197608180-4-15-2025-28-AS-RORN-DFTTKW-20250417144837

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197608180
Report Date: 04/15/2025
Date Signed: 04/15/2025 02:48:57 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
02/11/2025 and conducted by Evaluator Nicol Wesley

PUBLIC

COMPLAINT CONTROL NUMBER: 28-AS-20250211120232

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: 57	DATE:	04/15/2025
		UNANNOUNCED	TIME BEGAN:	01:20 PM
MET WITH:	Rochelle Carpio		TIME COMPLETED:	03:15 PM

ALLEGATION(S):

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Resident was denied the right to visit the facility prior to residence.
Medication is not given as prescribed.

INVESTIGATION FINDINGS:

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**The is an amended LIC 9099/LIC 9099C to reflect the allegations to show on the report**
Licensing Program Analyst(LPA) Nicol Wesley Licensing Program Analyst (LPA) Nicol Wesley conducted an Amended complaint visit to investigate the above allegations. LPA met with Adminstrator Rochelle Carpio and Arienne Ghammangne to discuss the purpose of today’s visit.

LPA Wesley requested copies of: resident #1 file, a copy of the staff and resident roster, LPA Wesley also visited the medication room, interviewed residents, interviewed staff, interviewed with resident #1, and interviewed the POA.
Regarding allegation: Resident was denied the right to visit the facility prior to residence. LPA Wesley interviewed the wellness Director Arienne Ghammangne who stated prior to admission resident #1 and their POA came to visit the facility. LPA Wesley spoke to the POA who confirmed that they visited the facility and saw the facility prior to the resident residing there. LPA Wesley spoke to resident #1 and he said that he saw continued on LIC 9099C.

Unsubstantiated

Estimated Days of Completion:

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Nicol Wesley
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025

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-20250211120232

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: 04/15/2025

NARRATIVE

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the facility prior to moving there.

Regarding allegation: Medication is not given as prescribed. Regarding resident #1 receiving anti-psychotic medication, LPA Wesley visited the medication room and reviewed a list of medication for resident #1 and did not see any type of anti-psychotic medication for resident #1. LPA Wesley asked the Administrator, the Director of Health services and the LVN if they pressure the family, so they could give anti psychotic medication and they answered no. LPA Wesley asked the POA for resident #1 if the facility pressured him to issuing resident #1 anti-psychotic medication and he said no, the physician is the one who orders medication and sends it to the pharmacy/facility. LPA Wesley did observed that one of resident #1's medication was increased, but it was not a anti-psychotic medication. The Administrator said the residents are seen by the doctor(s) and evaluated, sometimes the doctor decreases medication and sometimes the medication is increased, depending on the situation. The LVN(Charge Nurse), said they refer to the Physician orders when filling and refilling the medication, it has nothing to do with family members.

Based on the interviews conducted with staff, residents, review of residents medical files and facility records, there was not enough supportive evidence to concur with the reported allegations. 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 allegation(s) are UNSUBSTANTIATED.

Exited interview conducted.

NAME OF LICENSING PROGRAM MANAGER: Lisa Hicks
NAME OF LICENSING PROGRAM ANALYST: Nicol Wesley
LICENSING PROGRAM ANALYST SIGNATURE:	DATE: 04/15/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/15/2025

LIC9099 (FAS) - (06/04)

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