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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197608180
Report Date: 01/31/2026
Date Signed: 01/31/2026 01:16:30 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
01/12/2026 and conducted by Evaluator Alberto Lopez
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20260112121705
FACILITY NAME:SILVERADO SENIOR LIVING - THE HUNTINGTONFACILITY NUMBER:
197608180
ADMINISTRATOR:ROCHELLE CARPIOFACILITY TYPE:
740
ADDRESS:1118 N STONEMAN AVETELEPHONE:
(626) 308-9777
CITY:ALHAMBRASTATE: CAZIP CODE:
91801
CAPACITY:62CENSUS: 58DATE:
01/31/2026
UNANNOUNCEDTIME BEGAN:
10:27 AM
MET WITH:Jadelyn Pazcoguin - Family Ambassador TIME COMPLETED:
11:16 AM
ALLEGATION(S):
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Staff did not seek timely medical care for resident
Staff did not follow the Universal Precautions Protocol
staff did not notify authorized representatives of an outbreak
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Alberto Lopez made a subsequent unannounced visit to deliver findings for the above-mentioned allegations. LPA met with Jadelyn Pazcoguin - Family Ambassador and discussed the purpose of the visit.

01/21/2026 Licensing Program Analyst (LPA) Alberto Lopez made an unannounced visit to investigate the above-mentioned allegations. LPA met with Rochelle Carpio, Administrator, and discussed the purpose of the visit.

The investigation consisted of LPA reviewing and obtaining copy of staff and resident rosters, interviewed six (6) staff, S#1 – S#6, six (6) residents R#1 – R#6, attempting to interview R#7, reviewing email response from Department of Public Health to facility, R#7 Hospital visit records, three (3) incident reports, R7 progress notes from 12/28/2025 to 01/21/2026.
(continued on 9099C)
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2026
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-20260112121705
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: 01/31/2026
NARRATIVE
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(continued from 9099)

The investigation revealed regarding allegation: Staff did not seek timely medical care for resident. It is alleged that medical attention was not provided to resident in timely manner.

LPA interviewed six (6) staff, and all six staff denied the allegation. One staff member (nurse) stated that staff noticed a resident wobbling while walking on January 3, 2026, around 10:00am and immediately assessed resident. Resident was observed with acute distress and generalized weakness, congestion and episodes of dry cough and paleness. Staff called 911 and resident was transported to Huntington Hospital at the time. LPA interviewed six (6) residents, and all six (6) residents could not corroborate the allegation. Several residents stated that facility staff provide medical attention right away and are happy with the services provided to them. There is insufficient evidence to support this allegation.

Allegation: Staff did not follow the Universal Precautions Protocol. It is alleged that facility did not follow proper infectious control protocols that resulted in a respiratory illness outbreak. LPA interviewed six (6) staff and five (5) of six staff denied the allegation. One (1) staff refused to answer. LPA interviewed six (6) residents, and all six residents could not corroborate the allegation, and all stated that they were not aware of any kind of illness outbreak and all six (6) stated they had not recently been ill. Facility provided the department with an infection control plan and LPA took tour of facility common areas and did not observe any staff or residents with symptoms of a respiratory illness. LPA observed facility to be clean and observed staff following infectious disease protocols by wearing masks and gloves while assisting residents. There is insufficient evidence to support this allegation.

(continued on 9099C)

SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20260112121705
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: 01/31/2026
NARRATIVE
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(continued from 9099C)

Allegation: Staff did not notify authorized representatives of an outbreak. It is alleged that facility did not notify authorized representatives of an outbreak at the facility.

LPA Interviewed six (6) staff and all six staff denied that there was an outbreak of any kind at facility. LPA Interviewed six (6) residents and all six residents could not corroborate the allegation. Staff stated that they had three (3) residents diagnosed with Pneumonia this month and they had returned to facility after a short stay at hospital. Facility reported one resident with Pneumonia on 01/03/2026, one resident on 01/07/2026 and a third resident on 01/17/2026 . All three residents were diagnosed over 72 hours apart. This does not meet the definition of an outbreak. At the time of this visit, the facility had reported three (3) total residents and zero (0) staff infected. The Department of Public Health could not confirm that an outbreak has occurred at the facility. There was no outbreak to report to authorized representatives, however facility did notify the authorized representatives on the incident(s) on the day it was reported to the department. Facility took precautions immediately after the first infection, notified Public Health, responsible parties, and the Department. There is insufficient evidence to support this allegation.

Based on interviews and records reviewed, 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.



An exit interview was conducted and a copy of this report was discussed and provided to facility Jadelyn Pazcoguin - Family Ambassador
SUPERVISORS NAME: Lisa Hicks
LICENSING EVALUATOR NAME: Alberto Lopez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/31/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/31/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3