197608180-2-25-2025-28-AS-RORN-DEGVHX-20250305152752

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608180
Report Date: 02/25/2025
Date Signed: 02/25/2025 04:46:52 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 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
02/18/2025 and conducted by Evaluator Alberto Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250218112908

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: 58	DATE:	02/25/2025
		UNANNOUNCED	TIME BEGAN:	09:21 AM
MET WITH:	Rochelle Carpio, Administrator		TIME COMPLETED:	04:46 PM

ALLEGATION(S):

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Staff are retaliating against residents for filing a complaint.
Staff are not allowing residents to have packages delivered.

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Alberto Lopez and Sakinah Madyun conducted a initial visit to investigate the allegations listed above. LPAs arrived unannounced and met with Arienne Ghammangne Director of Health Services and Rochelle Carpio, Administrator who arrived a short time later and assisted with the visit. The purpose of the visit was explained.

The investigation consisted of LPAs taking tour of common areas of facility, obtaining, and reviewing staff and resident roster, spread sheet showing mail distribution for residents, POA for R1. and LPAs interviewed five (5) staff and six (6) residents.

The investigation revealed:
Allegation: Staff are retaliating against residents for filing a complaint. It is alleged that staff are retaliating against residents for complaining.
(Continued on 9099C)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Alberto Lopez	TELEPHONE: 323-980-4926
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025

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 28-AS-20250218112908

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
GREATER LA AC/SC, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754

FACILITY NAME: SILVERADO SENIOR LIVING - THE HUNTINGTON	FACILITY NUMBER: 197608180
	VISIT DATE: 02/25/2025

NARRATIVE

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(continued from 9099)

LPAs interviewed five (5) staff and five (5) of five (5) staff denied the allegation. LPAs interviewed six (6) residents and six (6) of six (6) residents were not able to corroborate the allegation. The complaint did not specify which residents were being retaliated against. LPAs observed staff caring for residents and did not observe any kind of abuse during the day long visit. Staff were observed to be kind and caring as they cared for residents. There is not enough evidence to substantiate this allegation.

Allegation: Staff are not allowing residents to have packages delivered. It is alleged that staff is not giving residents their mail and packages.

LPA interviewed five (5) staff and five (5) of five (5) staff denied the allegation. LPAs interviewed six (6) residents and six (6) of six (6) residents were not able to corroborate the allegation. All six (6) residents stated they receive their mail and packages and some residents stated that it is acceptable for their family to receive their mail. The facility has a tracking log for all residents and which explains the distribution of mail to the appropriate residents and/or their authorized representatives. R1 stated his son FM2 and spouse FM3 is authorized to open R1 mail. R1 also stated R1 does not want one (1) family member FM1 to obtain R1 mail. There is not enough evidence to substantiate this allegation.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED.

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Alberto Lopez	TELEPHONE: 323-980-4926
LICENSING EVALUATOR SIGNATURE:	DATE: 02/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/25/2025

LIC9099 (FAS) - (06/04)

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