Inspection Report Summary
Most inspections found no deficiencies, showing the facility generally maintained compliance with regulations and a clean, organized environment. Several complaint investigations were unsubstantiated, including allegations about inadequate dementia care, falsified medical records, and improper billing. However, some deficiencies were cited over time, primarily related to medication management and supervision of residents with wandering behaviors, including a serious finding in September 2025 where the facility failed to supervise a resident who eloped, posing an immediate health and safety risk. The most recent report from October 17, 2025, was a complaint investigation that found no deficiencies and determined the complaint was filed against the wrong facility. This suggests some improvement after earlier issues, though there is no clear overall pattern in the facility’s compliance history.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Census Over Time
Census
Capacity
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
| Name | Title | Context |
|---|---|---|
| Jerome Haley | Licensing Program Analyst | Conducted the complaint investigation visit |
| Heather Younan | Administrator | Facility 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)
| Description | Severity |
|---|---|
| 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
| Name | Title | Context |
|---|---|---|
| Fred Arias | Licensing Program Analyst | Conducted the case management visit and authored the report |
| Heather Younan | Administrator/Director | Facility administrator met during the inspection |
| Alisa Ortiz | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Heather Younan | Administrator | Facility Administrator present during inspection and conducted facility tour |
| Andrea Mendevil | Licensing Program Analyst | Conducted the inspection visit |
| Fred Arias | Licensing Program Analyst | Conducted the inspection visit and signed the report |
| Alisa Ortiz | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Heather Younan | Administrator | Met with Licensing Program Analysts during the inspection and named in the report |
| Jenifer Tirre | Licensing Program Analyst | Conducted the inspection and signed the report |
| Edward Kim | Licensing Program Analyst | Conducted the inspection |
| Luz Adams | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Jenifer Tirre | Licensing Program Analyst | Conducted the complaint investigation and visit |
| Heather Younan | Administrator | Facility 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)
| Description | Severity |
|---|---|
| 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
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the inspection and cited deficiencies |
| Armando J Lucero | Licensing Program Manager | Supervisor overseeing the inspection |
| Heather Younan | Administrator | Facility administrator involved in the incident and interview |
| Jannette Cervantes | Staff 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
| Name | Title | Context |
|---|---|---|
| Jenifer Tirre | Licensing Program Analyst | Conducted the complaint investigation |
| Heather Younan | Administrator | Facility administrator met during investigation |
| Luz Adams | Licensing Program Manager | Named 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)
| Description | Severity |
|---|---|
| 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
| Name | Title | Context |
|---|---|---|
| Heather Younan | Administrator | Named in relation to confirming incidents were not reported to Licensing. |
| Ashley Guerra | Director of Health Services, R.N. | Confirmed dementia diagnoses and incidents not reported to Licensing. |
| Patricia Velazquez | Licensing Program Analyst | Conducted the inspection and complaint investigation. |
| Sheila Santos | Licensing Program Manager | Supervisor 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
| Name | Title | Context |
|---|---|---|
| Patricia Velazquez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Heather Younan | Administrator | Met with Licensing Program Analyst during the visit and participated in exit interview |
| Ashley Guerra | Health 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
| Name | Title | Context |
|---|---|---|
| Erin Light | Administrator | Met with during the visit and participated in the exit interview. |
| Ashley Guerra | Director of Health Services | Participated in the visit, partial tour, and exit interview. |
| Patricia Velazquez | Licensing Program Analyst | Conducted 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
| Name | Title | Context |
|---|---|---|
| Erin Light | Administrator | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
| Ashley Guerra | Director of Health Services | Met with Licensing Program Analyst during the visit and participated in the exit interview. |
| Patricia Velazquez | Licensing Program Analyst | Conducted 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
| Name | Title | Context |
|---|---|---|
| Michael Marion | Administrator | Met with Licensing Program Analyst during the visit and involved in interview and facility tour. |
| Patricia Velazquez | Licensing Program Analyst | Conducted the unannounced visit, interview, and file review. |
| Sheila Santos | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Michael Marion | Administrator | Met during the visit and participated in the exit interview. |
| Jessica Thielmann | Director of Health Services | Met during the visit and participated in the exit interview. |
| Patricia Velazquez | Licensing Program Analyst | Conducted 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
| Name | Title | Context |
|---|---|---|
| Michael Marion | Administrator | Met with Licensing Program Analyst during the visit and exit interview |
| Jessica Thielmann | Director of Health Services | Interviewed during the visit and participated in exit interview |
| Patricia Velazquez | Licensing Program Analyst | Conducted 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
| Name | Title | Context |
|---|---|---|
| Michael Marion | Administrator | Met with Licensing Program Analyst during the investigation and participated in exit interview |
| Patricia Velazquez | Licensing Program Analyst | Conducted the complaint investigation visit |
| Jessica Thielmann | Director of Health Services | Participated in exit interview |
| Sheila Santos | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Michael Marion | Administrator | Met with Licensing Program Analyst during the visit and involved in the interview. |
| Patricia Velazquez | Licensing Program Analyst | Conducted the unannounced visit and interview. |
| Sheila Santos | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Mike Marion | Administrator | Met with Licensing Program Analyst during inspection and verified hot water temperatures |
| Breanna Pritchard | Director of Health Services | Accompanied Licensing Program Analyst on facility tour |
| Jessica Thielmann | Director of Health Services | Participated 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
| Name | Title | Context |
|---|---|---|
| Lourdes Menchaca | Administrator | Facility Administrator present during the pre-licensing visit |
| Breanna Pritchard | Director of Health Services | Participated in the virtual tour of the facility |
| Lydia Martinez | Licensing Program Analyst | Conducted the pre-licensing visit via Face Time |
| Marina Stanic | Licensing Program Manager | Named 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
| Name | Title | Context |
|---|---|---|
| Lourdes Menchaca | COMP II Participant | Participated in telephone call confirming understanding of Title 22. |
| Mirella Quaranta | Licensing Program Manager | Named as Licensing Program Manager on the report. |
| Stefania Fonteno | Licensing Program Analyst | Named as Licensing Program Analyst on the report. |
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