Inspection Reports for
Silverado San Juan Capistrano Memory Care Community
CA, 92675
Back to Facility ProfileDeficiencies (last 5 years)
Deficiencies (over 5 years)
1.6 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
60% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
77% occupied
Based on a March 2026 inspection.
This facility has shown a steady increase in demand based on occupancy rates.
Occupancy over time
Inspection Report
Annual Inspection
Census: 74
Capacity: 96
Deficiencies: 3
Date: Mar 18, 2026
Visit Reason
The inspection was an unannounced required annual inspection conducted by Licensing Program Analysts to assess compliance with licensing requirements.
Findings
The facility was found to have missing PRN medications for two residents, hot water temperatures exceeding the allowed maximum in several rooms, and staff training deficiencies related to restricted health conditions, postural supports, and hospice care. Other observations included proper medication storage, clean kitchen, and no hazards in the facility.
Deficiencies (3)
Resident 1 and Resident 2 were each missing one PRN medication, posing an immediate health, safety, or personal rights risk.
Hot water temperature measured above 120 degrees Fahrenheit in 5 out of 8 rooms inspected, posing a potential health, safety, or personal rights risk.
All 10 staff files reviewed lacked 4 hours of training specific to postural supports, restricted health conditions, and hospice care.
Report Facts
Residents missing PRN medications: 2
Rooms with hot water above 120°F: 5
Staff files reviewed: 10
Facility capacity: 96
Current census: 74
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sheila Fike | Executive Director | Administrator whose certificate expires on July 17, 2027 |
| Casey Lambert | Director of Resident and Family Services | Met with Licensing Program Analysts during inspection |
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection and signed the report |
| Garlli Tat | Licensing Program Analyst | Conducted the inspection |
| Sheila Santos | Licensing Program Manager | Named in the report |
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 0
Date: Sep 11, 2025
Visit Reason
An unannounced complaint investigation visit was conducted following a complaint received on 2025-03-07 regarding allegations of unmet resident needs, failure to seek medical attention, failure to safeguard personal belongings, and failure to issue a refund.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff not ensuring resident needs were met, not seeking medical attention, not safeguarding personal belongings, and not issuing a refund. Interviews and record reviews found no evidence to support these allegations.
Findings
The investigation included interviews with staff and residents and review of facility records. All allegations were denied by staff and residents, and evidence showed the refund was issued and the missing item was returned. No deficiencies were cited and the allegations were deemed unsubstantiated due to insufficient evidence.
Report Facts
Facility capacity: 96
Refund check number: 5638
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Samer Haddadin | Licensing Program Analyst | Conducted the complaint investigation and unannounced visit |
| Sheila Fike | Administrator / Executive Director | Facility administrator met during the investigation |
| Alisa Ortiz | Supervisor | Supervisor named in the report |
Inspection Report
Complaint Investigation
Capacity: 96
Deficiencies: 0
Date: 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.
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.
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.
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
Date: Aug 6, 2025
Visit Reason
This unannounced inspection was conducted to investigate complaints alleging that staff did not ensure a resident's shower needs were met, did not safeguard resident's personal items, allowed residents to use the same toothbrush, and did not prevent a resident from engaging in altercations with another resident.
Complaint Details
The complaint investigation was substantiated for the allegation that staff did not ensure Resident #1's shower needs were met, with evidence showing missed showers from October 5 to 11, 2024, and lack of documented multiple attempts to assist after refusals. Other allegations about safeguarding personal items, toothbrush sharing, and failure to prevent altercations were unsubstantiated due to lack of corroborating evidence or conflicting information.
Findings
The investigation substantiated that staff failed to ensure Resident #1 received showers as required, with documented missed showers and insufficient attempts to assist after refusals. Other allegations regarding safeguarding personal items, toothbrush use, and prevention of altercations were unsubstantiated due to insufficient evidence or conflicting information.
Deficiencies (1)
The licensee did not ensure Resident #1 received assistance with showers by not making multiple attempts to assist after refusals, posing a potential health risk.
