Silverado Senior Living - the Huntington.
Silverado Senior Living - the Huntington is Ranked in the bottom 12% of California memory care with 12 CDSS citations on record; last inspected Jan 2026.
A large home, reviewed on public record.
Compared to 56 California facilities with a similar number of beds.
RCFE memory care · 36-month window. Higher percentile = better performance on inspection record. Source: California Dept. of Social Services · Community Care Licensing.
Rankings based on 36-month CDSS inspection data. Severity and frequency: fewer citations = higher percentile. Repeat rate: lower repeat citation share = higher percentile.
FACILITY WATCH · BETA
Silverado Senior Living - the Huntington has 12 citations on record. Know the moment anything changes.
New findings, complaint investigations, or status changes — emailed to you free.
Citation history, plotted month by month.
12 deficiencies on record. Each bar is a month with a citation.
Finding distribution
11 total · 36 monthsScope × Severity (CMS A–L)
The rules that apply to this facility.
State requirements with the exact regulation citation, plain-language explanation, and a question to ask on tour. Rules this facility has been cited for appear first.
Plain language
Because a facility markets dementia or Alzheimer's care, state law mandates higher training standards: 12 hours of initial dementia training (6 hours before a staff member works independently with residents, 6 more within the first 4 weeks), 8 hours of annual dementia in-service every year thereafter, and an administrator must include 8 hours of dementia-specific continuing education in every 2-year recertification cycle. Training must cover individualized care plans, behavioral expressions, appropriate supervision, and the facility's dementia care philosophy.
Ask on tour
“Can you show me each direct-care staffer's most recent dementia training certificate, and tell me when their next refresher is due?”
Questions to ask before you visit.
A short pre-tour checklist tailored to Silverado Senior Living - the Huntington's record and state requirements.
The facility has 2 serious citations on file across all inspections — can you provide your corrective-action plan for each cited item, and show families any documentation of remediation steps taken?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
16 complaints are on file with CDSS — were any substantiated, and what remediation did the facility take in response to substantiated findings?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
The January 31, 2026 inspection cited 1 dementia-care deficiency under §87705 or §87706 — can you provide your corrective-action plan for the cited item and walk families through the remediation steps completed?
Ask the operator on tour. Take notes and compare answers across facilities you visit.
Every inspection visit, verbatim.
18 inspections in the public record, most recent first. Click any row to expand — cited rows open automatically.
2026-01-31Other VisitNo findings
Plain-language summary
This was an investigation of three complaints: that staff delayed medical care, failed to follow infection control procedures, and didn't notify families of an outbreak. The investigation found no evidence to support any of the complaints—staff responded quickly when a resident showed signs of illness on January 3, 2026, the facility was clean with staff properly using protective equipment, and while three residents were diagnosed with pneumonia in January, the cases were spread more than three days apart and therefore did not constitute an outbreak requiring special notification beyond what the facility already provided to families and health authorities.
Read raw inspector notesClose inspector notes
(continued from 9099) The investigation revealed regarding allegation: Staff did not seek timely medical care for resident. It is alleged that medical attention was not provided to resident in timely manner. LPA interviewed six (6) staff, and all six staff denied the allegation. One staff member (nurse) stated that staff noticed a resident wobbling while walking on January 3, 2026, around 10:00am and immediately assessed resident. Resident was observed with acute distress and generalized weakness, congestion and episodes of dry cough and paleness. Staff called 911 and resident was transported to Huntington Hospital at the time. LPA interviewed six (6) residents, and all six (6) residents could not corroborate the allegation. Several residents stated that facility staff provide medical attention right away and are happy with the services provided to them. There is insufficient evidence to support this allegation. Allegation: Staff did not follow the Universal Precautions Protocol. It is alleged that facility did not follow proper infectious control protocols that resulted in a respiratory illness outbreak. LPA interviewed six (6) staff and five (5) of six staff denied the allegation. One (1) staff refused to answer. LPA interviewed six (6) residents, and all six residents could not corroborate the allegation, and all stated that they were not aware of any kind of illness outbreak and all six (6) stated they had not recently been ill. Facility provided the department with an infection control plan and LPA took tour of facility common areas and did not observe any staff or residents with symptoms of a respiratory illness. LPA observed facility to be clean and observed staff following infectious disease protocols by wearing masks and gloves while assisting residents. There is insufficient evidence to support this allegation. (continued on 9099C) 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 (continued from 9099C) Allegation: Staff did not notify authorized representatives of an outbreak. It is alleged that facility did not notify authorized representatives of an outbreak at the facility. LPA Interviewed six (6) staff and all six staff denied that there was an outbreak of any kind at facility. LPA Interviewed six (6) residents and all six residents could not corroborate the allegation. Staff stated that they had three (3) residents diagnosed with Pneumonia this month and they had returned to facility after a short stay at hospital. Facility reported one resident with Pneumonia on 01/03/2026, one resident on 01/07/2026 and a third resident on 01/17/2026 . All three residents were diagnosed over 72 hours apart. This does not meet the definition of an outbreak. At the time of this visit, the facility had reported three (3) total residents and zero (0) staff infected. The Department of Public Health could not confirm that an outbreak has occurred at the facility. There was no outbreak to report to authorized representatives, however facility did notify the authorized representatives on the incident(s) on the day it was reported to the department. Facility took precautions immediately after the first infection, notified Public Health, responsible parties, and the Department. There is insufficient evidence to support this allegation. Based on interviews and records reviewed, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated . An exit interview was conducted and a copy of this report was discussed and provided to facility Jadelyn Pazcoguin - Family Ambassador
2025-10-28Other VisitType B · 1 finding
Plain-language summary
During an unannounced visit, inspectors found that the facility failed to report multiple incidents of inappropriate sexual behavior by a resident that occurred between January and August 2024. The facility is required to notify the state department when such incidents happen, and these ten incidents were not reported as mandated. A citation was issued and the facility submitted a plan to correct this violation.
