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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197609117
Report Date: 01/25/2021
Date Signed: 01/25/2021 12:08:51 PM



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
09/25/2020 and conducted by Evaluator Ashley Smith
COMPLAINT CONTROL NUMBER: 29-AS-20200925130533
FACILITY NAME:SILVERADO SENIOR LIVING - CALABASASFACILITY NUMBER:
197609117
ADMINISTRATOR:GIUNTO, TAYLORFACILITY TYPE:
740
ADDRESS:25100 CALABASAS RDTELEPHONE:
(818) 222-1000
CITY:CALABASASSTATE: CAZIP CODE:
91302
CAPACITY:110CENSUS: 62DATE:
01/25/2021
UNANNOUNCEDTIME BEGAN:
11:35 AM
MET WITH:Taylor GiuntoTIME COMPLETED:
11:50 AM
ALLEGATION(S):
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Staff do not meet toileting needs of residents.
Staff do not meet personal hygiene needs of residents.
The facility is not kept clean and sanitary at all times.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Ashley Smith conducted a subsequent visit to deliver the findings for the above allegations. Due to the situation surrounding the Coronavirus Disease 2019 (COVID-19), and to implement mitigation measures, today’s visit was conducted via FaceTime with Executive Director Taylor Giunto. Staff interviews were conducted on 10/2/2020 at 12:20pm, 12:30pm, 12:43pm, 1:03pm, 1:14pm, and 1:51pm; 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. On 1/25/2021, a virtual tour was conducted at 11:27am.

Regarding the allegation: Staff do not meet toileting needs of residents.
It was alleged that the facility is not following the policy of changing residents every two hours. As a result, residents are allegedly peeing and defecating throughout the facility. Interviews with caregivers reveal that residents are checked on every two hours to ensure that incontinent needs are met timely. Staff agreed that at times, some residents refuse to be changed, but they try multiple intervention methods to ensure that resident needs are tended to in a timely manner.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jeralyn Ann PfannenstielTELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Ashley SmithTELEPHONE: (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)
Page: 1 of 2
Control Number 29-AS-20200925130533
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD. #250
WOODLAND HILLS, CA 91364
FACILITY NAME: SILVERADO SENIOR LIVING - CALABASAS
FACILITY NUMBER: 197609117
VISIT DATE: 01/25/2021
NARRATIVE
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Interviews revealed that some residents will have accidents, but housekeeping cleans the area immediately and residents are cleaned up and refreshed. Staff note that residents can have accidents immediately after being checked or refreshed. Staff agreed that some residents refuse to be changed, but they try multiple interventions to ensure that resident needs are met timely. Most staff believe that caregivers are responsive in meeting the toileting needs and communicate if they need assistance with changing or refreshing a resident. Based on the information obtained, there is insufficient evidence to support the claim that the staff do not meet toileting needs of the residents. This allegation is deemed Unsubstantiated at this time.

Regarding the allegation: Staff do not meet personal hygiene needs of residents.
It was alleged that residents are unkempt. Interviews revealed that most residents need assistance with bathing, dressing and grooming. However, residents will sometimes refuse a service and in such cases, staff employ a number of interventions to ensure that care needs are met timely. Staff claimed that if they are unsuccessful with meeting a need, they will elevate the concern to management or a facility nurse to assist or will enlist the assistance of another caregiver. Staff also noted that the Engagement Team tends to additional resident grooming habits such as hair styling and trimming, shaving, and nail clipping. Staff feel they ensure that residents are treated with dignity and that all hygiene needs are met as noted in their care plans. Based on the information obtained, there is insufficient evidence to support the claim that staff do not meet personal hygiene needs of residents. This allegation is deemed Unsubstantiated at this time.

Regarding the allegation: The facility is not kept clean and sanitary at all times.
It was alleged that the facility is unsanitary, as facility pets are allegedly urinating and defecating all over the facility. Interviews conducted revealed that most of the staff believe the floor is cleaned on a regular basis and if fecal matter is observed, they contact housekeeping staff and they immediately respond. Staff also stated that they are responsible for caring for the facility pets by taking them out and cleaning up after them. Whereas some staff confirmed that facility pets have left fecal matter in unsavory places, staff respond immediately and clean the area. The LPA reviewed documentation that detailed the schedule for facility deep cleaning. During the 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 at this time. Exit interview conducted. A copy of the report was emailed for signature.
SUPERVISOR'S NAME: Jeralyn Ann PfannenstielTELEPHONE: (818) 596-4343
LICENSING EVALUATOR NAME: Ashley SmithTELEPHONE: (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
LIC9099 (FAS) - (06/04)
Page: 2 of 2