306005691-3-12-2024-22-AS-SSAS-DPUQX4-20251230113253

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005691
Report Date: 03/12/2024
Date Signed: 03/12/2024 05:33:43 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/25/2022 and conducted by Evaluator Joseph Alejandre

PUBLIC

COMPLAINT CONTROL NUMBER: 22-AS-20220825163549

FACILITY NAME:	SILVERADO SENIOR LIVING-SAN JUAN CAPISTRANO		FACILITY NUMBER:	306005691
ADMINISTRATOR:	LIGHT, ERIN		FACILITY TYPE:	740
ADDRESS:	30311 CAMINO CAPISTRANO		TELEPHONE:	(949) 240-0550
CITY:	SAN JUAN CAPISTRANO	STATE: CA	ZIP CODE:	92675
CAPACITY:	96	CENSUS: 64	DATE:	03/12/2024
		UNANNOUNCED	TIME BEGAN:	05:01 PM
MET WITH:	Sheila Fike		TIME COMPLETED:	05:45 PM

ALLEGATION(S):

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Staff member is abusing residents in care.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to deliver the findings of the investigation into the allegation listed above. LPA met with Executive Director Sheila Fike and explained the reason for the visit. The investigation into the allegation revealed the following. It was alleged that staff at the facility wake up residents at 4 am or 5 am in the morning so the staff arriving at 6 am are not overwhelmed by having to get all the residents up and ready at the same time. The residents would then be put in a common area and stay there until breakfast is served. Breakfast is served from 7:30 am to 9 am. There would be no reason to wake residents unless there was an emergency or medical reason to wake them up. 14 out of 14 witnesses interviewed provided conflicting information regarding the allegation. None of the witnesses interviewed could corroborate the allegation. All individuals interviewed did report that none of the residents are abused or treated poorly. Based on the evidence gathered there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation, staff member is abusing residents in care is deemed UNSUBSTANTIATED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:	DATE: 03/12/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/12/2024

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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