“R1 showed inappropriate sexual behaviors on 01/28/2024, 03/08/2024, 03/09/2024, 04/27/2024, 05/01/2024, 05/06/2024, 05/09/2024, 06/26/2024, 08/10/2024. and 07/14/2024. Facility did not report these incidents to the department as required.”
Read raw inspector notesClose inspector notes
Licensing Program Analyst (LPA) Alberto Lopez made an unannounced visit to deliver deficiency citation. LPA met with Rochelle Carpio Administrator and discussed purpose of visit. During the investigation of complaint #28-AS-20250219161002 One resident showed inappropriate sexual behaviors on 01/28/2024, 03/08/2024, 03/09/2024, 04/27/2024, 05/01/2024, 05/06/2024, 05/09/2024, 06/26/2024, 08/10/2024. and 07/14/2024. Facility did not report these incidents to the department as required, Citation and plan of correction issued. Exit interview conducted with staff, copy of report, 809D and appeal rights provided.
2025-10-28Annual Compliance VisitType B · 2 findings
Plain-language summary
This was a routine annual inspection of the facility, which found that the building is clean and well-maintained with adequate staffing and activities. Two deficiencies were noted: hot water temperature in some rooms was below the required minimum, and a fire door on the south side and a lobby door did not open properly within the required time; the facility agreed to report these issues to the fire department and has scheduled repairs. All staff files reviewed showed proper training and clearances, medications are being managed according to doctor's orders, and residents have access to communication services and organized activities.
“Based on [(observation) (interview) (record review)], the licensee did not comply with the section cited above. The south side fire door was tested and did not operate properly; it did not open after 30 seconds. One door in the lobby is not working and does not open after 30 seconds. Staff provided work order for Wandering Gate Upgrade proposal from West Mills Communications Corporation which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 11/04/2025 Plan of Correction 1 2 3 4 Administrator will make sure that fire doors are repaired and contact the fire department to notify them of the doors. And send proof of correction to LPA by 11/04/2025”
“Based on observation, the licensee did not comply with the section cited above the water measured between 102.3 - 120.0 which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 10/28/2025 Plan of Correction 1 2 3 4 Administrator will adjust water temperature and keep log for 3 days and send to LPA by POC date.”
Read raw inspector notesClose inspector notes
Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. The purpose of the visit was explained to Gabi Rodriguez, receptionist and Rochelle Carpio Administrator and Director of Health services Arienne Ghammangne who assisted with the visit. Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. There is a visitor sign-in station located in the main entrance. The facility has an Infection Control Plan. Facility observed to very clean. Operational Requirements: A current Plan of Operation was reviewed. The facility serves residents 60 years and older, and a Hospice Waiver for ten (15) resident is approved. Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is in place. A surety bond is not applicable. Facility does not handle resident's money. Physical Plant/Environment Safety: The facility consists of a 2-story building with resident rooms on both floors. The main floor has a lobby, library, bistro area, dining room, kitchen, administrative offices, and spacious outdoor patio. The 2nd floor consists mainly of resident rooms and a dining room. There are no swimming pool or bodies of water on the premises. There are no firearms or weapons stored at the facility. LPA selected six random rooms to inspect and measure the hot water temperature. (continued on 809C) 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 (continued from 809) The water temperature measured between 102.3 – 120.0 degrees F which is not the required range of 105-120 degrees F. The supply of dishes/cups is adequate. The facility smoke detectors are hard-wired. Carbon monoxide detectors were observed throughout the facility. Fire alarm system was tested during visit. The fire extinguishers were fully charged and in compliance. The grounds of the facility are well landscaped with a ramp that leads to the entrance. A shaded area with chairs is provided in the patio area. The facility is equipped with a centralized sprinkler system. The south side fire door was tested and did not operate properly; it did not open after 30 seconds. One door in the lobby is not working and does not open after 30 seconds. Staff provided work order for Wandering Gate Upgrade proposal from West Mills Communications Corporation and stated that work is to be completed next week. LPA asked facility to report to Fire Department and CCL and facility agreed. Staffing: There appears to be always sufficient staffing in the facility. With night staff that is trained and able to assist in care and supervision of the residents in case of an emergency. Personnel Records/Staff Training: Staff have criminal record clearance, some staff have current First-Aid training along with training in medication assistance, and other ongoing training are documented in personnel files. LPA reviewed 6 staff files with no deficiencies observed. Administrator Rochelle Carpio certificate expires on 01/21/2027 Residents Rights-Information: Residents are provided with telephone and internet at the facility. The facility has the following posters posted: Residents Rights, Complaint Poster, and Ombudsman near the entrance. A total of six (6) resident files were reviewed. Files contained admission agreements, Physician's Reports, Appraisals, TB clearance, Functional Capability Assessment, and emergency information. Planned Activities: Sufficient space to accommodate both indoor and outdoor activities was observed. Indoor and outdoor activities are performed daily. LPA observed activities during visit. (continued) Food Service: Sufficient food supply is stored in the kitchen and storage areas consisting of: 2-day perishables, 7-day non-perishables, and emergency food supplies. (continued) 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 (continued from 809C) Incident Medical and Dental: Six (6) centrally stored resident medications were reviewed. Medication is given according to doctor’s orders. Some medications did not have labels and staff promptly corrected that by placing labels on the medications. Medical and dental transportation is provided by family, transportation services, or staff. Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers and at least 2 relocation sites. Last fire/disaster drill was on 09/08/2025 Residents with Special Health Needs: Facility has recommended documents on residents with home health services and have ongoing communication with home health agencies. Facility admits residents with dementia and staff have all required training documented within personnel files. Per California Code of Regulations, Title 22, deficiencies were cited. Technical Advisories provided. Exit interview was conducted with staff. A copy of the report and appeal rights were issued.
