation to the deficiency citation and report
Inspection Report Annual Inspection Census: 51 Capacity: 82 Deficiencies: 0 Feb 21, 2025
Visit Reason
An unannounced required annual visit was conducted by Licensing Program Analysts to evaluate the facility's compliance with regulations.
Findings
The facility was found to be sanitary, appropriately furnished, and in compliance with regulations. No deficiencies were cited during the inspection.
Report Facts
Resident bedrooms: 41 Bathrooms: 46 Dining areas: 4 Hospice waiver capacity: 20 Water temperature range (degrees F): 106.3-121.4 Food supply duration (days): 2 Food supply duration (days): 7 Fire/Safety Drill date: Jan 16, 2025 Resident files reviewed: 5 Staff files reviewed: 5 Medications audited: 5
Employees Mentioned
NameTitleContext
Heather YounanAdministratorFacility Administrator present during inspection and conducted facility tour
Andrea MendevilLicensing Program AnalystConducted the inspection visit
Fred AriasLicensing Program AnalystConducted the inspection visit and signed the report
Alisa OrtizLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Annual Inspection Census: 53 Capacity: 82 Deficiencies: 0 May 10, 2024
Visit Reason
The inspection was an unannounced required 1-year annual visit conducted using the CARE Inspection Tool to evaluate compliance with licensing regulations.
Findings
The facility was found to be sanitary, appropriately furnished, and in compliance with regulations. Infection control practices, staff and resident files, and medications were audited with no deficiencies cited during the inspection.
Report Facts
Resident interviews: 3 Staff interviews: 6 Resident bedrooms: 41 Bathrooms: 46 Dining areas: 4 Non-ambulatory and hospice waiver capacity: 20
Employees Mentioned
NameTitleContext
Heather YounanAdministratorMet with Licensing Program Analysts during the inspection and named in the report
Jenifer TirreLicensing Program AnalystConducted the inspection and signed the report
Edward KimLicensing Program AnalystConducted the inspection
Luz AdamsLicensing Program ManagerNamed in the report
Inspection Report Complaint Investigation Census: 48 Capacity: 82 Deficiencies: 0 Apr 9, 2024
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff were not providing adequate care to dementia residents.
Findings
The investigation included facility tours, interviews with staff and residents, and review of records. Despite the allegations, there was no preponderance of evidence to substantiate the claim, and the complaint was deemed unsubstantiated.
Complaint Details
The complaint alleged inadequate care provided to dementia residents. After investigation, the complaint was found to be unsubstantiated.
Report Facts
Caregivers: 25 Licensed Vocational Nurses: 8 Med Techs: 2 Staffing ratio AM shift: 9 Staffing ratio PM shift: 11 Staffing ratio NOC shift: 17 Census on 03/11/2024: 51 Census on 04/09/2024: 48
Employees Mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the complaint investigation and visit
Heather YounanAdministratorFacility administrator met during investigation and exit interview
Inspection Report Follow-Up Census: 61 Capacity: 82 Deficiencies: 1 Dec 15, 2023
Visit Reason
This unannounced Case Management – Incident inspection was conducted to follow up on a self-reported incident involving a medication error reported on 2023-12-08 regarding Resident #1.
Findings
The inspection confirmed that Resident #1 was given an incorrect dosage of medication but was monitored closely with no adverse reactions observed. Deficiencies were cited related to failure to ensure proper assistance with self-administered medications.
Severity Breakdown
Type B: 1
Deficiencies (1)
DescriptionSeverity
The licensee did not ensure Resident #1 received assistance with self-administered medications due to a medication error, posing a potential health risk.Type B
Report Facts
Deficiency count: 1 Plan of Correction Due Date: Jan 5, 2024
Employees Mentioned
NameTitleContext
Sean HaddadLicensing Program AnalystConducted the inspection and cited deficiencies
Armando J LuceroLicensing Program ManagerSupervisor overseeing the inspection
Heather YounanAdministratorFacility administrator involved in the incident and interview
Jannette CervantesStaff member met during inspection and involved in medication error discussion
Inspection Report Complaint Investigation Census: 59 Capacity: 82 Deficiencies: 0 Oct 27, 2023
Visit Reason
An unannounced complaint investigation was conducted in response to an allegation that the facility was charging for un-needed services.
Findings
The investigation included a tour, interviews, and review of documentation. It was found that the resident's care needs had changed, resulting in new charges for incontinence care after proper notification. The allegation of charging for un-needed services was deemed unsubstantiated due to lack of sufficient evidence.
Complaint Details
The complaint alleged the facility was charging for un-needed services. The investigation found that charges for incontinence care began after notification to the responsible party, and the resident's account was being reimbursed due to improper in-person notification. The allegation was unsubstantiated.
