Inspection Reports for Silverado The Huntington Memory Care Community
CA, 91801
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, and several complaint investigations were unsubstantiated, indicating that many concerns raised were not supported by evidence. However, some reports did identify isolated issues, primarily related to resident rights and environment/safety, including unsecured sharp objects accessible to residents in the dementia care unit and staff opening residents’ mail without permission. The most serious events included a $500 civil penalty issued in February 2023 for failure to ensure a resident wore a hip protector, resulting in a fracture, and enforcement actions related to repeated hot water temperature violations in 2024. The facility showed some improvement over time, with the most recent inspection on September 13, 2025, finding no deficiencies and all allegations in that complaint investigation unsubstantiated. Overall, while there have been occasional concerns, recent reports suggest the facility is maintaining compliance with regulatory standards.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 57
Capacity: 62
Deficiencies: 0
Sep 13, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-05-15 concerning resident care and staff conduct at Silverado Senior Living - The Huntington.
Findings
The investigation found insufficient evidence to substantiate any of the allegations, including failure to provide a walking device, unauthorized medical changes, lack of intervention in resident altercations, leaving a resident unattended, failure to report incidents properly, and failure to safeguard resident belongings. All allegations were deemed unsubstantiated.
Complaint Details
The complaint investigation involved nine allegations related to resident care and staff actions. Interviews with staff and residents, review of records, and observations were conducted. The allegations were unsubstantiated due to lack of sufficient evidence.
Report Facts
Facility capacity: 62
Census: 57
Number of staff interviewed: 6
Number of residents interviewed: 5
Number of allegations: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Elizabeth Cruces | Business Manager | Met with Licensing Program Analyst during investigation and exit interview |
| Vanessa Rodriguez | Clinical Staff Manager | Met with Licensing Program Analyst during investigation and exit interview |
| Lisa Hicks | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 62
Deficiencies: 2
Aug 23, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2025-02-19 regarding staff not preventing a resident from inappropriately touching himself in front of other residents.
Findings
The investigation substantiated the allegation that staff did not prevent Resident #1 from inappropriate sexual behavior, including masturbating in front of other residents. The facility was aware of the behavior for several months but delayed seeking medical intervention until 2025-09-24, failing to protect residents' personal rights and privacy.
Complaint Details
The complaint alleged staff failed to prevent a resident from inappropriate sexual behavior in front of other residents. The allegation was substantiated based on staff interviews, document review, and observation records. The facility delayed medical intervention and did not provide adequate privacy or protection for residents.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Licensee did not ensure Resident #1’s inappropriate sexual behavior disturbed other residents in care, posing an immediate risk to personal rights, health, or safety. | Type A |
| Licensee did not ensure the administrator sought appropriate intervention for Resident #1 in a timely manner over eight months, posing an immediate risk to personal rights, safety, and health. | Type A |
Report Facts
Facility capacity: 62
Census: 57
Plan of Correction due date: Aug 24, 2025
Duration of delayed intervention: 8
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Program Analyst | Conducted the complaint investigation and subsequent visit |
| Lisa Hicks | Licensing Program Manager | Named as Licensing Program Manager overseeing the investigation |
| Rochelle Carpio | Administrator | Facility administrator aware of resident behavior and involved in investigation |
| Ruth Thuku | Charge Nurse | Met with Licensing Program Analyst during investigation and assisted with visit |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 62
Deficiencies: 0
Apr 15, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-02-11 regarding resident rights and medication administration at Silverado Senior Living - The Huntington.
Findings
The investigation found insufficient evidence to substantiate the allegations that a resident was denied the right to visit the facility prior to residence and that medication was not given as prescribed. Interviews with staff, residents, and review of records did not support the complaints, resulting in an unsubstantiated determination.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included denial of resident's right to visit the facility prior to residence and medication not given as prescribed. Interviews with the wellness director, administrator, LVN, resident, and POA, as well as medication room review, found no evidence to support the allegations.
Report Facts
Facility capacity: 62
Census: 57
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Nicol Wesley | Licensing Program Analyst | Conducted the complaint investigation visit and interviews |
| Rochelle Carpio | Administrator | Facility administrator interviewed during investigation |
| Arienne Ghammangne | Wellness Director | Interviewed regarding resident visitation allegation |
| Lisa Hicks | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 62
Deficiencies: 1
Apr 11, 2025
Visit Reason
The visit was conducted as a case management inspection to investigate two complaints regarding unsecured sharp objects in the facility.