2025-08-23Complaint InvestigationSubstantiatedCitation on file
Plain-language summary
A complaint investigation found that staff failed to adequately protect residents' privacy and dignity when one resident engaged in repeated inappropriate sexual behavior in front of others over many months—including an incident in February 2025 where staff observed this resident on top of a roommate. The facility was aware of these behaviors starting in January 2024 but did not contact the resident's doctor for medication to help manage the behavior until September 2024, and did not provide the resident with a private space. The facility was cited for not protecting residents' rights.
Substantiated — the state found a violation and issued a citation. Full citation details are on file with the state.
Read raw inspector notesClose inspector notes
(continued from 9099A) The investigation revealed: Regarding Allegation: Staff did not prevent a resident from inappropriately touching self in front of other residents in care. It is alleged that the resident was inappropriately exposing self in front of the other residents. LPA interviewed six (6) staff and four (4) of six (6) staff corroborated the allegation by stating to have observed R1 masturbating multiple times, Staff were aware of R1’s tendency to masturbate in R1’s room, and that R1 was placed on medication to assist with behavior. Due to cognitive skills, R1 and R2 were not able to be interviewed. Per documents reviewed, R1 was admitted to the facility on 12/23/2023. Progress notes show on the following dates R1 showed inappropriate sexual behaviors; 01/28/2024, 03/08/2024, 03/09/2024, 04/27/2024, 05/01/2024, 05/06/2024, 05/09/2024, 06/26/2024, 08/10/2024. On 07/14/2024, R1 made an inappropriate sexual comment towards R1’s roommate and their visitors. On 09/24/2024, Facility contacted R1’s physician and was provided with medication to assist with inappropriate sexual behaviors. On 2/18/2025 Facility staff observed R1 on top of their roommate, with R1’s pants down. At 8:33am, staff #4(S4) emailed the facility’s nurses and management team regarding R1’s inappropriate behavior towards roommate (R2). Per records reviewed the facility Administrator was aware of R1’s behavior between January of 2024 to August of 2024. It wasn’t until 9/24/2025 that the facility staff contacted R1’s physician to seek assistance with behaviors. The facility staff did not protect the personal rights of the residents in care by providing assistance sooner and/or providing a private space for R1. Therefore, there is sufficient evidence to support this allegation. Based on interviews conducted and record review, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 8), are being cited on the attached LIC9099D. An exit interview was conducted. A copy of this report, Plan of Correction, and Appeal Rights were provided.
2025-04-15Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
An investigator looked into a complaint that the facility was pressuring family members to give a resident anti-psychotic medication or was not giving medications as prescribed. The investigator reviewed the resident's medication records, spoke with staff and the family member, and found no evidence to support the complaint. The resident's medications are managed according to physician orders, and no anti-psychotic medication was prescribed for this resident.
Read raw inspector notesClose inspector notes
the facility prior to moving there. Regarding allegation: Medication is not given as prescribed. Regarding resident #1 receiving anti-psychotic medication, LPA Wesley visited the medication room and reviewed a list of medication for resident #1 and did not see any type of anti-psychotic medication for resident #1. LPA Wesley asked the Administrator, the Director of Health services and the LVN if they pressure the family, so they could give anti psychotic medication and they answered no. LPA Wesley asked the POA for resident #1 if the facility pressured him to issuing resident #1 anti-psychotic medication and he said no, the physician is the one who orders medication and sends it to the pharmacy/facility. LPA Wesley did observed that one of resident #1's medication was increased, but it was not a anti-psychotic medication. The Administrator said the residents are seen by the doctor(s) and evaluated, sometimes the doctor decreases medication and sometimes the medication is increased, depending on the situation. The LVN(Charge Nurse), said they refer to the Physician orders when filling and refilling the medication, it has nothing to do with family members. Based on the interviews conducted with staff, residents, review of residents medical files and facility records, there was not enough supportive evidence to concur with the reported allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation(s) are UNSUBSTANTIATED. Exited interview conducted.
2025-04-11Complaint InvestigationType B · 1 finding
Plain-language summary
During a follow-up visit, inspectors found three pairs of scissors stored in an unlocked room on the second floor that was accessible to 32 residents in the dementia care unit. The facility later provided evidence that the scissors were not left unattended, which reduced the violation from an immediate risk to a potential risk. The citation was downgraded accordingly.
“Based on observation by LPAs and Director of Health Services during tour of facility licensee did not ensure staff locked up 3 pairs of scissors left unattended in the unlocked wellness room at 9:50AM on the second floor of dementia care facility which poses a potential risk to the health, safety, or personal rights of the persons in care.”
Read raw inspector notesClose inspector notes
Licensing Program Analysts (LPAs) Alberto Lopez and Sakinah Madyun made a subsequent visit. The reason for the subsequent visit is to change the deficiency Type from A to B for the citation issued on 2/25/25 for Section 87309(A). LPAs met with Arienne Ghammangne Director of Health Services and discussed purpose of visit. According to Section 87309(a), items that could pose a danger to residents are to be kept in a locked storage and not left unattended if outside the locked storage. The three pairs of scissors in question were behind an unlocked door, yet it could not be established based on the preponderance of the evidence that these items were left unattended as required. In consideration of these facts, the citation appears to be a potential risk to residents and not an immediate risk. On 02/25/2025 conducted a subsequent visit to investigate two complaints. LPAs arrived unannounced and met with Arienne Ghammangne Director of Health Services and Rochelle Carpio Administrator arrived a short time later and assisted with the visit. The purpose of the visit was explained. During a tour of facility at 9:50am with Arienne Ghammangne, Director of Health Services, LPAs observed the wellness room door unlocked on the second floor across from the elevator and dining area. Inside the room were three (3) pairs of sharp scissors in the unlocked room which are accessible to 32 residents in dementia care facility. This poses an immediate risk to the health, safety, or personal rights of the persons in care. Deficiency cited on 809D, exit interviewed conducted with Arienne Ghammangne Director of Health Services and copy of report and appeal rights provided.
