019200938-6-17-2026-15-AS-BFOG-DVUTJN-20260710144636

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019200938
Report Date: 06/17/2026
Date Signed: 06/17/2026 10:13:29 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/11/2026 and conducted by Evaluator Patricia Manalo

COMPLAINT CONTROL NUMBER: 15-AS-20260311092131

FACILITY NAME:	SILVERADO SENIOR LIVING-BERKELEY		FACILITY NUMBER:	019200938
ADMINISTRATOR:	WHINERY, MORGAN		FACILITY TYPE:	740
ADDRESS:	2235 SACRAMENTO STREET		TELEPHONE:	(949) 240-7200
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94702
CAPACITY:	90	CENSUS: 74	DATE:	06/17/2026
		UNANNOUNCED	TIME BEGAN:	09:20 AM
MET WITH:	Morgan Whinery, Administrator		TIME COMPLETED:	10:30 AM

ALLEGATION(S):

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Staff did not safeguard residents personal property
Staff did not ensure resident was changed/cleaned properly

INVESTIGATION FINDINGS:

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On 06/17/2026 at 9:20 AM, Licensing Program Analyst (LPA) P. Manalo arrived unannounced to deliver the findings on the above allegations. LPA met with Administrator, Morgan Whinery and explained the purpose of the visit.

During the course of investigation, LPA interviewed 7 Staff, 10 residents, and 6 witnesses.

LPA obtained and reviewed documents including but not limited to the resident roster, staff roster, admission agreement, resident personal property and valuables, resident identification and emergency information, unusual incident/injury report (LIC624), police information, facility's investigation report, caregiver agency contact information, staff contact information, and progress notes.

Continue to LIC9099-C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Patricia Manalo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 15-AS-20260311092131

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: SILVERADO SENIOR LIVING-BERKELEY	FACILITY NUMBER: 019200938
	VISIT DATE: 06/17/2026

NARRATIVE

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Continued from LIC9099...

Allegation: Staff did not safeguard residents personal property

It was alleged that staff did not safeguard residents personal property. Interview with W1 and W2 both revealed that the facility did not do an inventory list with a R1. However, interviews with S1 and S2 disclosed that during the time of admission, family members of R1 and R2 refused to sign the Client/ Resident Personal Property and Valuables (LIC621) form. Interview with W4 revealed that when R3 moved to the facility, W4 had to drop off R3’s belongings to the front desk and the facility will take inventory and label all R3’s belongings. Interview with 5 of 7 residents all stated that they have not observed any of their belongings missing or misplaced while staying in the facility.

S1 stated that per W1 and W2, R1 and R2 had their rings when they first arrived at the facility. Photos obtained on the visit conducted on 4/21/26 showed that on 2/5/26, R1 and R2 did not have their rings on. S1 stated the staff members usually take photos and videos of residents when they first arrive to show family members how residents adapt to their community with the family consent. Interview with W6 indicated that R1 and R2’s 1:1 caregiver provided by the facility took photos of R1 and R2 that showed both residents did not have jewelry on when they first moved into the facility.

Based on interviews and record reviews conducted, the above allegation that staff did not safeguard residents personal property is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

Allegation: Staff did not ensure resident was changed/cleaned properly

It was alleged that staff did not ensure resident was changed/cleaned properly. Interview with W1 and W2 indicated that there was an incident that occurred that left a resident without underwear and the resident ended up defecating in their pants.

Continue to LIC9099-C...

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Patricia Manalo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026

LIC9099 (FAS) - (06/04)

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Control Number 15-AS-20260311092131

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: SILVERADO SENIOR LIVING-BERKELEY	FACILITY NUMBER: 019200938
	VISIT DATE: 06/17/2026

NARRATIVE

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Continued from LIC9099-C...

Interviews with S1 and S3 both stated that when a resident first moves into the facility, residents are provided with a 1:1 caregiver service from an outside agency for 72 hours so that the residents can be closely monitored. Interview with S4 stated that there was an incident that occurred where R1 had a bowel movement while walking. S4 stated that S4 and the 1:1 caregiver from the outside agency assisted R1 with a shower after the incident occured. S4 also confirmed that R1 was wearing a diaper during that time. Interview with S1 and S4 indicated that there was no documentation of the incident that happened with R1. Interview with R8, R9, and R10 indicated that staff members will assist residents with going to the bathroom or diaper changes. Interview with W5 stated that they visit R10 daily and observe staff checking in on R10 multiple times throughout the visit to assist with R10’s needs.

Based on interviews conducted, the above allegation that staff did not ensure resident was changed/cleaned properly is unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is unsubstantiated.

No deficiencies cited.

Exit interview conducted and a copy of this report provided via email.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Patricia Manalo
LICENSING EVALUATOR SIGNATURE:	DATE: 06/17/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2026

LIC9099 (FAS) - (06/04)

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