Findings
The inspection found that three pairs of scissors were left unattended in an unlocked wellness room accessible to residents in the dementia care facility, posing an immediate risk to their health and safety. The deficiency was cited as a Type B violation.
Complaint Details
The visit was triggered by two complaints. The citation was changed from Type A to Type B after review, indicating a potential risk rather than an immediate risk based on evidence. The scissors were accessible to 32 residents in the dementia care unit.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Staff did not ensure that three pairs of scissors were locked up and left unattended in the unlocked wellness room at 9:50 AM on the second floor of the dementia care facility. | Type B |
Report Facts
Residents in dementia care unit: 32
Deficiency count: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Arienne Ghammangne | Director of Health Services | Met during inspection and involved in discussion of findings |
| Rochelle Carpio | Administrator | Assisted with the visit and mentioned in the report |
| Alberto Lopez | Licensing Program Analyst | Conducted the inspection and signed the report |
| Lisa Hicks | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 62
Deficiencies: 0
Mar 25, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2025-03-17 regarding staff harassing residents to ingest prescribed medications, failure to update medication records, and withholding residents' mail.
Findings
The investigation found insufficient evidence to substantiate any of the allegations. Staff and residents denied the claims, observations during the visit showed no withholding of food or mail, and medication records were found to be updated appropriately.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included staff harassing residents to take medications by withholding food, failure to update medication records, and withholding resident mail. Interviews with staff and residents, record reviews, and observations did not corroborate these allegations.
Report Facts
Staff interviewed: 5
Residents interviewed: 6
Facility capacity: 62
Facility census: 56
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Hicks | Licensing Program Manager | Oversaw the complaint investigation |
| Arienne Ghammange | Director of Health Services | Facility staff met during investigation |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 62
Deficiencies: 0
Mar 25, 2025
Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations received on 2025-03-17 regarding staff retaining a resident against their will and failure to provide daily activities for residents.
Findings
The investigation included interviews with staff, residents, and a family member with POA authority, as well as review of facility documents and observations. Both allegations were found to be unsubstantiated due to insufficient evidence, with residents and staff denying the claims and observations confirming resident activities.
Complaint Details
The complaint involved allegations that staff retained a resident against their will and did not provide daily activities. Interviews with five staff and six residents, as well as a family member with POA, did not corroborate the allegations. The family member confirmed agreement with the facility's care. Police had investigated but no evidence substantiated the claims. The allegations were determined to be unsubstantiated.
Report Facts
Staff interviewed: 5
Residents interviewed: 6
Facility capacity: 62
Facility census: 56
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Hicks | Licensing Program Manager | Named in report as Licensing Program Manager |
| Arienne Ghammange | Director of Health Services | Met with investigators during the visit |
| Rochelle Carpio | Administrator | Facility administrator named in report |
Inspection Report
Complaint Investigation
Census: 56
Capacity: 62
Deficiencies: 0
Mar 20, 2025
Visit Reason
An unannounced complaint investigation visit was conducted regarding allegations that staff confiscated a resident's personal items, specifically reading glasses, restricting access and infringing on personal rights.
Findings
The investigation found that staff do take some residents' personal items such as reading glasses to the nursing office at night as a safety precaution for less independent, cognitively impaired residents, but return them each morning. Interviews and observations did not corroborate the allegation that staff confiscate residents' glasses improperly. The allegation was determined to be unsubstantiated due to insufficient evidence.
Complaint Details
The complaint alleged that staff confiscated a resident's reading glasses and kept them locked in the nursing office, limiting access and infringing on personal rights. Interviews with 10 residents and 5 staff, as well as record and room inspections, found no evidence to support the allegation. Staff explained the procedure is a safety measure for cognitively impaired residents and glasses are returned daily. The allegation was unsubstantiated.
Report Facts
Residents interviewed: 10
Staff interviewed: 5
Residents using reading glasses: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Noemi Galarza | Licensing Program Analyst | Conducted the complaint investigation visit. |
| Rochelle Carpio | Administrator | Facility administrator met with during the investigation and named in the report. |
| Elizabeth Cruces | Business Office Manager | Discussed the purpose of the visit with the Licensing Program Analyst. |
| Lisa Hicks | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Complaint Investigation
Census: 58
Capacity: 62
Deficiencies: 0
Feb 25, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff were retaliating against residents for filing complaints and that staff were not allowing residents to have packages delivered.