2025-03-25Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
An investigation into three complaints found no evidence of violations: staff were not withholding food to force medication, medication records were being properly updated following doctor changes, and mail was not being withheld (one resident who reported mail concerns actually indicated preference not to involve a particular family member). All interviewed staff and residents either denied the allegations or could not confirm them, and facility observations during meal times showed residents receiving food and medications normally.
Read raw inspector notesClose inspector notes
(Continued from 9099) The investigation revealed: Allegation: Staff are harassing residents to ingest resident's prescribed medications. It is alleged that staff are withholding food from residents unless they take their medications. LPAs interviewed five (5) staff and five (5) of five (5) staff denied the allegation. LPAs interviewed six (6) residents and six (6) of six (6) residents were not able to corroborate the allegation. One resident stated food is never withheld from resident regardless of if resident takes medication or not. LPAs toured the upper and lower dining rooms during lunch time and all residents were provided their meals and observed nurse providing medications to some residents and no resident was refusing to take the medications. Nurses denied hiding the medications in the food or withholding food. W1 stated that food is not withheld from resident if resident refuses medications. There is insufficient evidence to substantiate this allegation. Allegation: Staff does not ensure resident's medication records are updated. It is alleged that there is no evidence of discussion between one resident’s physician and facility staff. LPAs interviewed five (5) staff and five (5) of five (5) staff denied the allegation. LPAs interviewed six (6) residents and six (6) of six (6) residents were not able to corroborate the allegation. W1 stated W1 is aware of all medication changes and in agreement with them. An order from one resident’s physician for alteration of medication was sent to facility on 01/06/2025. On 01/06/2025 family took resident to medical appointment. New prescription was discussed between resident’s physician and the family. The new prescription was approved by family. A new prescription order was created and sent to pharmacy on 01/06/2025. One resident stated resident not familiar with what this allegation means. LPA reviewed one resident’s progress notes for month of January 2025. On 01/13/2025 and 01/17/2025, Resident record was updated and shows progress note updating resident’s medical records. Resident’s medication records were updated on 01/07/2025 and 01/14/2025. S1 stated family took resident to physician on 01/06/2025 and physician recommends changes and family approves the recommendations. There is insufficient evidence to substantiate this allegation. Allegation: Staff are withholding resident's mail. It is alleged that mail for one resident is being withheld by facility. LPAs interviewed five (5) staff and five (5) of five (5) staff denied the allegation. LPAs interviewed six (6) residents and six (6) of six (6) residents were not able to corroborate the allegation. One resident stated resident always gets mail. One resident stated resident does not want one family member involved in resident’s affairs or to have any kind of contact with resident as it becomes too stressful for resident. One resident stated resident would prefer if one family member be left out of resident’s medical and personal business completely. There is insufficient evidence to substantiate this allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED.
2025-03-20Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint alleged that facility staff were confiscating a resident's reading glasses and keeping them locked away, limiting access. Inspectors interviewed 10 residents who use reading glasses and found glasses in residents' rooms; staff explained that glasses for some cognitively impaired residents are temporarily moved to the nursing office at bedtime as a safety precaution to prevent wandering residents from taking them, and are returned each morning. The complaint could not be substantiated.
Read raw inspector notesClose inspector notes
Allegation: Staff confiscated resident's personal items. The complaint alleges facility staff have confiscated the reading glasses of a resident (name unknown), and are keeping them locked in the nursing office. According to information obtained, the reading glasses are only accessible at limited times during the day, which infringes upon the personal rights of the resident. Complaint details state the unknown resident has a newspaper subscription they have been unable to read because the resident cannot find their reading glasses. Since the complaint does not name the resident. Residents that use reading glasses were randomly selected for interviews. A total of 10 residents were interviewed. None of the residents interviewed reported staff confiscate their eyeglasses or reading glasses. During room inspections, reading glasses were observed in the residents room and/or drawers. A total of five (5) staff were interviewed. Staff stated that some resident personal items i.e., dentures, hearing aids, and glasses are taken to the Wellness/Nurse office after they are put to bed as a safety precaution, and in order to prevent residents who wander from taking them from resident rooms. This procedure is only done for the less independent more cognitively impaired residents. Each morning staff take back the reading and/or eyeglasses to the residents rooms. Upon admission to the facility, reading and eyeglasses are labeled and added to the inventory list in order to ensure the residents personal belongings are safeguarded. If and when a resident requires frequent reminders to wear glasses, it is added to their Service Plan and staff are instructed to remove the glasses from their rooms after bedtime. Copies of current inventory of resident's personal effected and valuables were reviewed and obtained. Per staff interviews, there are approximately 5 residents that use reading glasses and enjoy reading the newspaper. LPA interviewed residents who utilize reading glasses and regularly read. During room inspections, reading glasses were observed in the resident rooms on top of tables or inside drawers. The Wellness Nursing office has a drawer where resident's glasses are stored at night, a hearing aid charging area, and bathroom medicine cabinet for denture storage. Facility staff are following procedures put in place to ensure health and safety of the individual resident or other residents. There is insufficient evidence to corroborate the allegation. 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 . An exit interview was conducted and a copy of this report was discussed and provided to facility Administrator Rochelle Carpio.
