Inspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that many concerns raised were not supported by evidence. The most recent report from September 30, 2025, was a complaint investigation with no deficiencies found. Earlier annual inspections identified some minor safety issues, such as unsecured cleaning supplies and insufficient non-perishable food supplies, but these did not result in fines or enforcement actions. A complaint investigation in November 2022 substantiated two deficiencies related to restricting residents’ rights to leave the facility and receive visitors, but no further enforcement was noted. Recent reports show improvement with no new deficiencies, and the facility appears to maintain compliance with regulations over time.
Deficiencies (last 5 years)
Deficiencies (over 5 years)
1.4 deficiencies/year
Deficiencies are regulatory violations found during state inspections.
65% better than California average
California average: 4 deficiencies/yearDeficiencies per year
4
3
2
1
0
Census
Latest occupancy rate
75% occupied
Based on a September 2025 inspection.
Census over time
Inspection Report
Complaint Investigation
Census: 65
Capacity: 87
Deficiencies: 0
Sep 30, 2025
Visit Reason
An unannounced complaint investigation was conducted to investigate allegations that staff do not meet incontinence care needs of residents and do not dispense medications as prescribed.
Findings
The investigation found that staff denied the allegations, stating sufficient staffing and proper medication administration practices. Resident interviews and document reviews supported that care needs were met and medications were administered as prescribed. The allegations were unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that staff do not meet incontinence care needs, forcing residents to sit in soiled diapers for over an hour, and that staff do not dispense medications as prescribed, with a capsule found on the floor and medication left in a cup. The investigation found no evidence to substantiate these allegations.
Report Facts
Capacity: 87
Census: 65
Number of residents interviewed: 8
Number of incontinence residents interviewed: 5
Number of residents whose medications were reviewed: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nune Margaryan | Licensing Program Analyst | Conducted the complaint investigation |
| Wei Siew Ho | Licensing Program Manager | Named in report as Licensing Program Manager |
| Selene Rangel | Director of Health Services | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 87
Deficiencies: 0
Jun 20, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff do not keep the facility clean and sanitary, and that staff do not ensure that pets in the facility are managed and receive appropriate care.
Findings
The investigation found no preponderance of evidence to substantiate the allegations. Interviews with staff, residents, and administrators, as well as facility inspection, indicated the facility was clean, pets were managed according to policy, and no complaints or concerns were reported regarding cleanliness or pet management.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included uncleanliness due to pets defecating and urinating inside the facility and improper pet management. Interviews and observations did not support these claims.
Report Facts
Number of residents interviewed: 7
Number of dogs on premises: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nune Margaryan | Licensing Program Analyst | Conducted the complaint investigation visit |
| Vida Gwinn | Administrator | Facility administrator interviewed during investigation |
| Selene Rangel-Gutierrez | Director of Health Care Services | Assisted with the investigation and interviewed |
Inspection Report
Annual Inspection
Census: 66
Capacity: 87
Deficiencies: 2
Feb 24, 2025
Visit Reason
An unannounced annual inspection was conducted to evaluate compliance with licensing requirements for Silverado Senior Living-Sierra Vista facility.
Findings
The facility was generally compliant with regulations, including safety features and medication management. However, two deficiencies were noted: unsecured cleaning supplies and personal items in a dining room cabinet, and insufficient non-perishable food supplies for seven days.
Deficiencies (2)
| Description |
|---|
| Cleaning solution, nail polish jar, nail clipper and duracell batteries were found unsecured in a dining room cabinet, posing an immediate health and safety risk. |
| Insufficient non-perishable food supplies for seven days were observed, posing a potential health and safety risk. |
Report Facts
Capacity: 87
Census: 66
Hospice residents: 6
Hospice waiver approval: 25
Fire drill date: Feb 4, 2025
Resident records reviewed: 6
Staff records reviewed: 4
Water temperature range: 110.2-116.2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nune Margaryan | Licensing Program Analyst | Conducted the inspection and authored the report |
| Selene Rangel-Gutierrez | Director of Health Care Services | Assisted with the inspection and received the report |
| Wei Siew Ho | Supervisor | Supervised the inspection process |
Inspection Report
Annual Inspection
Census: 64
Capacity: 87
Deficiencies: 3
Mar 12, 2024
Visit Reason
An unannounced annual visit was conducted to evaluate compliance with licensing requirements for Silverado Senior Living-Sierra Vista, a facility licensed for 87 non-ambulatory residents aged 60 and older.