Findings
The investigation included interviews with staff and residents, review of facility records, and observation of staff-resident interactions. Both allegations were found to be unsubstantiated due to lack of corroborating evidence and observations of appropriate staff behavior.
Complaint Details
The complaint alleged staff retaliation against residents for filing complaints and withholding residents' mail and packages. Interviews with five staff and six residents did not corroborate the allegations. The facility maintains a mail tracking log and residents reported receiving their mail and packages. The allegations were determined to be unsubstantiated.
Report Facts
Staff interviewed: 5
Residents interviewed: 6
Facility capacity: 62
Census: 58
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Hicks | Licensing Program Manager | Named in report as Licensing Program Manager |
| Rochelle Carpio | Administrator | Facility Administrator present during investigation |
| Arienne Ghammangne | Director of Health Services | Facility Director of Health Services present during investigation |
Inspection Report
Complaint Investigation
Census: 62
Capacity: 62
Deficiencies: 1
Feb 25, 2025
Visit Reason
The visit was conducted as a subsequent investigation of two complaints regarding the facility.
Findings
During the tour, inspectors observed three pairs of sharp scissors left unattended in an unlocked wellness room accessible to 32 residents in the dementia care unit, posing an immediate risk to their health and safety. A deficiency was cited for failure to secure dangerous items.
Complaint Details
The visit was triggered by two complaints. The deficiency cited poses an immediate risk to the health, safety, or personal rights of the persons in care.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure that sharp objects (3 pairs of scissors) were locked up and not accessible to residents in the dementia care facility. | Type A |
Report Facts
Residents in dementia care accessible to scissors: 32
Deficiencies cited: 1
Capacity: 62
Census: 62
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rochelle Carpio | Administrator | Met with inspectors during visit and participated in exit interview |
| Arienne Ghammangne | Director of Health Services | Accompanied inspectors during facility tour and observed deficiency |
| Alberto Lopez | Licensing Evaluator | Conducted inspection and signed report |
| Lisa Hicks | Supervisor | Supervisor overseeing the inspection |
Inspection Report
Complaint Investigation
Census: 55
Capacity: 62
Deficiencies: 0
Feb 4, 2025
Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations including staff retaliation against a resident, failure to deliver mail/packages, failure to safeguard residents' personal belongings, and lack of supervision resulting in a resident fall and injury.
Findings
After interviews with residents, staff, and the administrator, and a tour of the facility, no preponderance of evidence was found to substantiate any of the allegations. Residents reported receiving their mail and packages, belongings were observed to be safe, and staff responded appropriately to a resident injury. All allegations were determined to be unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated for all allegations including staff retaliation, withholding mail/packages, failure to safeguard belongings, and lack of supervision leading to injury.
Report Facts
Facility capacity: 62
Census: 55
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Glenn Trueman | Licensing Program Analyst | Conducted the complaint investigation visit |
| Rochelle Carpio | Administrator | Facility administrator met during investigation and exit interview |
Inspection Report
Complaint Investigation
Census: 54
Capacity: 62
Deficiencies: 1
Jan 28, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that facility staff were interfering with residents' mail and packages and chemically restraining a resident.
Findings
The investigation substantiated that facility staff were opening residents' mail and packages, violating residents' personal rights. However, the allegation that staff were chemically restraining a resident was unsubstantiated due to insufficient evidence.
Complaint Details
The complaint investigation was substantiated for the allegation that facility staff interfered with residents' mail by opening it, violating residents' rights. The allegation that staff chemically restrained a resident was unsubstantiated due to lack of evidence.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility staff opened and screened residents' correspondence before giving it to residents, posing an immediate risk to health, safety, or personal rights. | Type B |
Report Facts
Capacity: 62
Census: 54
Deficiencies cited: 1
Plan of Correction Due Date: Jan 31, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Rochelle Carpio | Administrator | Met with Licensing Program Analyst during investigation and involved in plan of correction |
| Arienne Ghammangne | Director of Health Services | Met with Licensing Program Analyst during investigation |
| Alberto Lopez | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Hicks | Licensing Program Manager | Oversaw the complaint investigation |
Inspection Report
Complaint Investigation
Census: 57
Capacity: 62
Deficiencies: 0
Nov 5, 2024
Visit Reason
An unannounced complaint investigation was conducted to investigate allegations that facility staff were not ensuring residents' medication was administered as prescribed, did not intervene in resident physical altercations, and failed to safeguard residents' personal items.