2025-02-25Other VisitNo findings
Plain-language summary
Inspectors made an unannounced visit to investigate complaints and found an unlocked wellness room on the second floor containing three pairs of scissors that were accessible to all 32 residents in the dementia care unit. The facility was cited for this safety hazard. The administrator was notified of the finding and provided a copy of the report.
Read raw inspector notesClose inspector notes
Licensing Program Analysts (LPAs) Alberto Lopez and Sakinah Madyun conducted a subsequent visit to investigate two complaints. LPAs arrived unannounced and met with Arienne Ghammangne Director of Health Services and Rochelle Carpio Administrator arrived a short time later and assisted with the visit. The purpose of the visit was explained. During a tour of facility at 9:50am with Arienne Ghammangne, Director of Health Services, LPAs observed the wellness room door unlocked on the second floor across from the elevator and dining area. Inside the room were three (3) pairs of sharp scissors in the unlocked room which are accessible to 32 residents in dementia care facility. This possess as an immediate risk to the health, safety, or personal rights of the persons in care. Deficiency cited on 809D, exit interviewed conducted with Rochelle Carpio Administrator and copy of report and appeal rights provided.
2025-02-25Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint alleged that staff were not allowing residents to receive packages or mail and were retaliating against residents, but investigators found no evidence to support either claim. All interviewed staff denied the allegations, residents confirmed they receive their mail and packages, and the facility maintains a tracking log for mail distribution. Investigators observed staff treating residents with kindness and care during an all-day visit.
Read raw inspector notesClose inspector notes
(continued from 9099) LPAs interviewed five (5) staff and five (5) of five (5) staff denied the allegation. LPAs interviewed six (6) residents and six (6) of six (6) residents were not able to corroborate the allegation. The complaint did not specify which residents were being retaliated against. LPAs observed staff caring for residents and did not observe any kind of abuse during the day long visit. Staff were observed to be kind and caring as they cared for residents. There is not enough evidence to substantiate this allegation. Allegation: Staff are not allowing residents to have packages delivered. It is alleged that staff is not giving residents their mail and packages. LPA interviewed five (5) staff and five (5) of five (5) staff denied the allegation. LPAs interviewed six (6) residents and six (6) of six (6) residents were not able to corroborate the allegation. All six (6) residents stated they receive their mail and packages and some residents stated that it is acceptable for their family to receive their mail. The facility has a tracking log for all residents and which explains the distribution of mail to the appropriate residents and/or their authorized representatives. R1 stated his son FM2 and spouse FM3 is authorized to open R1 mail. R1 also stated R1 does not want one (1) family member FM1 to obtain R1 mail. There is not enough evidence to substantiate this allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegations are UNSUBSTANTIATED.
2025-02-04Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
This was a complaint investigation looking into four allegations: that staff kept belongings away from a resident, interfered with mail and packages, failed to safeguard personal belongings, and did not properly supervise a resident who fell in the bathroom. The facility could not substantiate any of the allegations—residents and staff reported that belongings are safe, mail and packages are now given unopened to residents (a process the facility changed after a prior finding in January 2025), and a resident's head injury in the bathroom could not be confirmed as resulting from lack of supervision.
Read raw inspector notesClose inspector notes
Staff stated that they never heard of Resident R1 having belongings kept away from him and stated they never would retaliate and resident has personal rights. Items are often misplaced at times. Said Resident R1 walks around with a bag of his belongings and that items alleged missing are in his room. Resident's R2- R5 stated staff is very professional and always assist and are very accommodating and helping all 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. In regards to Staff are not giving the resident mail/packages, based on interviews conducted and information gathered it was revealed by Resident R1 who stated that he gets all his packages. Resident's R2-R5 all stated that they receive their mail/packages. Staff stated that they now will give packages and mail unopened to residents. Said previously they needed to know what may be in the mail or packages to protect residents safety. Said this allegation was just addressed 01/28/25 and now the process has changed. It should be noted that Substantiated findings were delivered 01/28/25 regarding the allegation Facility staff are interfering with residents mail and packages. 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. In regards to the allegation Staff do not safeguard residents personal belongings, based on interviews conducted and information gathered it was revealed by Resident R1 that his belongings are safe and he also has his belongings in a bag he carries around. Stated he gets all his belongings and none have been taken from his room. Resident's R2-R5 stated that their belongings have always been safe and they haven't had any items taken from their room. Spoke with Staff who stated that they had never heard of missing items from any residents room. Said that items may be misplaced, but they look for it and often find it. During a tour of Resident R1's room LPA observed a television, mouse, mouse pad and calendar. 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. 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 In regards to the allegation Due to lack of supervision resident fell and received injuries, based on interviews conducted and information gathered it was revealed by Resident R1 that he hit his head in the bathroom and staff assisted him right away in going to the emergency room when they noticed his cut at breakfast. Resident's R2- R5 all stated that staff are great and assist them with all medical concerns. Staff stated that when Resident R1 came to breakfast they noticed blood on his head. Said the Resident R1 said he hit it on the ceiling and then said he hit it on the shower knob. Also stated they will do rounds every 2 hours and it was not noticed during those visits. 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. An exit interview was conducted with Administrator.
2025-01-28Complaint InvestigationMixedIJ · 1 finding
Plain-language summary
This complaint investigation found that facility staff are opening residents' mail and packages, which violates residents' rights; staff said they did this to check for items residents might be allergic to, but three of six residents interviewed confirmed their mail was being opened. A second allegation in the complaint could not be substantiated due to insufficient evidence.
“S3 and S5 stated that resident's correspondence is opened and screened before giving it to resident which poses an immediate risk to the health, safety, or personal rights to the persons in care.”
