<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198320514
Report Date: 05/28/2026
Date Signed: 05/28/2026 05:04:09 PM

Document Has Been Signed on 05/28/2026 05:04 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 1000 CORPORATE DR #100
MONTEREY PARK, CA 91754
FACILITY NAME:SILVERADO ROLLING HILLSFACILITY NUMBER:
198320514
ADMINISTRATOR/
DIRECTOR:		GIUNTO, TAYLORFACILITY TYPE:
740
ADDRESS:2455 PACIFIC COAST HWYTELEPHONE:
(949) 240-7200
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY: 68CENSUS: DATE:
05/28/2026
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:15 PM
MET WITH:Christina HaleTIME VISIT/
INSPECTION COMPLETED:
05:00 PM
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
On 05/28/2026, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Required 1-year Annual Visit. LPA met with Executive Director, Christina Hale, and the purpose of today’s visit was explained. LPA was granted entry into the facility.
The facility is a Residential Care Facility for the Elderly serving residents aged 60 and over. The facility has a Fire Clearance for 68 Bedridden residents with a total capacity of 68. The facility has an approved hospice waiver for thirty (30).
Physical Plant/Structure The facility is a two-story building in a commercial area. The facility consists of the following: the entrance area has a lobby with a sitting area, meeting room, conference room, restroom, administrative offices, and reception area. The first floor has 15 resident rooms with bathrooms, an activity area, dining area, television area, sitting area, bistro area, quite room for physical therapy, linen storage room, supply room, housekeeping storage room, salon, restroom, Activity Director office, medication room, industrial kitchen, staff lounge area, and enclosed patio. The second floor has 32 resident rooms with bathrooms, an activity area, dining area, television area, sitting area, bistro area, linen storage room, supply room, housekeeping storage area, spa, restroom, Health and Wellness director office, medication room, and Wellness Office. During the facility inspection, LPA did not observe any bodies of water on the premises. The outside patio area has tables, chairs, and umbrellas available for residents’ use. The gates exiting the patio are egressed and work properly. All outside walkways were observed clean, clear, and free of obstructions, debris, and hazards. All windows, screens, and blinds were observed to be in good repair.
Resident Rooms LPA inspected five (5) resident rooms, room 111, 114, 211, 214, and 220, and observed them clean and in good repair. LPA observed all resident rooms have the required furniture including a bed, dresser, nightstand, chair, and storage space for personal belongings. Residents have the option to furnish
NAME OF LICENSING PROGRAM MANAGER: Eva M Alvarez
NAME OF LICENSING PROGRAM ANALYST: Wendy Gibbs
LICENSING PROGRAM ANALYST SIGNATURE: DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 05/28/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
California Health & Human Services Agency
California Department of Social Services

FACILITY EVALUATION REPORT California law requires a public report of each licensing visit/inspection. This report is a record for the facility and the licensing agency. This report is available for public review; therefore, care is taken not to disclose personal or confidential information. Inquiries concerning the location, maintenance, and contents of these reports may be directed to the Licensing Program Analyst or Regional Office whose address and telephone number are listed on the front of this form.

DEFICIENCIES A deficiency is an instance of noncompliance with licensing requirements, including applicable statutes, regulations, interim licensing standards, operating standards, and written directives. Applicants/ licensees must be notified in writing of all licensing deficiencies. Deficiencies are listed on the left side of this form, and the applicable licensing requirement upon which the deficiency is identified. There are two types of deficiencies:
  • Type A deficiencies are violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
  • Type B deficiencies are violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care, a recordkeeping violation that could impact the care of said persons and/or protection of their resources, or a violation that could impact those services required to meet the needs of persons in care.

PLANS OF CORRECTION (POCs) The licensing agency is required to establish a reasonable length of time to correct a deficiency. In order to set the time, the licensing agency must take into consideration the seriousness of the violation, the number of persons in care involved, and the availability of equipment and personnel necessary to correct the violation. Applicants/licensees are requested to provide a specific plan for each violation on the right side of the form across from each deficiency. The more specific the plan, the less chance exists for any misunderstanding in setting time limits and reviewing corrections. The applicant/licensee who encounters problems beyond their control in completing the corrections within the specified time frame may request and may be granted an extension of the correction due date by the licensing agency.

