197609117-3-13-2025-29-AS-KHEN-DF4N9H-20250325101559

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609117
Report Date: 03/13/2025
Date Signed: 03/13/2025 04:48:14 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, 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
03/05/2025 and conducted by Evaluator Kelly Dulek

COMPLAINT CONTROL NUMBER: 29-AS-20250305110857

FACILITY NAME:	SILVERADO SENIOR LIVING - CALABASAS		FACILITY NUMBER:	197609117
ADMINISTRATOR:	PATRICE O'GRADY		FACILITY TYPE:	740
ADDRESS:	25100 CALABASAS RD		TELEPHONE:	(818) 222-1000
CITY:	CALABASAS	STATE: CA	ZIP CODE:	91302
CAPACITY:	110	CENSUS: 48	DATE:	03/13/2025
		UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Patrice O'Grady		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Resident is being held at the facility against their will

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analysts (LPAs) Kelly Dulek and Quoc Huynh conducted an unannounced initial complaint visit for the above allegation. Upon arrival, LPAs were greeted by the front desk staff. LPAs were informed Administrator would be at the facility shortly. LPAs informed facility management of the reason for today's visit. Administrator Patrice O'Grady arrived at the facility at 10:05AM. Entrance interview conducted.

During today's visit, LPAs interviewed Administrator at 10:05AM, Resident #1 (R1) at 11:02AM,interviewed facility staff at 12:51PM and 01:05PM. LPAs also spoke with other relevant parties telephonically throughout the visit and reviewed and obtained copies of pertinent documents. The following was then determined:

The complaint alleges that R1 is being held at the facility against their will. Interview with R1 revealed that R1 does not wish to remain at the facility. R1 does not recall how they arrived at the facility, but suspects a family member moved R1 to the facility. Review of R1's physician's report and other relevant documents REPORT CONTINUED ON LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Kelly Dulek	TELEPHONE: (951) 836-3170
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025

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 29-AS-20250305110857

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: 03/13/2025

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

indicate R1 has a diagnosis of dementia and R1 moved into the facility on 02/21/2025. Interview with R1's family member revealed that R1 previously resided at home, however, there were safety concerns with that living situation. After a hospitalization, R1's family member moved R1 into the facility. Interview with staff revealed that R1 frequently verbalizes that they do not wish to remain at the facility and would like to return to their private home, however, R1 has not attempted to seek exit from the facility. All parties interviewed confirmed that R1 has not been held at the facility. Staff stated that the front door does have delayed egress and while R1 does sit in the front lobby and look out the windows, R1 has not attempted to open the door or exit the facility. LPAs also observed R1 in the front lobby but not attempting to exit the facility. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation "resident is being held at the facility against their will" is deemed Unsubstantiated at this time.

No citations issued. Exit interview conducted. A copy of today's report was provided.

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Kelly Dulek	TELEPHONE: (951) 836-3170
LICENSING EVALUATOR SIGNATURE:	DATE: 03/13/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/13/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 2