Read raw inspector notesClose inspector notes
The investigation revealed. Allegation Facility staff are interfering with residents mail and packages. It is alleged that facility staff is opening resident’s mail. LPA interviewed six (6) staff and four (4) of six (6) staff denied the allegation. S3 and S5 stated they do open the resident's packages to make sure residents do not get dangerous items and to inventory the items. LPA interviewed six (6) residents and three (3) of six (6) residents stated that their mail is opened by facility staff. Staff stated they want to make sure the residents do not get a medication or over the counter item that they may be allergic to and that is why they open the mail. Opening the resident’s mail is a clear violation of the resident’s rights. There is enough evidence to substantiate this allegation. Based on interviews conducted, the preponderance of evidence standard has been met, therefore, the above allegation is found to be SUBSTANTIATED. California Code of Regulations, (Title 22, Division 6 and Chapter 8), is being cited on the attached LIC 9099D. An exit interview was conducted. The Plan of Correction was reviewed and developed with the Administrator. A copy of this report and appeal rights were provided. 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 (continued from 9099) The investigation revealed. LPA interviewed six (6) staff and six (6) of six (6) staff denied the allegation. LPA interviewed six (6) residents and six (6) of six (6) residents could not corroborate the allegation. LPA reviewed R1 medication list, and all medications are ordered by R1’s physician and are administered according to physician’s orders. W1 who is POA for health care for R1 is aware and in agreement of the medications facility is providing to R1. LPA observed R1 to be alert during the entire visit. There is insufficient evidence to substantiate this allegation. 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. An exit interview was conducted with Administrator. A copy of this report along with the appeal rights were provided.
2024-11-05Complaint InvestigationUnsubstantiatedNo findings
Plain-language summary
A complaint investigation was conducted into three allegations: that staff pressured a family into authorizing an anti-psychotic medication, that staff failed to intervene during a resident-to-resident physical altercation, and that the facility lost a resident's phone charger. The investigator interviewed staff and residents and found no evidence to support any of the allegations; all four staff members denied the claims, five residents could not corroborate them, and medical records showed the medication was prescribed by a physician with family consent. The complaints were determined to be unsubstantiated.
Read raw inspector notesClose inspector notes
(Continued from 9099) LPA interviewed four (4) staff and all four (4) staff denied the allegation. LPA interviewed five residents and all five (5) residents were not able to corroborated the allegations. R1 was admitted on 07/20/2024 and moved out on 08/18/2024. According to S3, R1 was prescribed an anti-psychotic for aggression and being combative. S3 stated S3 never personally administered the anti-psychotic due to her schedule. S1 stated that family is always consulted first and make the final decision for any new medication(s). Record reviewed showed that R1 physician ordered the anti-psychotic for agitation with start date of 08/16/2024 and was administered according to doctor's orders. There is no evidence that family was pressured into authorizing anti-psychotic for R1. Allegation: Facility staff do not intervene when resident's engage in physical altercations. It is alleged that resident had an altercation with another residents and staff did not intervene. LPA interviewed four (4) staff and all four staff denied the allegation. S1 stated R1 was found on floor by staff on duty and SIR submitted to the department. LPA interviewed five (5) residents and five (5) of five (5) residents could not corroborate the allegation. All five (5) residents stated they have never witness resident on resident violence at facility. There is not evidence that staff allowed aggressive behavior between residents. Allegation Facility staff did not safeguard resident's personal items. It is alleged that facility failed to safeguard resident's phone charger and is lost. LPA interviewed four (4) staff and all four (4) staff denied the allegation. LPA interviewed five (5) residents and five (5) of five (5) residents could not corroborate any lost or stolen items. S2 stated S2 completes an inventory list when residents move in, Reviewed of R1 personal property showed no phone charger on the list. S2 stated the facility does everything they can to safeguard residents personal property but things do get separated from residents from time to time. There is not enough evidence to substantiate this allegation. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED. An exit interview was conducted with Arrienne Ghammange. A copy of this report along with the appeal rights were provided.
2024-09-16Other VisitType A · 2 findings
Plain-language summary
During a routine annual inspection, inspectors found that hot water temperatures in six randomly selected rooms were below the required range of 105-120 degrees Fahrenheit (measuring between 93.7-122 degrees), and the north fire door did not operate properly; the facility has agreed to report both issues to the Fire Department and licensing authorities. The facility otherwise met requirements across staffing, medication management, infection control, resident rights, activities, and emergency preparedness, with staff files reviewed showing appropriate training and clearances. Civil penalties were issued for a repeat violation.
“Based on observation, the licensee did not comply with the section cited above. the water at the facility measured 93.7 to 122.0 in random rooms which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 09/17/2024 Plan of Correction 1 2 3 4 Administrator will adjust water and keep a log for seven (7) days and send to LPA as proof of correction. Civil penalties issued for repeat violation.”
“Based on observation, the licensee did not comply with the section cited above. Facility front side fire door is not operating as it should, it will not open. Call cord in room 157 needs repair, and there is a leak in the food storage room which poses/posed a potential health, safety or personal rights risk to persons in care. POC Due Date: 09/20/2024 Plan of Correction 1 2 3 4 Administrator will repair the fire door, the call cord in room 157 and the water leak in the food storage room. Facility will send proof of repairs to LPA. Facility reported the fire door to fire department today. per Administrator. Facility repaired fire door and call cord during visit. Only thing pending is the leak in food storage room.”