Findings
The investigation included interviews with staff and residents and review of records. All allegations were denied by staff and not corroborated by residents. Medication was administered as prescribed with no evidence of family pressure. No evidence was found of staff failing to intervene in altercations or safeguarding residents' personal items. The allegations were unsubstantiated due to lack of preponderance of evidence.
Complaint Details
The complaint investigation was unsubstantiated. Allegations included improper medication administration, failure to intervene in resident altercations, and failure to safeguard personal items. Interviews and record reviews did not support these allegations.
Report Facts
Capacity: 62
Census: 57
Number of staff interviewed: 4
Number of residents interviewed: 5
Resident R1 admission date: Admitted on 07/20/2024 and moved out on 08/18/2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Program Analyst | Conducted the complaint investigation |
| Arrienne Ghammange | Director of Health Services | Met with during investigation and exit interview |
| Lisa Hicks | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 55
Capacity: 62
Deficiencies: 4
Sep 16, 2024
Visit Reason
The inspection was an unannounced required 1-year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools to evaluate compliance with regulatory standards.
Findings
The inspection found deficiencies related to hot water temperature regulation, a non-operational fire door, a call cord needing repair, and a leak in the food storage room. Civil penalties were issued for repeat violations. Other areas such as infection control, staffing, personnel records, residents' rights, planned activities, food service, and disaster preparedness were found to be in compliance.
Severity Breakdown
Type A: 1
Type B: 3
Deficiencies (4)
| Description | Severity |
|---|---|
| Hot water temperature measured between 93.7 to 122.0 degrees F, which is outside the required range of 105-120 degrees F, posing an immediate health, safety, or personal rights risk. | Type A |
| Facility front side fire door is not operating as it should and will not open. | Type B |
| Call cord in room 157 needs repair. | Type B |
| Leak in the food storage room posing a potential health, safety, or personal rights risk. | Type B |
Report Facts
Plan of Correction Due Date: Sep 17, 2024
Plan of Correction Due Date: Sep 20, 2024
Capacity: 62
Census: 55
Hospice Waiver: 10
Administrator Certificate Expiration: Jan 21, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Program Analyst | Conducted the inspection and signed the report |
| Lisa Hicks | Supervisor | Supervisor overseeing the inspection |
| Rochelle Carpio | Administrator | Facility Administrator involved in inspection and corrective actions |
| Arienne Ghammangne | Director of Health Services | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 62
Deficiencies: 1
Jan 4, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint alleging lack of supervision resulting in an unsafe environment for residents and a resident being denied the right to visit the facility prior to residence.
Findings
The investigation found the allegation of lack of supervision resulting in an unsafe environment to be unsubstantiated, as no resident was harmed and the incident was promptly cleaned up. However, the allegation that a resident was denied the right to visit the facility prior to residence was substantiated, as the facility failed to ensure that the resident or authorized representative toured or visited the facility prior to admission.
Complaint Details
The complaint involved two main allegations: 1) Lack of supervision resulting in unsafe environment for residents, which was unsubstantiated. 2) Resident denied the right to visit the facility prior to residence, which was substantiated. The investigation included interviews with staff, residents, witnesses, and review of relevant documents.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility failed to insure that resident/family or authorized representative visit facility prior to admission. | Type B |
Report Facts
Capacity: 62
Census: 51
Plan of Correction Due Date: Jan 18, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Alberto Lopez | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Hicks | Licensing Program Manager | Named in report as Licensing Program Manager |
| Rochelle Carpio | Administrator | Facility Administrator mentioned in relation to findings |
Inspection Report
Complaint Investigation
Census: 51
Capacity: 62
Deficiencies: 1
Nov 7, 2023
Visit Reason
The inspection visit was conducted as a complaint investigation to evaluate deficiencies related to resident care documentation.