Report Facts
Facility capacity: 82 Census: 59 Dates of Routine Wellness Assessments: Assessments conducted monthly from 6/30/2023 to 9/29/2023 Billing period with incontinence charge: Charge billed for period 9/1/23 to 9/30/23 and 10/1/23 to 10/31/23
Employees Mentioned
NameTitleContext
Jenifer TirreLicensing Program AnalystConducted the complaint investigation
Heather YounanAdministratorFacility administrator met during investigation
Luz AdamsLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Complaint Investigation Census: 61 Capacity: 82 Deficiencies: 2 May 9, 2023
Visit Reason
An unannounced Case Management - Deficiencies visit was conducted as part of a complaint investigation with Complaint Control Number 22-AS-20230502140537 to review resident records and compliance with reporting requirements.
Findings
The inspection found that residents with dementia did not have annual medical assessments as required, and multiple incidents involving residents were not reported to Licensing as mandated by Title 22 regulations, posing potential risks to resident health and safety.
Complaint Details
The visit was complaint-related under Complaint Control Number 22-AS-20230502140537. The complaint was substantiated as deficiencies were found related to medical assessments and incident reporting.
Severity Breakdown
Type B: 2
Deficiencies (2)
DescriptionSeverity
Failure to ensure residents with dementia (R1 and R3) had annual medical assessments as required.Type B
Failure to submit incident reports for residents R1, R2, and R3 as required by reporting regulations.Type B
Report Facts
Deficiencies cited: 2 Plan of Correction Due Dates: May 12, 2023 Plan of Correction Due Dates: May 26, 2023
Employees Mentioned
NameTitleContext
Heather YounanAdministratorNamed in relation to confirming incidents were not reported to Licensing.
Ashley GuerraDirector of Health Services, R.N.Confirmed dementia diagnoses and incidents not reported to Licensing.
Patricia VelazquezLicensing Program AnalystConducted the inspection and complaint investigation.
Sheila SantosLicensing Program ManagerSupervisor overseeing the inspection.
Inspection Report Complaint Investigation Census: 58 Capacity: 82 Deficiencies: 0 Apr 6, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff were falsifying residents' medical records and not safeguarding residents' personal belongings.
Findings
After interviews with residents and staff, and review of facility, resident, and staff records, there was insufficient evidence to substantiate the allegations. The allegations were deemed unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated based on conflicting statements from ten individuals interviewed and lack of preponderance of evidence to prove the alleged violations occurred.
Report Facts
Capacity: 82 Census: 58
Employees Mentioned
NameTitleContext
Patricia VelazquezLicensing Program AnalystConducted the complaint investigation visit
Heather YounanAdministratorMet with Licensing Program Analyst during the visit and participated in exit interview
Ashley GuerraHealth Services Director, R.N.Participated in exit interview
Inspection Report Follow-Up Census: 57 Capacity: 82 Deficiencies: 0 Sep 30, 2022
Visit Reason
The visit was an unannounced Case Management follow-up on an Incident Report received on September 26, 2022, regarding Resident #1.
Findings
No immediate health and safety concerns were observed with Resident #1, and no deficiencies were issued during this visit.
Employees Mentioned
NameTitleContext
Erin LightAdministratorMet with during the visit and participated in the exit interview.
Ashley GuerraDirector of Health ServicesParticipated in the visit, partial tour, and exit interview.
Patricia VelazquezLicensing Program AnalystConducted the unannounced visit and interviews.
Inspection Report Census: 57 Capacity: 82 Deficiencies: 0 Sep 20, 2022
Visit Reason
The visit was an unannounced Case Management follow-up on Incident Reports received regarding residents R1, R2, and R3.
Findings
No deficiencies were issued during this Case Management visit. There were no immediate health and safety concerns observed with residents R1 or R3. Resident R2 was hospitalized at the time of the visit.
Report Facts
Incident Report Dates: 2
Employees Mentioned
NameTitleContext
Erin LightAdministratorMet with Licensing Program Analyst during the visit and participated in the exit interview.
Ashley GuerraDirector of Health ServicesMet with Licensing Program Analyst during the visit and participated in the exit interview.
Patricia VelazquezLicensing Program AnalystConducted the unannounced visit and follow-up on incident reports.
Inspection Report Census: 60 Capacity: 82 Deficiencies: 0 Aug 23, 2022
Visit Reason
The visit was an unannounced Case Management follow-up on an Incident Report received on August 15, 2022, regarding Resident #1.
Findings
No immediate health and safety concerns were observed with Resident #1, who currently has a 1:1 private companion. No deficiencies were issued during this visit.
Employees Mentioned
NameTitleContext
Michael MarionAdministratorMet with Licensing Program Analyst during the visit and involved in interview and facility tour.
Patricia VelazquezLicensing Program AnalystConducted the unannounced visit, interview, and file review.
Sheila SantosLicensing Program ManagerNamed as Licensing Program Manager on the report.
Inspection Report Follow-Up Census: 58 Capacity: 82 Deficiencies: 0 May 25, 2022
Visit Reason
The visit was a Case Management follow-up on two Incident Reports received on May 16, 2022, regarding Residents #1 and #2.
Findings
No immediate health and safety concerns were observed with Resident #2, and Resident #1 was reported to be hospitalized. No deficiencies were issued during this visit.
Employees Mentioned
NameTitleContext
Michael MarionAdministratorMet during the visit and participated in the exit interview.