Read raw inspector notesClose inspector notes
Licensing Program Analyst (LPA) Alberto Lopez conducted an unannounced Required- 1 year visit using the full Care Compliance and Regulatory Enforcement (CARE) Tools. The purpose of the visit was explained to Director of Health services Arienne Ghammangne and Administrator Rochelle Carpio arrived a short time later and assisted with the visit. The following 12 (CARE) tool domains were utilized during the inspection: Infection Control: Infection control practices and Personal Protective Equipment (PPEs) were observed. There is a visitor sign-in station located in the main entrance. The facility has an Infection Control Plan. Operational Requirements: A current Plan of Operation was reviewed. The facility serves residents 60 years and older, and a Hospice Waiver for ten (10) resident is approved. Liability Insurance in the amount of at least ($1,000,000) per occurrence and ($3,000,000) in total annual aggregate is in place. A surety bond is not applicable. Facility does not handle resident's money. Physical Plant/Environment Safety: The facility consists of a 2 story building with resident rooms on both floors. The main floor has a lobby, library, bistro area, dining room, kitchen, administrative offices, and spacious outdoor patio. The 2nd floor consists mainly of resident rooms and a dining room. There are no swimming pool or bodies of water on the premises. There are no firearms or weapons stored at the facility. LPA selected random rooms - (rooms #157, #159, #161, #204, #203, and #223) to measure the hot water temperature. 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 The temperatures measured between 93.7-122 degrees F which is not the required range of 105-120 degrees F. The supply of dishes/cups is adequate. During today's visit. The facility smoke detectors are hard wired. Carbon monoxide detectors were observed throughout the facility. The fire extinguishers were fully charged and in compliance. The grounds of the facility are well landscaped with a ramp that leads to the entrance. A shaded area with chairs is provided in the patio area. The facility is equipped with a centralized sprinkler system. The north fire door was tested and does not operate. LPA asked facility to report to Fire Department and CCL and facility agreed. Staffing: There appears to be always sufficient staffing in the facility. With night staff that is trained and able to assist in care and supervision of the residents in the case of an emergency. Personnel Records/Staff Training: Staff have criminal record clearance, current First-Aid training along with training in medication assistance, and other ongoing training are documented in personnel files. LPA reviewed 5 staff files with no deficiencies observed. Administrator Rochelle Carpio certificate expires on 01/21/2025 Residents Rights-Information: Residents are provided with telephone and internet at the facility. The facility has the following posters posted: Residents Rights, Complaint Poster, and Ombudsman near the entrance. A total of five (5) resident files were reviewed. Files contained admission agreements, Physician's Reports, Appraisals, TB clearance, COVID-19 vaccine cards, Functional Capability Assessment, and emergency information. Planned Activities: Sufficient space to accommodate both indoor and outdoor activities was observed. Indoor and outdoor activities are performed daily. (continued) 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 Food Service: Sufficient food supply is stored in the kitchen and storage areas consisting of: 2-day perishables, 7-day non-perishables, and emergency food supplies. Incident Medical and Dental: Five (5) centrally stored resident medications were reviewed. Medication is given according to doctor’s orders. Medical and dental transportation is provided by family, transportation services, or staff. Disaster Preparedness: The facility has an Emergency Disaster Plan with contact numbers and at least 2 relocation sites. LIC610 needs to be updated when all staff are trained on shut of utilities. Residents with Special Health Needs: Facility has recommended documents on residents with home health services and have ongoing communication with home health agencies. Facility admits residents with dementia and staff have all required training documented within personnel files. Per California Code of Regulations, Title 22, deficiencies were cited. Technical Advisory provided. Exit interview was conducted with staff. A copy of the report and appeal rights were issued. Civil penalties issued for repeat violation.
2024-01-04Complaint InvestigationMixedNo findings
Plain-language summary
An investigator looked into a complaint that a resident threw a ceramic plate and created an unsafe environment due to lack of supervision. Staff cleaned up the broken pieces promptly, no resident was harmed, and other residents could not confirm the incident happened; the investigation found no evidence that supervision was inadequate or that residents were unsafe.
Read raw inspector notesClose inspector notes
The investigation revealed: Allegation: Lack of supervision resulting in unsafe environment for residents. It is alleged that a resident threw a ceramic plate and it shattered into pieces that could have harmed the residents. R#1 stated she witness the incident and that the maintenance man came in and swept it up right away. R#1 stated she grabbed a broken piece of the cup (for evidence) and took it to her room. S5 stated she went to sweep it up it up, but it was already cleaned up by another staff by the time she got there and just ran a mop over it. No resident was ever in harm’s way during entire incident. No resident was harmed. Residents interviewed could not collaborate the allegation. R1 was asked to return the broken piece more than once to discard it and refused to hand it over. She finally did hand it over to police who discarded the piece and left without investigating. There is no evidence that lack of supervision is making it unsafe for residents. Therefore, this allegation is UNSUBSTANTIATED.
2023-11-07Other VisitType B · 1 finding
Plain-language summary
During a complaint investigation, inspectors found that a resident's health and safety documentation had not been updated since October 2022, creating a potential health and safety risk. The facility was cited for this deficiency and provided with a copy of the report and information about appeal rights.
“Resident#1 did not have a current physician report on file. Based on file review, Administrator did not comply with the section cited above which poses a potential health, safety or personal rights risk to persons in care.”
Read raw inspector notesClose inspector notes
During the course of a complaint investigation, Licensed Program Analyst (LPA) observed that R1 did not have updated LIC602. Last one was dated 10/12/2022 which poses/posed a health and safety Hazard to resident in care. Deficiency cited, please see 809D for details. Exit interview conducted with Director of Resident Engagement. and copy of report, 809D and appeal rights provided. .
2023-11-07Annual Compliance VisitType B · 2 findings
Plain-language summary
During a follow-up inspection visit, inspectors found the facility had adequate staffing, proper training in dementia care, and well-maintained resident files with appropriate care plans and consent forms. Two deficiencies were noted: two staff personnel files were missing required health screening forms, and physician reports for three residents were not current. The facility otherwise demonstrated compliance with resident rights protections and proper care practices for residents with incontinence and special needs.
