565850072-8-19-2026-29-AS-KHEN-DYC6YZ-20260927211423

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 565850072
Report Date: 08/19/2026
Date Signed: 08/19/2026 05:42:34 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, 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
08/10/2026 and conducted by Evaluator Kelly Dulek

COMPLAINT CONTROL NUMBER: 29-AS-20260810152422

FACILITY NAME:	SILVERADO THOUSAND OAKS, LLC		FACILITY NUMBER:	565850072
ADMINISTRATOR:	ASHIMAN GILL		FACILITY TYPE:	740
ADDRESS:	980 WARWICK AVE		TELEPHONE:	(805) 307-7300
CITY:	THOUSAND OAKS	STATE: CA	ZIP CODE:	91360
CAPACITY:	82	CENSUS: 53	DATE:	08/19/2026
		UNANNOUNCED	TIME BEGAN:	11:27 AM
MET WITH:	Ashiman (Ashi) Gill		TIME COMPLETED:	05:55 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff did not properly supervise residents

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Kelly Dulek conducted an initial complaint investigation regarding the above allegations. LPA met with Administrator Ashiman (Ashi) Gill and Director of Health Services Heather Hampel and explained the reason for the visit.

During today's visit, LPA interviewed both managers at 11:31AM, toured the facility and observed medication pass at 12:00PM, interviewed three (3) staff from 12:29PM to 02:42PM. LPA also reviewed and obtained copies of relevant documents. The following was then determined:

The complaint alleges that in the morning hours before the front desk staff is available, staff are not providing appropriate supervision to residents in care, resulting in residents walking around the facility without clothing and eating off of the floor. During today's visit, LPA observed all residents to be wearing appropriate

Report Continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2026

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 2

Control Number 29-AS-20260810152422

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 THOUSAND OAKS, LLC	FACILITY NUMBER: 565850072
	VISIT DATE: 08/19/2026

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

clothing and LPA did not observe any residents eating off the floor. Staff interviewed stated they have never seen any resident pick something up off the floor and eat it. Staff stated even when a resident drops food from their hand, staff have never observed a resident eat that food. Interviews revealed that change of shift occurs at 06:00AM. Morning staff arrive, including six (6) caregivers and two (2) nurses. Additionally, housekeeping and dining staff arrive during a similar time frame. Oncoming care staff meet with outgoing care staff to ensure communication between the shifts related to the residents and their care needs. The morning staff then begin conducting rounds to assist the residents with their care needs. There are some residents who are early risers that do come out of their rooms in the morning hours. When a resident is observed in the common areas of the facility walking around either unclothed or in their pajamas, the resident is redirected back to their room and the staff assist them with getting dressed. Staff interviewed stated the residents are free to ambulate around the facility, as this is their home. However, staff encourage residents to remain dressed in appropriate clothing in the common areas. The information obtained during the investigation did not include evidence sufficient to corroborate the allegation. Although the allegation may have happened or is valid, there is not sufficient evidence to prove the alleged violation did or did not occur, therefore the allegation is deemed Unsubstantiated at this time.

No deficiencies cited during today's visit. Exit interview conducted. A copy of the report was provided.

SUPERVISORS NAME: Kristin Heffernan
LICENSING EVALUATOR NAME: Kelly Dulek
LICENSING EVALUATOR SIGNATURE:	DATE: 08/19/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/19/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2