Findings
The investigation found that Resident #1 did not have an updated physician's report (LIC602) on file, with the last one dated 10/12/2022, posing a potential health and safety hazard to the resident.
Complaint Details
During the complaint investigation, it was substantiated that the facility failed to maintain an updated physician's report for Resident #1, posing a health and safety risk.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Resident #1 did not have a current physician report on file as required by LIC602. | Type B |
Report Facts
Census: 51
Total Capacity: 62
Deficiency Count: 1
Plan of Correction Due Date: Nov 14, 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cathy Huo | Director of Resident Engagement | Met during inspection and involved in exit interview |
| Lisa Hicks | Supervisor | Named in report as supervisor |
| Alberto Lopez | Licensing Evaluator | Conducted inspection and signed report |
Inspection Report
Annual Inspection
Census: 52
Capacity: 62
Deficiencies: 2
Nov 7, 2023
Visit Reason
The inspection visit was conducted as a subsequent visit to finish the annual inspection of Silverado Senior Living - The Huntington facility.
Findings
The inspection found that the facility has sufficient staffing and appropriate dementia care training, but deficiencies were noted including 3 out of 5 residents with dementia having outdated physician's reports and 2 out of 4 staff missing health screening forms.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| 3 out of 5 residents' physician's reports are past a year of their last exam, posing a potential health and safety risk. | Type B |
| 2 of the 4 staff did not have health screening forms filled out, posing a potential health and safety risk. | Type B |
Report Facts
Residents with outdated physician's reports: 3
Staff missing health screening forms: 2
Total staff files reviewed: 4
Resident files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia D Chan | Licensing Evaluator | Conducted the inspection and signed the report |
| Tony Vasallo | Supervisor | Supervisor overseeing the inspection |
| Cathy Huo | Director of Resident Engagement | Met with Licensing Program Analyst during inspection and exit interview |
Inspection Report
Annual Inspection
Census: 52
Capacity: 62
Deficiencies: 1
Oct 26, 2023
Visit Reason
The inspection was conducted as a required annual unannounced visit to evaluate compliance with licensing regulations for Silverado Senior Living - The Huntington facility.
Findings
The facility generally complied with infection control, operational requirements, and medication administration. However, a deficiency was found related to hot water temperatures in resident rooms exceeding the required range, posing a health and safety risk.
Deficiencies (1)
| Description |
|---|
| Four out of eight resident rooms had hot water temperatures between 136-137 degrees F, exceeding the required range of 105-120 degrees F. |
Report Facts
Rooms with hot water temperature over limit: 4
Residents reviewed for medication: 5
Licensed capacity: 62
Current census: 52
Hospice waiver approved residents: 10
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia D Chan | Licensing Program Analyst | Conducted the annual inspection and authored the report |
| Arienne Ghammangne | Director of Health Services | Met with Licensing Program Analyst during inspection |
| Rochelle Carpio | Administrator | Facility administrator named in relation to deficiency and exit interview |
| Tony Vasallo | Supervisor | Supervisor overseeing the licensing evaluation |
Inspection Report
Complaint Investigation
Census: 43
Capacity: 62
Deficiencies: 2
Feb 2, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations of neglect/lack of supervision resulting in a resident sustaining a fracture and staff not ensuring the resident was wearing a hip protector, as well as allegations related to pressure injuries and staff response to resident alarms.
Findings
The investigation substantiated the allegations that the facility failed to ensure a resident wore a hip protector, resulting in a hip fracture, and found negligence in supervision. Another set of allegations regarding pressure injuries and staff response to alarms was unsubstantiated due to insufficient evidence. The facility was cited for deficiencies related to personnel requirements and resident rights, and a civil penalty of $500 was issued.