Findings
The inspection found several deficiencies including water temperature exceeding regulatory limits in some resident bathrooms, unlocked cleaning supplies posing safety risks, and obstructions in outdoor and indoor passageways. The facility had multiple maintenance issues such as broken furniture and equipment stored improperly. Medications and kitchen areas were found to be properly managed.
Severity Breakdown
Type A: 2
Type B: 1
Deficiencies (3)
| Description | Severity |
|---|---|
| Water temperature in resident bathrooms exceeded the maximum allowed temperature, with readings of 120.3°F, 122.5°F, and 66.7°F. | Type A |
| Cleaning supplies and toxins were observed unlocked and accessible to residents in the laundry room. | Type A |
| Outdoor and indoor passageways and stairways were obstructed by wood pallets, broken commodes, broken commercial sink, broken grill, and old furniture. | Type B |
Report Facts
Residents on hospice: 6
Plan of Correction Due Date: Mar 12, 2024
Plan of Correction Due Date: Mar 25, 2024
Number of resident medications reviewed: 6
Number of resident records reviewed: 3
Number of staff records reviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nune Margaryan | Licensing Program Analyst | Conducted the inspection and authored the report |
| Selene Rangel-Gutierrez | Director of Health Care Services | Assisted with the inspection visit and received the report |
| Wei Siew Ho | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 87
Deficiencies: 0
Feb 1, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations that facility staff did not report changes in a resident's medical condition to their physician, resulting in hospitalization, and that the facility did not follow correct reporting requirements.
Findings
The investigation found that staff did report changes in the resident's medical condition to the physician and followed reporting requirements, including notifying the resident's responsible party and submitting a special incident report. However, there was insufficient evidence to substantiate the allegations, and the complaint was determined to be unsubstantiated.
Complaint Details
The complaint was unsubstantiated. Allegations included failure to report changes in a resident's medical condition to their physician resulting in hospitalization, and failure to follow correct reporting requirements. The investigation included file reviews and staff interviews, and found that reporting and notifications were appropriately conducted.
Report Facts
Facility Capacity: 87
Census: 58
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angelica Rea | Licensing Program Analyst | Conducted the complaint investigation visit |
| Selene Rangel | RN/Director of Health Services | Assisted with the complaint investigation visit |
| Lisa Hicks | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 59
Capacity: 87
Deficiencies: 0
Oct 24, 2023
Visit Reason
An unannounced 10-day complaint investigation visit was conducted to investigate allegations that staff were not ensuring residents were receiving their phone calls and that the facility was not ensuring adequate staffing.
Findings
The investigation found that staff were ensuring residents received phone calls, with multiple phones available and staff assisting residents. Staffing was deemed adequate with a paging system in place. There was insufficient evidence to substantiate the allegations, and the complaint was unsubstantiated.
Complaint Details
The complaint involved allegations that staff were not ensuring residents received phone calls and that the facility was not ensuring adequate staffing. Interviews with staff and residents, document reviews, and observations did not corroborate the allegations. The complaint was determined to be unsubstantiated.
Report Facts
Facility capacity: 87
Census: 59
Number of phones: 13
Dates of call notes reviewed: 10/19/23, 10/22/23, 10/23/23
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nune Margaryan | Licensing Program Analyst | Conducted the complaint investigation visit |
| Wei Siew Ho | Licensing Program Manager | Oversaw the complaint investigation |
| Selene Rangel-Gutierrez | Director of Health Care Services | Facility representative met during the investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 87
Deficiencies: 0
Oct 19, 2023
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff did not adequately supervise a resident resulting in a fall, and that a resident was dehydrated.
Findings
The investigation found insufficient evidence to substantiate the allegations. Staff and residents denied the claims, and observations confirmed adequate supervision and hydration practices at the facility. The resident who fell sustained minor injury and was monitored without further issues.
Complaint Details
The complaint investigation was unannounced and conducted by Licensing Program Analyst Nune Margaryan. Allegations included inadequate supervision leading to a resident fall and resident dehydration. Interviews with staff, residents, and family, as well as document reviews, did not corroborate the allegations. The findings were unsubstantiated.