CORRECTION NOTIFICATION The applicant/licensee is responsible for completing all corrections and promptly notifying the licensing agency of corrections. Applicants/licensees are advised to keep a dated copy of any correspondence sent to the licensing agency concerning corrections, or if corrections are telephoned to the licensing agency, the date, person contacted, and information given.

CIVIL PENALTIES The licensing agency is required by law to issue a Penalty Notice, when applicable, to all facilities holding a license issued by the licensing agency, or subject to licensure, except Certified Family Homes, Resource Families, and Foster Family Homes, or any governmental entity.

PENALTY NOTICE GIVEN The statement concerning civil penalties serves as a penalty notice on this Licensing Report and failure to correct cited licensing deficiencies will result in civil penalties. Applicants/ licensees are required to pay civil penalties when administrative appeals have been exhausted and in accordance with any payment arrangements made with the licensing agency.

APPEAL RIGHTS The applicant/licensee has a right without prejudice to discuss any disagreement in this report with the licensing agency concerning the proper application of licensing requirements. The applicant/ licensee may request a formal review by the licensing agency to amend or dismiss the notice of deficiency and/ or civil penalty. Requests for review shall be made in writing within 15 business days of receipt of a deficiency notification or civil penalty assessment. Licensing deficiencies may be appealed pursuant to the procedures in the LIC 9058 Applicant/Licensee Rights.

AGENCY REVIEW The licensing agency review of an appeal may be conducted based upon information provided in writing by the applicant/licensee. The applicant/licensee may request an office meeting to provide additional information. The applicant/licensee will be notified in writing of the results of the agency review within 60 business days of the date when all necessary information has been provided to the licensing agency.

EMAIL REQUIREMENT Adult Community Care Facilities, Residential Care Facilities for the Chronically Ill, and Residential Care Facilities for the Elderly are required to provide and maintain an active email address of record with the licensing agency.

LIC809 (FAS) - (09/23)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 ROLLING HILLS
FACILITY NUMBER: 198320514
VISIT DATE: 05/28/2026
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
their room how they would like, or the facility has furniture available if residents need it. LPA observed the beds have the required linens including a mattress cover, fitted sheet, flat sheet, blanket, comforter, and pillows. Residents do have the option to use their personal linens, or the facility has a supply of linens available. LPA observed an additional supply of linens in a linen storage room. All linens and mattresses were observed in good repair. The water temperature in residents’ bathrooms measured 108.9- degrees, 110.1- degrees, 112.2- degrees, 112.9- degrees, and 113.2- degrees Fahrenheit. All residents’ rooms were observed with ample lighting.
Kitchen LPA observed the industrial kitchen clean and sanitary during time of visit. LPA observed all appliances operable and in good repair. LPA observed an ample supply of cookware, dishware, and cutlery in good repair. LPA observed a 3-day supply of perishable foods and a 7-day supply of nonperishable foods. All foods were observed properly dated, labeled, packaged, and stored. The freezer temperature measured -1-degrees Fahrenheit, and the refrigerator temperature measured 3-degrees Fahrenheit. LPA observed knives and sharps secured and are inaccessible to residents. LPA observed menus posted in the dining rooms. The first and second floor Bistro areas were observed clean and sanitary. LPA observed a supply of snacks and drinks available for residents at any time. LPA observed cleaning supplies secured in locked storage rooms and are inaccessible to residents. All trash cans were observed with tight fitting covers.
Common Rooms LPA observed all common rooms have ample seating to accommodate residents. LPA observed dining areas have ample tables and chairs to accommodate residents. In the activity areas, LPA observed tables and chair available to accommodate residents. LPA observed an ample supply of arts, crafts, exercise equipment, games, and activities stored in a storage room on the first and second floor. LPA observed a daily and monthly activity schedule posted in the activity areas. The facility was observed appropriately furnished during the time of visit. All walkways and hallways in the facility were observed clean, clear, and free of hazards and obstructions. The facility was kept at a comfortable temperature. All rooms and hallways were observed with ample lighting.

Due to time constraints, LPA will return at a later date to complete the Annual Inspection.

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

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

NAME OF LICENSING PROGRAM MANAGER: Eva M Alvarez
NAME OF LICENSING PROGRAM ANALYST: Wendy Gibbs
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 05/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/28/2026
LIC809 (FAS) - (06/04)
Page: 3 of 3