Inspection Reports for Silverado San Juan Capistrano Memory Care Community

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.

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.

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.

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.

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.

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.

Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual inspection of Silverado Senior Living-San Juan Capistrano.

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.

Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual inspection of Silverado Senior Living-San Juan Capistrano.

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.

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.

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.

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.

Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual inspection (mitigation) of the facility.

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.

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.

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.