197608180-2-4-2025-28-AS-RORN-DDV2C5-20250213161609

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608180
Report Date: 02/04/2025
Date Signed: 02/04/2025 12:56:13 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
02/03/2025 and conducted by Evaluator Glenn Trueman

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250203091750

FACILITY NAME:	SILVERADO SENIOR LIVING - THE HUNTINGTON		FACILITY NUMBER:	197608180
ADMINISTRATOR:	ROCHELLE CARPIO		FACILITY TYPE:	740
ADDRESS:	1118 N STONEMAN AVE		TELEPHONE:	(626) 308-9777
CITY:	ALHAMBRA	STATE: CA	ZIP CODE:	91801
CAPACITY:	62	CENSUS: 55	DATE:	02/04/2025
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Administrator Rochelle Carpio		TIME COMPLETED:	01:00 PM

ALLEGATION(S):

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Staff retaliated against resident from authorized representative made a complaint
Staff are not giving the resident mail/packages
Staff do not safeguard residents personal belongings
Due to lack of supervision, resident fell and received injuries

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Glenn Trueman made an unannounced visit to investigate the above allegations. LPA met with Administrator Rochelle Carpio and discussed the purpose of the visit.
At today's visit 02/04/25 Staff and Resident Roster were submitted.
File of Resident R1 was reviewed and Physician's Report, Identification and Emergency Information Worksheet, Personal Property Disclaimer and Inventory List were submitted,
Interviews were conducted with the Administrator and Staff S1 and S2.
Resident's R1-R5 were interviewed.
LPA took a tour of common areas and Resident R1's room.
In regards to the allegation Staff retaliated against resident from authorized representative made a complaint, based on interviews conducted and information gathered it was revealed during a tour of Resident R1's room LPA observed a television, mouse, mouse pad and calendar.
Interview with Resident R1 who stated that he gets all his packages and nothing is missing. Stated that staff are terrific. Said his belongings are safe.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025

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

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 28-AS-20250203091750

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: SILVERADO SENIOR LIVING - THE HUNTINGTON	FACILITY NUMBER: 197608180
	VISIT DATE: 02/04/2025

NARRATIVE

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Staff stated that they never heard of Resident R1 having belongings kept away from him and stated they never would retaliate and resident has personal rights. Items are often misplaced at times.
Said Resident R1 walks around with a bag of his belongings and that items alleged missing are in his room.
Resident's R2- R5 stated staff is very professional and always assist and are very accommodating and helping all residents.
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.

In regards to Staff are not giving the resident mail/packages, based on interviews conducted and information gathered it was revealed by Resident R1 who stated that he gets all his packages.
Resident's R2-R5 all stated that they receive their mail/packages.
Staff stated that they now will give packages and mail unopened to residents.
Said previously they needed to know what may be in the mail or packages to protect residents safety.
Said this allegation was just addressed 01/28/25 and now the process has changed.
It should be noted that Substantiated findings were delivered 01/28/25 regarding the allegation Facility staff are interfering with residents mail and packages.
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.

In regards to the allegation Staff do not safeguard residents personal belongings, based on interviews conducted and information gathered it was revealed by Resident R1 that his belongings are safe and he also has his belongings in a bag he carries around. Stated he gets all his belongings and none have been taken from his room.
Resident's R2-R5 stated that their belongings have always been safe and they haven't had any items taken from their room.
Spoke with Staff who stated that they had never heard of missing items from any residents room. Said that items may be misplaced, but they look for it and often find it.
During a tour of Resident R1's room LPA observed a television, mouse, mouse pad and calendar.

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.

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 28-AS-20250203091750

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: SILVERADO SENIOR LIVING - THE HUNTINGTON	FACILITY NUMBER: 197608180
	VISIT DATE: 02/04/2025

NARRATIVE

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In regards to the allegation Due to lack of supervision resident fell and received injuries, based on interviews conducted and information gathered it was revealed by Resident R1 that he hit his head in the bathroom and staff assisted him right away in going to the emergency room when they noticed his cut at breakfast.
Resident's R2- R5 all stated that staff are great and assist them with all medical concerns.
Staff stated that when Resident R1 came to breakfast they noticed blood on his head.
Said the Resident R1 said he hit it on the ceiling and then said he hit it on the shower knob. Also stated they will do rounds every 2 hours and it was not noticed during those visits.

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.

An exit interview was conducted with Administrator.

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 02/04/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/04/2025

LIC9099 (FAS) - (06/04)

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