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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603267
Report Date: 04/21/2026
Date Signed: 04/21/2026 02:30:38 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, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/16/2026 and conducted by Evaluator Nune Margaryan
COMPLAINT CONTROL NUMBER: 28-AS-20260416085517
FACILITY NAME:SILVERADO SENIOR LIVING-SIERRA VISTAFACILITY NUMBER:
198603267
ADMINISTRATOR:GWINN, VIDAFACILITY TYPE:
740
ADDRESS:125 E. SIERRA MADRE AVETELEPHONE:
(626) 812-9777
CITY:AZUSASTATE: CAZIP CODE:
91702
CAPACITY:87CENSUS: 74DATE:
04/21/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Vida Gwinn-Administrator and
Selene Rangel-DHS
TIME COMPLETED:
02:30 PM
ALLEGATION(S):
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Staff are limiting resident's visitor time
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced complaint investigation to investigate the above allegation. LPA met with Administrator Vida Gwinn and Selene Rangel, DHS (Director of Health Services). LPA explained the purpose of the visit.

The investigation consisted of the following: LPA requested Resident and Staff rosters, obtained copies of relevant documentation, interviewed Administrator, Staff 1 (S1) - Staff 3 (S3), Resident 1 (R1) -
Resident 8 (R8).

Continue 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026
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 28-AS-20260416085517
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: SILVERADO SENIOR LIVING-SIERRA VISTA
FACILITY NUMBER: 198603267
VISIT DATE: 04/21/2026
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The investigation revealed the following: Regarding allegation: Staff are limiting resident's visitor time. It was alleged that facility staff limited R1's visitation time by one hour per week.

Interviewed Administrator and staff stated that facility allows visitation with family members and friends and facility encourages these visits. They stated that visitors are welcome at any time and for residents security, visitors must register at the front desk when entering the Community and sign out when they leave. LPA reviewed the facility’s visitor policy which states that residents have the right to visitors in which residents are able to have visitors of their choosing at any time. Interviewed Administrator and staff mentioned that facility staff are aware of who the Responsible Party (RP) / Power of Attorney (POA) for each resident and per their request visitation hour can be changed, limited or restricted if there is restriction order from the court. Interviewed Administrator and staff stated that for R1 there is a visitor (V1) who's visitation hours were limited by R1's POA. They stated that V1's visitation hours are limited to one time per week for one hour. POA made this decision after R1 was observed agitated and emotionally distressed after V1's visits. LPA reviewed emails between Facility and R1's POA. It says " V1's presence and poor behavior and choice of unpleasant and negative talking points has clearly contributed to R1's agitation and emotional distress...additionally V1 placed a tracking device in R1's purse which is unacceptable. I demand that Silverado medical and care team limit V1's visits to one supervised visit per week, for one hour, on Wednesdays and any request to change the visitation day will be made at least one week in advance....". Interviewed Administrator and S1 stated that V1 was aware that R1's POA would only like V1 to visit once a week per hour and on occasions when V1 has stayed longer than one hour they has been asked to leave. Interviewed Administrator mentioned that R1 was observed to be tired in the long visits V1 that R1 would tend to refuse their meals and would not participate in activities. Also gets more easily upset at times when V1 is around and talks to R1 about "escaping", going home. Interviewed S1 stated on 04/15/26 at the time of visit, V1 was making statements to R1 that they will "kidnap" R1 during the visit. V1 was notified that their visit was only 1 hour due to past visits history, that V1's comments and suggestions caused emotional distress and agitation to R1.

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SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20260416085517
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: SILVERADO SENIOR LIVING-SIERRA VISTA
FACILITY NUMBER: 198603267
VISIT DATE: 04/21/2026
NARRATIVE
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V1 has been asked to leave by S1 a couple of times due to R1 being noted as anxious and at times refusing a meal after V1's visits (Notes were provided to LPA). Interviewed S2 stated that on 04/15/26 they received phone call from R1's POA and notified that V1 would be coming to visit and advised that V1 has only 1 hour to visit R1 and does not allow to take R1 out of Community. S2 indicated that email was sent to facility leadership team. LPA interviewed 8 residents and they stated that they are allowed visitation with family and friends and they can visit them at any time without limitations.

Based on records review and interviews conducted with facility staff and residents although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is Unsubstantiated.

SUPERVISORS NAME: Wei Siew Ho
LICENSING EVALUATOR NAME: Nune Margaryan
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3