Report Facts
Facility capacity: 87
Resident census: 57
Date of resident fall: Oct 5, 2023
Number of staff interviewed: 5
Number of residents interviewed: 6
Number of family members interviewed: 1
Number of water stations: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nune Margaryan | Licensing Program Analyst | Conducted the complaint investigation |
| Vida Gwinn | Administrator | Facility administrator present during investigation |
| Selene Rangel-Gutierrez | Director of Health Care Services | Met with Licensing Program Analyst and received report copy |
Inspection Report
Annual Inspection
Census: 53
Capacity: 87
Deficiencies: 0
May 22, 2023
Visit Reason
An unannounced Annual Inspection visit was conducted to evaluate compliance with Title 22 regulations and regulatory enforcement requirements.
Findings
The inspection found the facility compliant with all applicable regulations, including physical plant safety, medication storage, record reviews, activities, and postings. No deficiencies were documented.
Report Facts
Staff files reviewed: 8
Resident files reviewed: 8
Hospice Waiver approved residents: 12
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Selene Rangel | Director Of Health Care Services | Met with Licensing Program Analyst during inspection |
| Jose Villalobos | Licensing Program Analyst | Conducted the unannounced Annual Inspection visit |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 87
Deficiencies: 2
Nov 10, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 06/24/2021 regarding resident rights and facility practices at Silverado Senior Living-Sierra Vista.
Findings
The investigation found some allegations unsubstantiated, including reasonable access to telephones, dignity in staff relationships, and locking residents on premises. However, two allegations were substantiated: staff not allowing a resident to leave the facility at any time and staff not allowing visitors during reasonable hours without prior notice.
Complaint Details
The complaint investigation was triggered by allegations received on 06/24/2021 concerning resident access to telephones, dignity in staff relationships, locking residents on premises, preventing residents from leaving the facility, and restricting visitors. The investigation concluded some allegations were unsubstantiated, while others were substantiated based on interviews, document reviews, and observations.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Residents were not allowed to leave or depart the facility at any time, violating personal rights. | Type B |
| Residents were not allowed to have visitors during reasonable hours and without prior notice, violating personal rights. | Type B |
Report Facts
Capacity: 87
Census: 51
Deficiency count: 2
Plan of Correction Due Date: Nov 24, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christine Wong | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Christine Yee | Licensing Program Manager | Oversaw the complaint investigation |
| Maria Torres | Administrative Assistant | Met with Licensing Program Analyst during the investigation and exit interview |
| Vida Gwinn | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 87
Deficiencies: 0
Oct 27, 2022
Visit Reason
An unannounced complaint investigation visit was conducted to determine the validity of allegations received on 10/19/2022 regarding odor issues, unmet resident hygiene needs, and residents wearing ripped clothing.
Findings
The investigation found no evidence to substantiate the allegations. The facility was not odoriferous during the visit, staff denied the hygiene and clothing allegations, and residents interviewed could not corroborate the complaints. The allegations were deemed unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included facility odor, unmet hygiene needs, and residents wearing ripped clothing. The administrator and staff denied all allegations, residents interviewed did not corroborate them, and no violations were observed during the facility tour.
Report Facts
Capacity: 87
Census: 55
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Luis Mora | Licensing Program Analyst | Conducted the complaint investigation visit |
| Vida Gwinn | Administrator | Facility administrator interviewed during the investigation |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 87
Deficiencies: 0
Oct 27, 2022
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 02/01/2022 regarding staff misconduct including theft and abuse of a resident.
Findings
The investigation included interviews with residents, staff, and review of records. All allegations including theft of personal belongings and a dog, disrespect, and physical abuse were denied by residents and staff. There was insufficient evidence to substantiate the allegations, resulting in an unsubstantiated finding.
Complaint Details
The complaint involved multiple allegations: staff stealing resident's personal belongings, stealing the resident's dog, not treating the resident with dignity, and hitting the resident. The investigation found no supporting evidence and the allegations were unsubstantiated.
