Inspection Reports for Silvergate Rancho Bernardo

The inspection was conducted as an unannounced complaint investigation following a complaint received on 2021-02-16 alleging that the facility does not provide a safe environment for residents.

The investigation found that the facility's main front door is locked from the outside at night but not from the inside, allowing residents to exit. Residents have key fobs to re-enter, and two side exit doors remain unlocked. Security staff may occasionally be away from the front desk. Based on these findings, the allegation was deemed unsubstantiated.

The complaint alleged that the facility does not provide a safe environment because the main front door is locked at night and residents cannot exit, and security staff are not always available at the front desk. The allegation was found unsubstantiated.

An unannounced required annual inspection visit was conducted to evaluate the facility's compliance with licensing regulations.

The facility was found to be clean, well-maintained, and free from safety hazards. Staffing levels and training met requirements, resident care plans were comprehensive and up-to-date, medication administration followed policies, and health and safety protocols were in place. Overall, the facility complied with licensing regulations.

The visit was an unannounced case management follow-up on an incident involving the death of a resident after an unwitnessed fall at the facility.

The facility acted appropriately and in compliance with applicable regulations regarding the incident. No deficiencies were cited during this visit, and appropriate safety measures were observed.

The inspection was an unannounced required 1-year annual visit to evaluate the facility's compliance with licensing regulations.

The facility was found to be clean, well-maintained, and free from safety hazards. Staffing levels and training met regulatory requirements, resident care plans were comprehensive and up-to-date, medication administration was compliant, and health and safety protocols including infection control and emergency plans were properly followed. Overall, the facility complied with licensing regulations.

An unannounced complaint investigation visit was conducted in response to allegations that resident care needs were not being met and that a resident was not given privacy, including a claim that a resident's bathroom was locked and inaccessible.

The investigation included interviews and records review and found that the bathroom was locked due to infection control protocols during a COVID-19 outbreak. Staff assisted residents with bathroom use and sanitization. There was insufficient evidence to substantiate the allegations regarding unmet care needs and lack of privacy.

The complaint was unsubstantiated. Allegations included resident care needs not being met and lack of privacy due to locked bathroom access. Investigation found protocols in place for infection control and staff assistance. No evidence supported the allegations.

Licensing Program Analyst Carmen Lopez conducted a visit to deliver findings for an investigation and to conduct a case management visit.

No deficiencies were cited during the visit. Technical advisories were given per Title 22, Division 6, Chapter 8 of the California Code of Regulations.

An unannounced complaint investigation visit was conducted in response to an allegation that staff did not follow the infection control plan, specifically regarding COVID-19 protocols in the memory care unit.

The investigation found that memory care residents were quarantined by sections as required, staff trainings on COVID-19 protocols were confirmed, and the facility followed its COVID-19 infection control plan. The allegation was found to be unsubstantiated.

The complaint alleged that staff did not follow infection control plan related to COVID-19 positive residents not quarantining in the memory care unit. The allegation was found to be unsubstantiated.

The visit was conducted in response to a self-reported incident on 2022-11-01 where a resident was administered medication to which they were allergic.

A deficiency was cited for a medication error where Resident 1 was given another resident's medication, posing an immediate health risk. The facility staff had current criminal record clearances and residents appeared appropriate for care.

The visit was complaint-related due to a self-reported medication error incident involving Resident 1. The deficiency was substantiated and cited.

The visit was an unannounced case management inspection regarding two self-reported incidents involving resident falls and injuries submitted to Community Care Licensing.

The Licensing Program Analyst toured the facility, interviewed staff, and reviewed records, finding no deficiencies during the visit.

The visit was triggered by two incidents: Resident #1 fell and sustained an injury on 2022-05-07 and was hospitalized, returning with hospice care; Resident #2 fell and sustained an injury on 2022-05-13 and was hospitalized. Both incidents were self-reported to Community Care Licensing.

The inspection was an unannounced required 1-year visit to evaluate the facility's compliance with licensing and infection control requirements.

The facility was found to be in compliance with infection control practices, including COVID-19 mitigation measures, and no deficiencies were observed during the visit.

The Department conducted an on-site visit to provide technical assistance and to evaluate the facility's mitigation plan including disinfection, testing, vaccination, screening protocols, and use of personal protective equipment (PPE).

During the visit, no deficiencies were cited. The team interviewed the Business Office Manager and conducted a walk-through of the facility, concluding with a debriefing.

An unannounced annual required licensing inspection was conducted to verify compliance with statutes, regulations, and other written requirements relevant to protecting the health of residents and staff, including infection control practices.

The facility was found to be in compliance with infection control practices, including COVID-19 mitigation strategies, and no deficiencies were observed during the visit.

An unannounced case management visit was conducted regarding two incident reports involving resident falls and injuries.

Both incidents were appropriately addressed by the facility, all required notifications were made, and no deficiencies were issued during the visit.

The Department conducted an on-site visit to provide technical assistance and to evaluate the facility's disinfection, testing surveillance, and screening protocols as well as the use of personal protective equipment.

During the visit, no deficiencies were issued. A walk-through of the facility was conducted and a debriefing was held with the Executive Director and Assistant Director.