198320053-2-20-2026-11-AS-EMAZ-DSRRWH-20260402132309

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 198320053
Report Date: 02/20/2026
Date Signed: 02/20/2026 05:01:54 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

This is an official report of an unannounced visit/investigation of a complaint received in our office on
11/21/2025 and conducted by Evaluator Wendy Gibbs

COMPLAINT CONTROL NUMBER: 11-AS-20251121105507

FACILITY NAME:	SILVERADO SENIOR LIVING-BEACH CITIES		FACILITY NUMBER:	198320053
ADMINISTRATOR:	LOURDES YVETTE MENCHACA		FACILITY TYPE:	740
ADDRESS:	514 N. PROSPECT AVE		TELEPHONE:	(949) 240-7200
CITY:	REDONDO BEACH	STATE: CA	ZIP CODE:	90277
CAPACITY:	120	CENSUS: 95	DATE:	02/20/2026
		UNANNOUNCED	TIME BEGAN:	08:48 AM
MET WITH:	Lourdes Menchaca		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff did not respond to a resident's call button in a timely manner.
Licensee does not ensure that facility call system is operable.

INVESTIGATION FINDINGS:

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On 02/20/2026, Licensing Program Analyst (LPA), Wendy Gibbs conducted an unannounced Complaint Visit to the facility listed above. LPA met with Executive Director, Lourdes Menchaca, and the purpose of today’s visit was explained. LPA was granted entry into the facility.
The investigation consisted of the following:
During today’s visit, LPA inspected the facility, tested the call buttons in nine
(9) resident rooms, interviewed residents’ Responsible Party W2-W6, and received and reviewed In-Service Training Logs.
During the initial visit conducted on 11/25/2025, LPA toured the facility, interviewed Staff S1-S10, interviewed Residents R2-R11, interviewed resident's Responsible Party W1, and received and reviewed the Staff Roster, Resident Roster, Staff Schedule, Maintenance Program Policy & Procedure for Call System Monitoring, Call System Testing Logs, Admission Agreement, Physician’s Report, Service Plan Details, and Resident Identification and Emergency Information Worksheets.
The investigation revealed the following:

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026

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 11-AS-20251121105507

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: SILVERADO SENIOR LIVING-BEACH CITIES	FACILITY NUMBER: 198320053
	VISIT DATE: 02/20/2026

NARRATIVE

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Allegation: Staff do not respond to residents’ call buttons in a timely manner.
The allegation alleges that when residents press their call button staff do not come in a timely manner or do not respond.

During the facility inspection, LPA pressed nine (9) call buttons in resident rooms to document the staff’s response time. LPA pressed the call buttons in room’s 102,112, 203, 211, 303, 311, 403, 405, and 411 and the staff’s response time was under a minute for each room. When LPA pressed the call button, they could hear the staff’s walkie talkie announce “room (number) activated” and when it was cleared, by pressing the call button again, it announced “room (number) restored.”

During record review LPA received and reviewed the Staff Schedule and observed during the NOC shift there are four (4) caregivers and two (2) LVNs scheduled. During the AM shift there are four (4) LVNs and ten (10) caregivers scheduled. Durning the PM shift there are four (4) LVNs and ten (10) caregivers scheduled. Additionally, LPA received and reviewed staff In-Service Log for 11/23/2025 regarding the Walkies and Routine Visual Checks Every 2 Hours.
During interviews with Staff S1-S9, were asked how long it takes to respond to residents’ calls for assistance, nine (9) out of nine (9) stated they respond right away unless they are assisting another resident it could take five (5) minutes.
During interviews with Residents R2-R11, were asked if staff respond to call buttons in a timely manner, ten (10) out of ten (10) stated staff come right away.
During interviews with resident’s Responsible Party W1-W6, were asked if residents call for assistance is answered in a timely manner, six (6) out of six (6) stated yes staff respond right away.

Allegation: Licensee does not ensure that facility call system is operable.

The allegation alleges the walkie-talkies were not working properly and there were problems with the audio, and the volume does not work all the time.

During the facility inspection, LPA tested nine (9) call buttons in resident rooms to document the staff’s response time. LPA pressed the call buttons in room’s 102,112, 203, 211, 303, 311, 403, 405, and 411 and observed they are working properly.

During record review LPA received and reviewed the facility’s Plan of Operation that states on page 24 “A non-computerized nurse call system will be tested a minimum of every two weeks. The testing will include all call lights in resident rooms, bathrooms, showers, tub rooms and the call light panel.” Additionally, LPA received and reviewed the Call System Monitoring logs from 01/01/2025 to 11/16/2025. The logs indicate

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026

LIC9099 (FAS) - (06/04)

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Control Number 11-AS-20251121105507

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754

FACILITY NAME: SILVERADO SENIOR LIVING-BEACH CITIES	FACILITY NUMBER: 198320053
	VISIT DATE: 02/20/2026

NARRATIVE

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that the system was tested on the following days in November 2025, 11/02/2025, 11/09/2025, and 11/16/2025. The only comment was listed on 11/09/2025 that states room 213’s battery was replaced.
During interviews with Staff S1-S10, they were asked if the call buttons are operable, ten (10) out of ten (10) stated the call buttons are operable. Additionally, Staff S1 and S10 stated the call buttons are tested every one (1) to two (2) weeks.
During interviews with Residents R2-R11, were asked to their knowledge do the call buttons work, eight (8) out of ten (10) stated yes, their call buttons work in their room. Two (2) out of ten (10) stated they do not use the call buttons and are not sure if they work properly.
During interviews with resident’s Responsible Party’s W1-W6, were asked if their residents call button is operable, five (5) out of six (6) stated yes, their resident’s call button was operable. One (1) out of five (5) stated they are unsure if it works properly due to their resident not using it.

During the course of the investigation, LPA was unable to find evidence to support the allegation(s). Although the allegation(s) may have happened or is valid, there is no preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation(s) is/are unsubstantiated.

During today’s visit, LPA did not observe or cite any deficiencies.

An exit interview was conducted with Executive Director, Lourdes Menchaca, and a copy of this report was provided.

SUPERVISORS NAME: Eva M Alvarez
LICENSING EVALUATOR NAME: Wendy Gibbs
LICENSING EVALUATOR SIGNATURE:	DATE: 02/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/20/2026

LIC9099 (FAS) - (06/04)

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