Report Facts
Capacity: 96
Census: 64
Plan of Correction Due Date: Sep 3, 2025
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sean Haddad | Licensing Program Analyst | Conducted the complaint investigation and inspection |
| Jenifer Tirre | Licensing Program Analyst | Assisted in inspection and investigation |
| Shila Fike | Administrator | Facility administrator met during inspection and involved in findings |
| Armando J Lucero | Supervisor | Supervisor overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 96
Deficiencies: 1
Date: 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.
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.
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.
Deficiencies (1)
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.
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: 1
Date: 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, proper medication storage, adequate food supplies, and staff files with required training and background clearances.
Deficiencies (1)
The first aid kit did not contain a current edition first aid manual.
Report Facts
Licensed capacity: 96
Census: 71
Temperature range: 111.3
Temperature range: 120.5
Food supply: 2
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 inspection and made observations |
| Sheila Fike | Executive Director | Met with Licensing Program Analyst and explained reason for visit |
Inspection Report
Annual Inspection
Census: 71
Capacity: 96
Deficiencies: 0
Date: 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
Date: 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, and safe hot water temperatures. However, one out of six staff members did not meet the required 20 hours of annual training, resulting in a cited deficiency.
Deficiencies (1)
One out of six staff members did not meet the required 20 hours of annual training, including dementia care and other specified training.
Report Facts
Staff members reviewed: 6
Resident files reviewed: 6
Staff members non-compliant: 1
Plan of Correction due date: Apr 1, 2024
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Sheila Fike | Executive Director / Administrator | Met with Licensing Program Analyst during inspection |
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection and authored the report |
| Sheila Santos | Supervisor | Supervisor overseeing the inspection process |
Inspection Report
Complaint Investigation
Census: 64
Capacity: 96
Deficiencies: 0
Date: Mar 12, 2024
Visit Reason
The inspection was conducted as an unannounced complaint investigation following a complaint received on 2022-08-25 alleging that a staff member was abusing residents in care.
Complaint Details
The complaint alleged that staff woke residents early to ease morning workload and that residents were abused. The investigation found no preponderance of evidence to prove the alleged abuse occurred, resulting in an unsubstantiated finding.
Findings
The investigation found conflicting information from 14 witnesses and no corroboration of the abuse allegation. All interviewed individuals reported no abuse or poor treatment of residents. The allegation was deemed unsubstantiated due to lack of evidence.
Report Facts
Capacity: 96
Census: 64
Number of witnesses interviewed: 14
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Sheila Fike | Executive Director | Met with Licensing Program Analyst during investigation |
Inspection Report
Annual Inspection
Census: 64
Capacity: 96
Deficiencies: 1
Date: 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)
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
Date: 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.
Complaint Details
The complaint involved an allegation that a staff member asked a resident an inappropriate question. The staff member was suspended pending investigation. The internal investigation found the incident unsubstantiated, with staff and residents denying knowledge of the incident. The staff member denied the allegation. Due to conflicting information, no further action was taken.
Findings
The investigation included interviews with the resident, staff, and the resident's girlfriend, but conflicting information prevented determination of whether the alleged violation occurred. No deficiencies were cited during the inspection.
Report Facts
Facility capacity: 96
Census: 67
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Erin Light | Administrator | Facility administrator named in report header |
| Sheila Fike | Executive Director | Interviewed during investigation |
| Claudia Gutierrez | Licensing Program Analyst | Conducted the inspection and investigation |
| Armando J Lucero | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 67
Capacity: 96
Deficiencies: 0
Date: 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.
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.
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.
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
Date: Mar 16, 2022
Visit Reason
Licensing Program Analyst Joseph Alejandre made an unannounced visit to conduct the required annual inspection (mitigation).
Findings
No deficiencies were observed during the visit. The facility was found to be clean, organized, and compliant with all 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
Employees mentioned
| Name | Title | Context |
|---|---|---|
| Joseph Alejandre | Licensing Program Analyst | Conducted the inspection visit |
| Erin Light | Administrator | Met with Licensing Program Analyst during inspection |
| Breanna Pritchard | Director of Health Services | Met with Licensing Program Analyst during inspection |
Inspection Report
Annual Inspection
Census: 52
Capacity: 96
Deficiencies: 0
Date: 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
Date: 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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