“(c)(5) Each resident with dementia shall have an annual medical assessment as specified in Section 87458, Medical Assessment, and a reappraisal done at least annually, Based on record review, the licensee did not comply with the section cited above in which 3 out of 5 residents' physician's report are past a year of its last exam which poses a potential health and safety risk to residents in care. POC Due Date: 11/21/2023 Plan of Correction 1 2 3 4 The administrator shall ensure all residents with dementia have current medical assessments. The physician's report for Residents #1, #2, and #4 shall be submitted to LPA by POC due date 11/21/23.”
“(f) All personnel shall be in good health...Good physical health shall be verified by a health screening, including a chest x-ray....not more than six (6) months prior to or seven (7) days after employment or licensure. Based on record review, the licensee did not comply with the section cited above in which 2 of the 4 staff did not have health screening forms filled out which poses a potential health and safety risk to persons in care. POC Due Date: 11/21/2023 Plan of Correction 1 2 3 4 The administrator shall ensure all staff have health screening completed in their files. The health screening form for Staff #2 and #3 shall be submitted to LPA by 11/21/23.”
Read raw inspector notesClose inspector notes
Licensing Program Analyst (LPA) Cynthia Chan conducted a subsequent visit to finish the annual inspection. LPA met with Director of Resident Engagement, Cathy Huo, and explained the reason for the visit. During the visit today, LPA completed the remainder of the inspection and the following were reviewed: Staffing : The facility has sufficient staffing to meet the needs of the residents. There are awake staff providing night supervision. Personnel Records-Training : LPA reviewed 4 Staff files. The administrator's certificate expires on 1/21/25. Staff have fingerprint clearance and associated to the facility. 2 out of 4 staff files are missing the health screening form. Staff have appropriate dementia care training. Resident Records-Incident Reports: LPA reviewed 5 resident files. The files contain the admission agreement, medical assessment with TB results, consent forms, property valuable form, and care plan. The physician's report for 3 residents (Residents #1, #2, and #4) are not current. Resident Rights-Information : Information for appropriate reporting agencies are posted at the facility. Residents' rights are respected and implemented by staff. Residents with SHN : Facility accepts and retain residents with dementia. Staff are ensuring that incontinence residents are changed often and the facility remains free of odor from incontinence. No smoking-Oxygen in use signs are posted where appropriate. Deficiencies are issued on the LIC809D. An exit interview was held with Cathy Huo. A copy of this report along with appeal rights are given to staff.
2023-10-26Annual Compliance VisitType A · 1 finding
Plain-language summary
An annual inspection on October 26, 2023 found that the facility met most requirements for infection control, safety planning, activities, food service, and medication management, but identified one deficiency: hot water temperatures in four of eight randomly selected resident rooms measured 136–137 degrees Fahrenheit, which exceeds the safe maximum of 120 degrees and could cause burns. The facility was licensed to care for 62 bedridden residents with dementia and was found to have adequate staffing, supplies, insurance coverage, and emergency preparedness plans in place.
“Based on observation, the licensee did not comply with the section cited above in which 4 out of the 8 rooms' hot water temperature were over 120 degrees F which poses an immediate health, safety or personal rights risk to persons in care. POC Due Date: 10/27/2023 Plan of Correction 1 2 3 4 The administrator shall ensure the hot water temperature is within the range of 105-120 degrees F. A log of the hot water temperature shall be submitted to LPA by 10/27/23.”
Read raw inspector notesClose inspector notes
Licensing Program Analyst (LPA) Cynthia Chan conducted the annual inspection on 10/26/23. LPA met with the Director of Health Services, Arienne Ghammangne, and explained the reason for the visit today. The facility is licensed to serve 62 bedridden residents ages 60 and above and provides dementia care. The hospice waiver is approved for 10 residents. LPA conducted the inspection using the Compliance and Regulatory Enforcement (CARE) Tools. The following were observed: Infection Control: The facility staff are using appropriate hand hygiene and wearing gloves while assisting residents. Staff continue to clean and disinfect daily and more often for high touched surfaces. Facility has sufficient PPE supplies and had submitted the Infection Control Plan. Operational Requirements: The facility has a dementia care plan to accept or retain residents with dementia. There are currently 52 residents residing at the facility. The facility has the sufficient amount for liability insurance covering injury to residents and guests. Physical Plant & Environment Safety: The facility consists of a 2 story building with resident rooms on both floors. The main floor has a lobby, library, bistro area, dining room, kitchen, administrative offices and spacious outdoor patio. The 2nd floor consists mainly of resident rooms and a dining room. There are no swimming pool or bodies of water on the premises. There are no firearms or weapons stored at the facility. LPA selected random rooms - (rooms #121, #119, #157, #163, #216, #221, #256, #260) to measure the hot water temperature. 4 out of the 8 rooms had temperatures between 136-137 degrees F which is over the required range of 105-120 degrees F. Planned Activities: Facility has sufficient space to accommodate indoor and outdoor activities. There are sufficient supplies and equipment to meet resident's physical capability. Food Service: There are sufficient food supplies of 2-day perishable and a week of non-perishable items. The food are properly stored in the refrigerator. Disaster Preparedness: The facility has an Emergency Disaster Plan posted with contact numbers and at least 2 relocation sites. Incidental Medical & Dental: The medications are centrally stored in the wellness office. The facility uses an electronic Medication Administration Record (MAR) log to document medications given. LPA reviewed 5 residents' medication and they are being administered as prescribed by the physician. A deficiency is being issued today. An exit interview was held and a copy of this report along with appeal rights were given to administrator Carpio.
6 older inspections from 2021 are not shown in the free view.
6 older inspections from 2021 are not shown in the free view.
Family reviews
No reviews yet — be the first to share your experience
More options in neighboring cities
Licensed memory care in other cities within this county region — useful when your search radius crosses city limits.