Inspection Reports for Silverado San Juan Capistrano Memory Care Community
CA, 92675
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, with several complaint investigations unsubstantiated, reflecting generally good compliance. The most recent report from September 11, 2025, was clean with no deficiencies cited after a complaint investigation. Earlier reports noted minor issues, including one substantiated finding in August 2025 where staff did not consistently assist a resident with showers, and a training deficiency in March 2024 involving one staff member not meeting annual training requirements. There were no fines, enforcement actions, or severe findings reported at any time. The facility’s record shows improvement and stability, with recent inspections free of deficiencies and complaints mostly unsubstantiated.
Deficiencies per Year
4
3
2
1
0
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 0
Sep 11, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to a complaint received on 2025-03-07 regarding allegations of staff not ensuring residents' needs were met, not seeking medical attention, not safeguarding personal belongings, and not issuing a refund.
Findings
The investigation found no substantiated evidence supporting the allegations after interviews with staff and residents and record reviews. The alleged violations were deemed unsubstantiated and no deficiencies were cited during the visit.
Complaint Details
The complaint included four allegations: staff did not ensure residents' needs were met, did not seek medical attention for a resident, did not safeguard a resident's personal belongings, and did not issue a refund to a responsible party. All allegations were denied by interviewed staff and residents, and evidence reviewed confirmed resolution of the refund and safeguarding issues. The complaint was unsubstantiated.
Report Facts
Facility capacity: 96
Refund check number: 5638
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Samer Haddadin | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Sheila Fike | Executive Director | Facility administrator met during the investigation |
| Alisa Ortiz | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 96
Deficiencies: 1
Aug 6, 2025
Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations received on 2024-10-29 regarding resident care issues including failure to meet shower needs, safeguarding personal items, use of the same toothbrush, and prevention of resident altercations.
Findings
The investigation substantiated that staff did not ensure a resident received showers as required, failing to make multiple attempts after refusals. Other allegations regarding safeguarding personal items, toothbrush use, and prevention of altercations were unsubstantiated due to insufficient evidence or conflicting information. The facility took appropriate actions regarding resident altercations and medication adjustments.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not ensure Resident #1's shower needs were met, as the shower log showed multiple days without showers and lack of documented attempts after refusals. Other allegations about safeguarding personal items, toothbrush sharing, and failure to prevent altercations were unsubstantiated due to lack of preponderance of evidence.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The licensee did not ensure Resident #1 received assistance with showers by not making multiple attempts to assist with showers after refusals, posing a potential health risk. | Type B |
Report Facts
Capacity: 96
Census: 64
Deficiencies cited: 1
Plan of Correction Due Date: 2025
One-on-one supervision duration: 72
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Armando J Lucero | Licensing Program Manager | Oversaw the complaint investigation |
| Sheila Fike | Administrator | Facility administrator met during inspection and involved in findings |
Inspection Report
Annual Inspection
Census: 71
Capacity: 96
Deficiencies: 0
Feb 7, 2025
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual inspection of Silverado Senior Living-San Juan Capistrano.
Findings
The facility was found to be in compliance with no deficiencies cited. Observations included operational delayed egress doors, fully charged fire extinguishers, adequate emergency food supplies, locked medication carts, and proper staff training and background clearance.
Report Facts
Emergency drill date: Nov 13, 2024
Hot water temperature range: Measured between 111.3 to 120.5 degrees Fahrenheit
Perishable food supply: 2
Non-perishable food supply: 7
Emergency food and water supply: 3
Resident rooms toured: 10
Resident files reviewed: 10
Staff files reviewed: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the annual inspection visit |
| Sheila Fike | Executive Director/Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 64
Capacity: 96
Deficiencies: 1
Mar 12, 2024
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual inspection of Silverado Senior Living-San Juan Capistrano.
Findings
The facility was generally found to be clean, organized, and compliant with most regulations, including proper furnishings, operational carbon monoxide detectors, safe hot water temperatures, and secure medication storage. However, one out of six staff members did not meet the required 20 hours of annual training, resulting in cited deficiencies.
Deficiencies (1)
| Description |
|---|
| One out of six staff members did not have the required 20 hours of annual training, including dementia care and other specific training requirements. |
Report Facts
Staff members not meeting training requirement: 1
Total staff files reviewed: 6
Resident files reviewed: 6
Facility capacity: 96
Census: 64
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sheila Fike | Executive Director / Administrator | Met with Licensing Program Analyst during inspection and discussed findings |
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection and authored the report |
| Sheila Santos | Licensing Program Manager / Supervisor | Named as supervisor and licensing program manager on the report |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 96
Deficiencies: 0
Feb 8, 2024
Visit Reason
An unannounced case management visit was conducted to follow up on an incident report received regarding an alleged inappropriate remark made by a staff member to a resident.
Findings
The investigation included interviews with the resident, staff, and others, but due to conflicting information, the Licensing Program Analyst was unable to determine if the alleged violation occurred. No deficiencies were cited during the inspection.
Complaint Details
The complaint involved an allegation that on 1/25/24, a staff member asked a resident an inappropriate question. The resident and others provided conflicting accounts, and the internal investigation found the incident unsubstantiated.
Report Facts
Facility capacity: 96
Resident census: 67
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sheila Fike | Executive Director | Met during inspection and provided information about the internal investigation |
| Claudia Gutierrez | Licensing Program Analyst | Conducted the inspection and interviews |
| Armando J Lucero | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 52
Capacity: 96
Deficiencies: 0
Mar 16, 2022
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual inspection (mitigation) of the facility.
Findings
No deficiencies were observed during the visit. The facility was found to be clean, organized, and compliant with all regulatory requirements including food storage, emergency systems, medication security, and fire safety.
Report Facts
Hot water temperature: 115.2
Fire sprinkler system test date: Mar 15, 2022
Last fire drill date: Jan 31, 2022
Administrator certificate expiration: Mar 8, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Erin Light | Administrator | Met with Licensing Program Analyst during inspection |
| Breanna Pritchard | Director of Health Services | Met with Licensing Program Analyst during inspection |
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Original Licensing
Census: 65
Capacity: 96
Deficiencies: 0
Feb 24, 2021
Visit Reason
The visit was conducted as a prelicensing inspection for a new licensee corporation taking over the facility, which will be licensed as an RCFE with dementia care and a capacity of 96 residents.
Findings
The facility was found to meet Title 22 Division 6 of the California Code of Regulations and is ready for licensure. The fire clearance was approved, the facility was clean and safe, with proper infection control measures observed including COVID-19 precautions and PPE supply.
Report Facts
Capacity: 96
Census: 65
Water temperature: 114
Food supply: 7
Food supply: 2
PPE supply: 30
Resident rooms: 48
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Erin Light | Administrator | Facility Administrator met during inspection and involved in prelicensing process |
| Joseph Alejandre | Licensing Program Analyst | Conducted the prelicensing inspection via FaceTime |
| Ruben Gomez | Fire Inspector | Approved fire clearance for the facility |
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