197609117-1-25-2021-29-AS-JAPL-BXTW47-20210201155703

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609117
Report Date: 01/25/2021
Date Signed: 01/25/2021 11:57:36 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/11/2021 and conducted by Evaluator Ashley Smith

COMPLAINT CONTROL NUMBER: 29-AS-20210111085746

FACILITY NAME:	SILVERADO SENIOR LIVING - CALABASAS		FACILITY NUMBER:	197609117
ADMINISTRATOR:	GIUNTO, TAYLOR		FACILITY TYPE:	740
ADDRESS:	25100 CALABASAS RD		TELEPHONE:	(818) 222-1000
CITY:	CALABASAS	STATE: CA	ZIP CODE:	91302
CAPACITY:	110	CENSUS: 62	DATE:	01/25/2021
		UNANNOUNCED	TIME BEGAN:	11:25 AM
MET WITH:	Taylor Giunto		TIME COMPLETED:	11:35 AM

ALLEGATION(S):

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Facility is unsanitary.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Ashley Smith conducted a subsequent visit to deliver the findings for the above allegation. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s visit was conducted telephonically with Executive Director Taylor Giunto. Staff interviews were conducted on 1/19/2021 at 2:23pm, 2:35pm and 2:56pm; and, on 1/22/2021 at 1:57pm, 2:46pm, 3:01pm, and 3:17pm. During today's visit, a virtual tour was conducted at 11:27am.

It was alleged that the facility is unsanitary, as fecal matter was allegedly observed and it was not cleaned for over an hour. Interviews revealed that most of the staff believe the facility is regularly cleaned and that housekeeping staff respond to areas that require immediate attention, especially if a resident has an accident. The LPA reviewed documentation that detailed the schedule for facility deep cleaning. During the virtual tour, the facility appeared clean and sanitary. Based on the investigation, there is insufficient evidence to support the claim that the facility is unsanitary. This allegation is deemed Unsubstantiated at this time. No deficiencies cited. Exit interview conducted. A copy of the report was emailed for signature.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Jeralyn Ann Pfannenstiel	TELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Ashley Smith	TELEPHONE: (818) 421-9032
LICENSING EVALUATOR SIGNATURE:	DATE: 01/25/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/25/2021

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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