197609117-10-29-2020-31-AS-DPEA-C4FLJR-20210629084823

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197609117
Report Date: 10/29/2020
Date Signed: 10/29/2020 03:56:51 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
10/08/2019 and conducted by Evaluator Zabel Chochian

COMPLAINT CONTROL NUMBER: 31-AS-20191008162209

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: 56	DATE:	10/29/2020
		UNANNOUNCED	TIME BEGAN:	03:39 PM
MET WITH:	Taylor Giunto		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

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Insufficient staffing
Residents are left in soiled diapers for extended period of time

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Zabel Chochian initiated contact 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 complaint investigation delivery was conducted telephonically with Executive Director Taylor Giunto.

On 10/16/2019, the LPA initiated complaint visit, and allegations were discussed with Director of Health Services Laura Holloway. Investigation into the allegations consist of Interview with staff, random residents and visiting families on 10/16/19 from 9:00am to 10:45am and on 11/16/19 from 8:30am to 3:00pm. Following is a summary of the investigation.

Allegation: Insufficient staffing
It was alleged that residents are entering other resident rooms and incidents happen due to insufficient staffing. It was reported that It takes at least 15 minutes to find a staff to redirect residents. (continue to LIC9099c)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Zabel Chochian	TELEPHONE: (818) 419-5440
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2020

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 31-AS-20191008162209

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: 10/29/2020

NARRATIVE

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Specific date and time of incidents is unknown. Staff interviewed reported that residents are treated with dignity and respect therefore are not restricted to one place. Staff reported that when alerted to redirect resident, available staff will attend to the situation within a few minutes (5-10min max). Residents unable to be interviewed due to loss of cognitive functioning. LPA conducted an interview with a visitor during initial visit on 10/16/2019. This witness expressed that facility is staffed appropriately, staff are very nice and hard working. Other witnesses interviewed expressed that due to the resident population facility serves there should be additional staffing. Records reviewed revealed for the month of September 2019 & October 2019 facility staffing schedule consist of 8 to 10 caregivers and 4 nurses for the first shift (6am-2:30pm); 7 to 9 caregivers and 2 nurses for the second shift (2pm-10:30pm); 3 to 4 caregivers and 1 nurse during the third shift (10pm – 6:30am). For the weekend coverage schedule reflect 8 caregivers and 2 nurses for the first shift; 7 caregivers and 1 nurse for the second shift and 3 caregivers and 1 nurse for the third shift (10pm-6:30am).

Based on the information gathered, it could not be validated that residents entering other resident rooms causing incidents to happen is a result of facility being understaffed.

Regarding allegation: Residents are left in soiled diapers for extended period - It was alleged that residents are left in soaked diapers for extended periods of time. During the investigation, LPA conducted interviews with several facility staff and observed residents during the initial visit on 10/16/2019 and subsequent visit on 11/16/2019. Staff interviewed stated that residents are checked on at least every 2 hours to ensure that incontinence needs of the residents are met timely. Residents observed clean and dry during LPA's initial and subsequent visit.

Based on the information obtained, there is insufficient evidence to support the allegations. Therefore, allegations of “Insufficient staffing” and “Residents are left in soiled diapers for extended period of time” are deemed unsubstantiated at this time.

No deficiencies cited at this time. Exit interview conducted. A copy of the report was emailed to the Executive Director for signature.

SUPERVISOR'S NAME: Kristin Heffernan	TELEPHONE: (818) 596-4493
LICENSING EVALUATOR NAME: Zabel Chochian	TELEPHONE: (818) 419-5440
LICENSING EVALUATOR SIGNATURE:	DATE: 10/29/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2020

LIC9099 (FAS) - (06/04)

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