Report Facts
Capacity: 87
Census: 53
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Christine Wong | Licensing Program Analyst | Conducted the complaint investigation |
| Christine Yee | Licensing Program Manager | Named in report as Licensing Program Manager |
| Selene Rangel | Registered Nurse | Met with Licensing Program Analyst during investigation and assisted with the visit |
| Vida Gwinn | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 87
Deficiencies: 0
Aug 26, 2022
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations including a resident sustaining an unexplained fracture, staff not seeking medical attention for the resident, and inappropriate touching between residents.
Findings
The investigation found insufficient evidence to substantiate the allegations. The resident had a pre-existing wrist fracture observed upon admission, staff monitored the condition and sought appropriate medical care, and allegations of inappropriate touching were not corroborated by staff, police, or the resident.
Complaint Details
The complaint investigation was unsubstantiated based on interviews with staff, residents, family members, review of medical and facility records, and police involvement. There was no preponderance of evidence to prove the alleged violations occurred.
Report Facts
Facility capacity: 87
Census: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Sicairos | Licensing Program Analyst | Conducted the complaint investigation visit |
| Selene Gutierrez | Director of Health Care Services | Met with Licensing Program Analyst during investigation |
| Stefanie Coronel | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 60
Capacity: 87
Deficiencies: 0
Aug 26, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to an allegation that a resident sustained unexplained bruising while in care.
Findings
The investigation found insufficient evidence to substantiate the allegation. The resident was admitted to the emergency room for possible clavicle fracture but no fracture was found. Staff and resident interviews denied the allegation, and the resident could not recall how the bruising occurred. Therefore, the allegation was unsubstantiated.
Complaint Details
The complaint alleged that a resident sustained unexplained bruising while in care. The investigation was unannounced and included interviews with staff and the resident, review of medical records, and facility documentation. The allegation was determined to be unsubstantiated due to insufficient evidence.
Report Facts
Facility capacity: 87
Census: 60
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Sicairos | Licensing Program Analyst | Conducted the complaint investigation visit |
| Stefanie Coronel | Licensing Program Manager | Named in report as Licensing Program Manager |
| Selene Gutierrez | Director of Health Care Services | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 87
Deficiencies: 0
Jun 3, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations received on 2022-04-12 concerning resident injury, staffing insufficiency, supervision, overcharging, environment comfort, assistance timeliness, and visitation restrictions.
Findings
The investigation found no substantiated evidence to support the allegations. Staff and administration denied the claims, and observations and interviews corroborated sufficient staffing, timely assistance, proper documentation of injuries, appropriate handling of overcharges, controlled pet presence, and flexible visitation policies.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included unexplained resident injury, insufficient staffing, falls due to lack of supervision, overcharging, failure to provide a comfortable environment, delayed assistance, and restricted visitation. The investigation included interviews with staff, residents, and administrator, review of documents, and observations. No violations were substantiated.
Report Facts
Facility capacity: 87
Resident census: 56
Overcharge amount: 565
Staff response time: 3
Staff response time: 5
Visitation hours: 9
Visitation hours: 17
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nune Margaryan | Licensing Program Analyst | Conducted the complaint investigation |
| Wei Siew Ho | Licensing Program Manager | Oversaw the complaint investigation |
| Selene Rangel-Gutierrez | Director of Health Care Services | Facility representative met during inspection and named in findings |
| Vida Gwinn | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 87
Deficiencies: 0
May 11, 2022
Visit Reason
The inspection visit was an unannounced complaint investigation conducted in response to allegations received on 12/27/2021 regarding visitation denial and restriction of confidential calls at the facility.
Findings
The investigation found insufficient evidence to substantiate the allegations that a resident was denied visitation or was not allowed to receive confidential calls. Interviews with staff and residents, as well as review of records, indicated residents' rights to visitation and confidential calls were respected.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included denial of visitation and restriction of confidential calls for Resident #1. Staff and resident interviews, file reviews, and facility observations did not corroborate these claims.
Report Facts
Facility capacity: 87
Resident census: 54
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Sicairos | Licensing Program Analyst | Conducted the complaint investigation |
| Stefanie Coronel | Licensing Program Manager | Oversaw the complaint investigation |
| Selene Rangel | Director of Health Care Services | Met with Licensing Program Analyst during the investigation |
Inspection Report
Complaint Investigation
Census: 53
Capacity: 87
Deficiencies: 0
Apr 22, 2022
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that the facility was unkempt, malodorous, had an infestation of bugs, and failed to provide residents with clean linens.
