Inspection Reports for Silverado Tustin Hacienda Memory Care Community

An unannounced annual inspection was conducted by Licensing Program Analyst Andrea Mendivil to evaluate the facility's compliance with regulatory requirements.

The inspection included a tour of the facility, review of physical plant conditions, medication administration records, resident and staff files, and emergency preparedness. No deficiencies were cited during this visit.

Licensing Program Analyst Rose Ruppert conducted an unannounced annual required evaluation visit to the facility on 08/23/2024.

The facility was found to be in compliance with Title 22 Division 6 of the California Code of Regulations with no deficiencies cited. All safety equipment and procedures were inspected and found operational, and medication administration was reviewed and compliant.

An unannounced collateral visit was conducted by Licensing Program Analyst Andrea Mendivil to the Silverado Senior Living-Tustin Hacienda facility to perform case management and interview a resident.

No deficiencies were noted during the visit. An exit interview was conducted and a copy of the report was provided to the facility representative.

The visit was an unannounced case management follow-up on an incident report dated 09/20/2022 involving an altercation between two residents.

The investigation found that two residents with dementia had an altercation resulting in no injuries. Both residents were assessed and transferred to hospitals for further care. No deficiencies were noted during the visit.

The visit was triggered by a complaint incident report involving Resident 1 and Resident 2. The incident was investigated and found substantiated with no injuries. Both residents were diagnosed with dementia and appropriate actions were taken.

Licensing Program Analyst Albert Marin made an unannounced visit to conduct a case management evaluation of the facility.

No deficiencies were noted during the visit and no citations were issued. The analyst toured the facility, observed residents engaged in activities, conducted interviews and file reviews, and completed an exit interview with the administrator.

An unannounced case management visit was conducted to review facility compliance and staff certifications.

During the visit, it was observed that one staff member had an expired Basic Life Support (BLS) certification and lacked First-Aid certification documentation. No citation was issued.

An unannounced complaint investigation visit was conducted following complaints alleging that a resident sustained multiple falls while in care and that staff did not respond timely to a resident's alerts.

The investigation found that although the allegations may have happened or are valid, there was not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, both allegations were deemed unsubstantiated.

The complaint involved two allegations: 1) Resident sustained multiple falls while in care, and 2) Staff did not respond timely to a resident's alerts. Both allegations were investigated and found unsubstantiated due to insufficient evidence.

The visit was an unannounced complaint investigation triggered by a complaint received on 2021-07-13 regarding staff speaking to a resident in an inappropriate tone.

The investigation found that Staff 1 did not use any foul or demeaning comments towards the resident. The allegation could not be substantiated due to lack of preponderance of evidence.

The complaint alleged that staff spoke to a resident in an inappropriate tone. The allegation was deemed unsubstantiated as the evidence did not prove or refute the claim.

The inspection was an unannounced complaint investigation visit conducted in response to a complaint received on January 5, 2022, regarding allegations that facility staff failed to provide requested resident information in a timely manner and mismanaged a resident's medication.

The investigation found insufficient evidence to substantiate the allegations. Both allegations—failure to provide requested resident information timely and mismanagement of resident's medication—were deemed unsubstantiated due to lack of preponderance of evidence.

The complaint involved two allegations: 1) Facility staff failed to provide requested resident information in a timely manner; 2) Facility staff mismanaged a resident's medication. Both allegations were investigated and found unsubstantiated.

An unannounced case management visit was conducted to follow up on an incident report dated 04/19/2022 regarding an un-witnessed fall of a resident on 04/15/2022.

No deficiencies were noted during the visit. The incident involved a resident who had a fall and was subsequently placed on hospice care with visits twice a week and as needed.

The visit was triggered by a complaint related to an incident report of a resident's un-witnessed fall on 04/15/2022. The resident was assessed, had an x-ray, and was placed on hospice care. No deficiencies were found during the investigation.

Licensing Program Analyst Albert Marin conducted an unannounced required annual inspection of the facility to assess compliance with regulations.

The facility was observed to be in substantial compliance with Title 22 Division 6 of the California Code of Regulations. The inspection included review of the physical environment, safety systems, food stock, medication storage, and COVID-19 mitigation plan.

An announced Pre-Licensing visit was conducted via phone FaceTime virtual technology due to the Coronavirus Pandemic and precautionary measures for an initial application to operate a Residential Care Facility for the Elderly (RCFE).

The facility was toured and inspected including physical plant, food service, resident rooms, bathrooms, and safety features. All areas were found to be in good condition with no hazards, adequate supplies, and operational safety equipment. The facility is ready to be licensed.