197608180-3-25-2025-28-AS-LHIS-DFBSWE-20250401141413

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608180
Report Date: 03/25/2025
Date Signed: 03/25/2025 04:28:35 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
03/17/2025 and conducted by Evaluator Alberto Lopez

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250317170026

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: 56	DATE:	03/25/2025
		UNANNOUNCED	TIME BEGAN:	09:23 AM
MET WITH:	Arienne Ghammange, Director of Health Services		TIME COMPLETED:	04:34 PM

ALLEGATION(S):

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Staff retained resident against the resident's will
Staff do not provide daily activities for resident

INVESTIGATION FINDINGS:

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Licensing Program Analysts (LPAs) Alberto Lopez and Luis Deleon conducted an initial visit to investigate the allegations listed above. LPAs arrived unannounced and met with Arienne Ghammangne Director of Health Services. The purpose of the visit was explained.

The investigations consisted of LPAs interviewing five (5) staff and six (6) residents, One witness (W1) whicbh is family member, reviewing and obtaining staff and resident rosters, activity calendar and POA for health care for R1.

The investigation revealed: Allegation: Staff retained resident against the resident's will. It is alleged that resident is being held against there will even after the resident has expressed the desire to leave.

(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: 03/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025

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 2

Control Number 28-AS-20250317170026

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: 03/25/2025

NARRATIVE

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(continued on 9099C)

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. R1 stated R1 is not being held against R1 will and stated R1 enjoys being at facility and feels safe. LPAs spoke with W1 who family member is who has POA authority. W1 stated that W1 agrees with all the facility is doing in caring for R1. W1 stated to LPAs that the allegation is false. W1 stated that police visited her a few days ago at 8:30pm to investigate abuse allegation. W1 stated police arrived with rifles in hand and in full gear and cause W1 undo distress. W1 stated that it was her son who lives out of state that made the abuse allegations. There is insufficient evidence to substantiate this allegation.

Allegation: Staff do not provide daily activities for resident. It is alleged that R1 is being denied activities, specifically exercise by walking. 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. R1 stated R1 is always busy and has things to do. LPAs observed R1 walking around the facility grounds with W1. LPA observed facility residents participating in activities through the entire visit. The facility has an activity calendar posted and staff stated they included residents in the decision-making process for activities. All residents stated the facility has more than enough activities and are encouraged to participate. There is insufficient 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 violations did or did not occur, therefore the allegations are Unsubstantiated.

Exit interview conducted and copy of report provided.

SUPERVISOR'S NAME: Lisa Hicks	TELEPHONE: (323) 981-3972
LICENSING EVALUATOR NAME: Alberto Lopez	TELEPHONE: 323-980-4926
LICENSING EVALUATOR SIGNATURE:	DATE: 03/25/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/25/2025

LIC9099 (FAS) - (06/04)

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