Findings
The investigation found no sufficient evidence to substantiate the allegations. The facility was observed to be well maintained and clean, with no odor or bug infestation. Staff and residents denied the allegations, and pest control records did not indicate infestation. Residents were provided with clean linens frequently, and linen storage was sufficient.
Complaint Details
The complaint investigation was unsubstantiated based on observations, interviews with staff and residents, and review of pest control records. Allegations included facility cleanliness, odor, bug infestation, and linen provision, all of which were denied or not corroborated.
Report Facts
Facility capacity: 87
Census: 53
Frequency of linen provision: 3
Linen change response time: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nune Margaryan | Licensing Program Analyst | Conducted the complaint investigation visit |
| Vida Gwinn | Administrator | Facility administrator interviewed during investigation |
Inspection Report
Annual Inspection
Census: 54
Capacity: 87
Deficiencies: 0
Mar 15, 2022
Visit Reason
An unannounced annual visit was conducted using the Infection Control Evaluation Tool to evaluate compliance with regulations and infection control standards.
Findings
The facility was toured including common areas and resident rooms. Observations included proper functioning emergency call buttons, operable smoke and carbon monoxide detectors, clean kitchen appliances, locked sharps and cleaning supplies, and adequate food supply. No deficiencies were observed during the visit.
Report Facts
Resident medications reviewed: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| David Sicairos | Licensing Program Analyst | Conducted the unannounced annual visit |
| Selene Rangel-Gutierrez | Director of Health Care Services | Met with Licensing Program Analyst during the visit |
Inspection Report
Complaint Investigation
Census: 61
Capacity: 87
Deficiencies: 0
Feb 2, 2022
Visit Reason
An unannounced complaint investigation visit was conducted to investigate the allegation that a resident was illegally evicted from the facility.
Findings
The investigation found that the resident was hospitalized and did not return to the facility due to behavioral concerns and the need for one-to-one support. The resident's conservator confirmed the move was voluntary due to costs, and the 30-day move-out notice was waived. The allegation was unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint alleged that a resident was illegally evicted. The investigation included interviews with staff and the resident's conservator, review of documentation, and found no evidence to substantiate the allegation.
Report Facts
Capacity: 87
Census: 61
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Elizabeth Irra | Licensing Program Analyst | Conducted the complaint investigation |
| Vida Gwinn | Administrator | Facility administrator mentioned in the report |
| Christine Yee | Licensing Program Manager | Named in report signature and management |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 87
Deficiencies: 0
Jul 8, 2021
Visit Reason
An unannounced case management visit was conducted in response to a Special Incident Report submitted regarding medication tampering at the facility.
Findings
The investigation found that medication cards had been tampered with, leading to a police investigation and suspension of two staff members. No deficiencies were cited during the visit.
Complaint Details
The complaint involved medication cards that did not match the medication labels and appeared to have been cut and taped. The Azusa Police Department was called, and two staff members were identified as persons of interest and suspended pending investigation.
Report Facts
Facility capacity: 87
Census: 54
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vida Gwinn | Administrator | Named as facility administrator during the investigation |
Inspection Report
Original Licensing
Census: 50
Capacity: 87
Deficiencies: 0
Mar 4, 2021
Visit Reason
The visit was an announced pre-licensing inspection conducted via Microsoft Teams due to COVID-19 mitigation measures, to evaluate the facility for licensing approval.
Findings
The facility was found to be in compliance with physical plant requirements including fire clearance, safety features, cleanliness, and proper operation of equipment. No outstanding or pending items were observed requiring additional visits.
Report Facts
Hospice Waiver approved capacity: 12
Water temperature range: 105.2
Water temperature range: 118.5
Refrigerator temperature: 45
Freezer temperature: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Vida Gwinn | Administrator | Met with during pre-licensing visit |
| Selene Rangel | Director of Health Care Services | Met with during pre-licensing visit |
| David Sicairos | Licensing Program Analyst | Conducted the pre-licensing visit |
| Rebecca Orendain | Supervisor | Supervisor overseeing the licensing evaluation |
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