Complaint Details
The complaint investigation was substantiated for allegations of neglect and failure to ensure a resident wore a hip protector, resulting in a fracture. The investigation included interviews with staff, residents, and administrators, and review of records. Another complaint regarding pressure injuries and staff response to alarms was unsubstantiated.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Facility failed to ensure that Resident #1 was wearing a hip protector garment, resulting in a hip fracture. | Type A |
| Facility failed to provide care, supervision, and services that meet individual resident needs as staff did not ensure Resident #1 was wearing a hip protector. | Type A |
Report Facts
Civil penalty amount: 500
Capacity: 62
Census: 43
Plan of Correction due date: 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia D Chan | Licensing Program Analyst | Conducted the complaint investigation and delivered findings. |
| Tony Vasallo | Licensing Program Manager | Oversaw the complaint investigation and signed the report. |
| Arienne Ghammangne | Wellness Director | Met with Licensing Program Analyst during investigation and exit interview. |
| Tiffany Brunelli | Investigation Bureau Investigator | Assisted with the allegation of neglect/lack of supervision resulting in resident fracture. |
| Safoora Ahmed | Administrator | Current Administrator interviewed regarding facility practices. |
| Carpio | Administrator | Provided information regarding hip protector policies. |
Inspection Report
Annual Inspection
Census: 39
Capacity: 62
Deficiencies: 0
Oct 11, 2022
Visit Reason
An unannounced annual inspection was conducted focusing on infection control at Silverado Senior Living - The Huntington Facility.
Findings
The inspection found no deficiencies. The facility demonstrated compliance with infection control measures including visitor screening, PPE availability, proper food handling, and medication storage.
Report Facts
Residents' files reviewed: 5
Staff files reviewed: 6
Residents' medications reviewed: 6
Hospice waiver capacity: 10
PPE supply duration: 30
Food supply duration - perishable: 2
Food supply duration - non-perishable: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Arienne Ghammangne | Director of Health Services | Met with Licensing Program Analyst during inspection |
| Cynthia Chan | Licensing Program Analyst | Conducted the annual inspection |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 62
Deficiencies: 1
Sep 13, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident sustained an injury while in care, specifically related to toileting needs and potential neglect.
Findings
The investigation found one allegation unsubstantiated regarding a resident sustaining a severe UTI due to being left in soiled diapers. However, a second allegation that staff were not meeting toileting needs of a resident was substantiated based on staff interviews and evidence. The facility was cited for failure to assist residents who can benefit from scheduled toileting.
Complaint Details
The complaint investigation was initiated due to an allegation that a resident sustained an injury while in care, specifically a severe UTI from being left in soiled diapers. The allegation was unsubstantiated. Another allegation that staff were not meeting toileting needs was substantiated after investigation and staff interviews.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure residents who can benefit from scheduled toileting are assisted rather than being diapered, as evidenced by a resident not being transferred to the toilet upon request. | Type B |
Report Facts
Capacity: 62
Census: 39
Deficiencies cited: 1
Plan of Correction Due Date: Sep 27, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Brian Slatic | Investigations Bureau Investigator | Conducted investigation on allegations |
| Cynthia D Chan | Licensing Program Analyst | Conducted complaint visit and delivered findings |
| Lisa Hicks | Licensing Program Manager | Oversaw complaint investigation |
| Safoora Ahmed | Administrator | Facility administrator involved in investigation and exit interviews |
| Rochelle Carpio | Administrator | Met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 62
Deficiencies: 0
Sep 13, 2022
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that facility staff inappropriately handled a resident resulting in injury.
Findings
The investigation found no immediate health or safety concerns and determined that there was insufficient evidence to substantiate the allegation that staff squeezed the resident's hand causing bruises. Interviews with staff and caregivers denied any inappropriate physical contact with the resident.
Complaint Details
The complaint alleged that a staff member squeezed the hand of Resident #1 resulting in bruises. The resident had attempted to leave the facility multiple times and was verbally redirected by staff. Staff denied any physical contact with the resident. The allegation was determined to be unsubstantiated due to lack of evidence.
Report Facts
Capacity: 62
Census: 39
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia D Chan | Licensing Program Analyst | Conducted the complaint investigation visit and delivered findings |
| Lisa Hicks | Licensing Program Manager | Named in the report as Licensing Program Manager |
| Rochelle Carpio | Administrator | Met with Licensing Program Analyst during the investigation and provided information |
| Tana McMillon | Administrator | Named as facility administrator |
Inspection Report
Complaint Investigation
Census: 39
Capacity: 62
Deficiencies: 1
Jul 7, 2022
Visit Reason
The inspection visit was an unannounced complaint investigation triggered by a complaint received on 2021-06-04 regarding a resident not being accorded dignity in relationships with staff.
Findings
The investigation substantiated the allegation that on 2021-06-04, a night shift staff member did not assist Resident #1 to go to the toilet despite multiple requests, which posed a potential personal rights risk. The staff member was terminated, and a plan of correction including staff training was implemented.