Jessica ThielmannDirector of Health ServicesMet during the visit and participated in the exit interview.
Patricia VelazquezLicensing Program AnalystConducted the unannounced visit and interviews.
Inspection Report Census: 61 Capacity: 82 Deficiencies: 0 May 4, 2022
Visit Reason
The visit was an unannounced Case Management follow-up on an Incident Report received regarding Residents #1 and #2.
Findings
No deficiencies were issued during this Case Management visit. Interviews and file reviews were conducted with facility staff and residents.
Report Facts
Capacity: 82 Census: 61
Employees Mentioned
NameTitleContext
Michael MarionAdministratorMet with Licensing Program Analyst during the visit and exit interview
Jessica ThielmannDirector of Health ServicesInterviewed during the visit and participated in exit interview
Patricia VelazquezLicensing Program AnalystConducted the unannounced visit and interviews
Inspection Report Complaint Investigation Census: 61 Capacity: 82 Deficiencies: 0 May 4, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that the authorized representative was not informed of resident treatment and that residents were given medication without a doctor's order.
Findings
The investigation included review of facility, staff, and resident records, as well as interviews with staff and residents. The allegations were found to be unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint was unsubstantiated. Allegations included failure to inform authorized representative of resident treatment and administration of medication without a doctor's order. The facility's pharmacy policy requires a physician's order before filling prescriptions.
Report Facts
Capacity: 82 Census: 61
Employees Mentioned
NameTitleContext
Michael MarionAdministratorMet with Licensing Program Analyst during the investigation and participated in exit interview
Patricia VelazquezLicensing Program AnalystConducted the complaint investigation visit
Jessica ThielmannDirector of Health ServicesParticipated in exit interview
Sheila SantosLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Follow-Up Census: 59 Capacity: 82 Deficiencies: 0 Mar 25, 2022
Visit Reason
The visit was an unannounced follow-up on two incidents reported to Licensing on 03/04/2022 and 03/15/2022 regarding residents at the community.
Findings
No deficiencies were issued during the Case Management visit. The Licensing Program Analyst reviewed pertinent resident records and conducted a brief interview with the Administrator.
Employees Mentioned
NameTitleContext
Michael MarionAdministratorMet with Licensing Program Analyst during the visit and involved in the interview.
Patricia VelazquezLicensing Program AnalystConducted the unannounced visit and interview.
Sheila SantosLicensing Program ManagerNamed in the report header.
Inspection Report Annual Inspection Census: 56 Capacity: 82 Deficiencies: 0 Feb 25, 2022
Visit Reason
The visit was conducted as a Required 1 Year inspection to evaluate compliance with licensing regulations for Silverado Senior Living - Newport Mesa.
Findings
The inspection found the facility to be in compliance with no deficiencies issued. The physical plant, resident rooms, kitchen, emergency supplies, and safety features were all found to be adequate and operational.
Report Facts
Hot water temperature range: Measured between 108.3 and 123.4 degrees Fahrenheit in 10 resident bathrooms Licensed hospice waiver capacity: 20
Employees Mentioned
NameTitleContext
Mike MarionAdministratorMet with Licensing Program Analyst during inspection and verified hot water temperatures
Breanna PritchardDirector of Health ServicesAccompanied Licensing Program Analyst on facility tour
Jessica ThielmannDirector of Health ServicesParticipated in exit interview
Inspection Report Original Licensing Census: 43 Capacity: 82 Deficiencies: 0 Feb 8, 2021
Visit Reason
Pre-licensing visit conducted via Face Time due to COVID-19 precautions to evaluate the facility for a Change of Ownership to operate a Residential Care Facility for the Elderly with a capacity of 82 non-ambulatory residents.
Findings
The facility serves all Memory Care residents and was found to have no deficiencies during the pre-licensing evaluation. Physical plant safeguards, fire safety, medication storage, and other safety measures were checked and found adequate.
Report Facts
Capacity: 82 Census: 43
Employees Mentioned
NameTitleContext
Lourdes MenchacaAdministratorFacility Administrator present during the pre-licensing visit
Breanna PritchardDirector of Health ServicesParticipated in the virtual tour of the facility
Lydia MartinezLicensing Program AnalystConducted the pre-licensing visit via Face Time
Marina StanicLicensing Program ManagerNamed in the report header
Inspection Report Capacity: 82 Deficiencies: 0 Jan 11, 2021
Visit Reason
The visit was an office type evaluation related to a Change of Ownership (CHOW) application for the facility.
Findings
The applicant and administrator successfully completed Component II via telephone call, confirming understanding of Title 22 regulations including facility operation, staff qualifications, program policies, grievances, and physical plant requirements. Application documents and technical assistance were reviewed.
Employees Mentioned
NameTitleContext
Lourdes MenchacaCOMP II ParticipantParticipated in telephone call confirming understanding of Title 22.
Mirella QuarantaLicensing Program ManagerNamed as Licensing Program Manager on the report.
Stefania FontenoLicensing Program AnalystNamed as Licensing Program Analyst on the report.

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