Complaint Details
The complaint was substantiated based on interviews with staff and residents, and evidence showed that staff member S-1 did not assist Resident #1 to the toilet during the night shift on 2021-06-04 despite multiple requests. The staff member was terminated.
Deficiencies (1)
| Description |
|---|
| Failure to accord dignity to residents in personal relationships with staff as evidenced by staff not assisting Resident #1 to use the toilet upon request. |
Report Facts
Capacity: 62
Census: 39
Plan of Correction Due Date: Jul 14, 2022
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia D Chan | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Lisa Hicks | Licensing Program Manager | Oversaw the complaint investigation |
| Safoora Ahmed | Administrator | Facility administrator involved in interviews and plan of correction |
| Rochelle Carpio | Administrator | Met with Licensing Program Analyst during the visit |
Inspection Report
Annual Inspection
Census: 30
Capacity: 62
Deficiencies: 0
Oct 26, 2021
Visit Reason
Licensing Program Analyst Cynthia Chan conducted an annual inspection with emphasis on infection control at Silverado Senior Living - The Huntington facility.
Findings
The inspection found no deficiencies. Observations included visitor screening, proper room furnishings, appropriate hot water temperatures, availability of soap and hand sanitizers, sufficient food supply, properly tested fire extinguishers, staff wearing face coverings, updated client and staff files, centrally stored medications, and adequate PPE supplies.
Report Facts
Rooms inspected: 6
Approved hospice waiver: 10
Fire extinguisher last tested: Mar 8, 2021
PPE supply duration: 30
Client files reviewed: 6
Staff files reviewed: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Safoora Ahmed | Administrator | Met with Licensing Program Analyst during inspection |
| Cynthia D Chan | Licensing Program Analyst | Conducted the annual inspection |
Inspection Report
Complaint Investigation
Census: 30
Capacity: 62
Deficiencies: 1
Aug 3, 2021
Visit Reason
The inspection was conducted as a complaint investigation regarding allegations that staff were not preventing the spread of an outbreak by failing to wear masks properly.
Findings
The investigation found that most staff wore masks properly and received COVID-19 training, but one staff member was counseled for not wearing a mask while assisting a resident, substantiating the complaint. The facility was cited for not ensuring staff wore masks, posing a potential health and safety risk.
Complaint Details
The complaint alleged that staff were not preventing the spread of an outbreak by not wearing masks. The allegation was substantiated based on interviews and observations. One staff member was counseled for mask non-compliance, and a resident's family member witnessed staff not wearing a mask.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| The licensee did not ensure that the staff member was wearing a mask while assisting resident which poses a potential health, safety, and personal rights risk to residents in care. | Type B |
Report Facts
Capacity: 62
Census: 30
Deficiency count: 1
Plan of Correction Due Date: Aug 10, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Safoora Ahmed | Administrator | Named in relation to mask wearing compliance and investigation |
| Cynthia D Chan | Licensing Program Analyst | Conducted the complaint investigation |
| Lisa Hicks | Licensing Program Manager | Oversaw the complaint investigation |
| Jean Bonnette | Director of Resident and Family Services | Met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 27
Capacity: 62
Deficiencies: 0
Apr 6, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that a resident was being denied services.
Findings
The investigation found that although the allegation may have happened or is valid, there was not a preponderance of evidence to prove the alleged violation did or did not occur, and therefore the allegation was unsubstantiated. The facility was taking steps to ensure regulations and guidelines were followed prior to granting private caregivers access during a COVID-19 outbreak.
Complaint Details
The complaint alleged that a resident was being denied services. The investigation included interviews and verification with public health officials. The allegation was found to be unsubstantiated due to insufficient evidence.
Report Facts
Facility capacity: 62
Census: 27
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Cynthia D Chan | Licensing Program Analyst | Conducted the complaint investigation and subsequent visit |
| Safoora Ahmed | Administrator | Facility Administrator involved in telephonic exit interview and investigation |
| Tana McMillon | Regional Vice President of Operations | Interviewed during investigation regarding the allegation |
| Jesica Posada | Director of Engagement | Interviewed during investigation |
| Lisa Hicks | Licensing Program Manager | Named in report as Licensing Program Manager |
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