Silverado Senior Living-berkeley.

On 5/4/26, LPA K. Nguyen conducted case management based on files reviewed, which showed that the incident for R1 occurred on 4/18/26 and was reported on 4/26/26, within the 7-day requirement during a complaint visit (15-AS-20260427163254). The interview showed that R1 was not admitted to the hospital due to R1's refusal; however, the facility has an on-site nurse who conducted an evaluation after the fall and noted that there was no serious injury at the time of the fall. LPA requested that Ed review 87211 Reporting Requirements and submitted a self-certified letter of understanding regarding the regulation mentioned above, including protocol of facility reporting requirement and submit to CCLD by the POC date of 5/8/26. No citation issue on today's date. Exit interview conducted and a copy of this report provided via email.

On 10/16/2025 at 1:00 PM, Licensing Program Analysts (LPAs) Y. Brown and A. Gomez conducted a case management visit as a result of a self-reported incident report received 10/10/2025. LPA met with the Administrator Michelle Neumann. It was reported that R1 was found after an unwitnessed fall. LPAs reviewed R1's care plan, physicians report and toured the facility. R1 returned back to the community and was re-accessed for any changes in condition. LPAs reviewed a random sample of staff records and found that all their training's were up to date. Exit interview conducted and a copy of this report provided.

...continued from LIC9099. In addition, statements were obtained from Staff (S1, S2, S3, S4, S5, S6) and Witnesses (W1, W2, W3, W4, W5). The allegation occurred on 03/10/25 around 06:48 AM. S5 assisted R1 with ADL’s, charted details of bruises on R1’s body and reported the incident to S1. S1 stated that he/she had never seen any bruises like this before on R1’s body and contacted 911. BFD arrived on site at the facility. BFD obtained urines samples, reported R1’s physical and mental condition BPD. On 03/10/25 at 06:50 PM, BPD responded to BFD personnel; W1 was present to assist with R1’s language translation. It was alleged that staff (W2) sexually assaulted R1. Due to R1’s diagnosis of Dementia, R1 was not able to provide details or additional information about the bruises and R1’s statements did not consist of sexual assault. W2 denied sexually assaulting R1 and stated that he/she had not observed any bruising or had any sexual contact with R1. W2’s last contact with R1 was through W2’s shift on 03/09/25 that ended around 10:45 PM. W2 was not employed by the facility, instead by R1’s family. On 03/09/25 at 05:40 PM, S5 and S6 provided care to R1 with ADL’s and toileting. S6 did not observe anything unusual or bruising on R1. S7 stated and reported on R1’s Progress notes dated 03/10/25 at 07:57 AM that R1 slept for 4.5 hours and noted R1 using his/her hands to hit his/her legs; it was very loud, and the noise was heard at the nursing station in the next room #28, R1 resided in room #29. PRN Codeine and Olanzapine were given to R1 at 3:09 AM, noted effective, and no abnormal findings were reported by W2. Records and interviews from S1, S2, S3, W1, W2, and W3 revealed that R1 was a fall risk, there was no evidence of sexual assault and no determination for the cause of bruises on R1. Based on all the information obtained, there was not enough evidence to conclude that R1 was sexually assaulted; therefore, the allegation is unsubstantiated. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview conducted and copy of this report provided to Michelle Neumann, Senior Administrator Specialist.

On 03/21/25 around 01:15 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a case management for an infectious outbreak. LPA met with Administrator (ADM) Jeffrey Emoruwa, and explained the purpose of the visit. On 03/12/25, S1 informed LPA that fifteen (15) residents were manifesting gastrointestinal (GI) symptoms that included diarrhea, and vomiting. To date, the facility has closed communal dining. All residents are on Bananas, Rice, Applesauce, and Toast ( BRAT) diet, and are offered clear fluids every 2 hours. Visitors and staff has been informed to wear PPE while caring for these residents and to wash their hands with soap and water regularly. Local Public Health (PH) department provided advisories to be posted at the main entrance to advise all incoming visitors and staff. PPE is available at the entrance, sufficient and recommended for all. Environmental services inspected kitchen and negative of any infectious disease. PH estimates that Tuesday, 03/25/25, all should be clear at the facility. A copy of this report provided to the Jeffrey Emoruwa, Administrator

On 03/21/25 around 11:00 AM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to conduct a 10-day complaint investigation and a Health and Safety inspection. LPA met with Administrator (ADM) Jeffrey Emoruwa and explained the purpose of the visit. LPA toured facility including, but not limited to the shared bathroom, common area, outdoor and indoor areas; indoor and outdoor passages were free of obstruction. Hot water temperature in the shared restroom was measured at 110.4 degrees F. Resident's are housed in individual apartment style rooms with adequate lighting in each room for the safety of residents. Resident rooms were observed to be clean and fully furnished. Facility purchases food 2-3 times a week to maintain 7-days of non-perishables, and 2-days of perishable foods. Resident's medications are kept locked in a medication cart located in the medication room on the 1st and 2nd floor. Smoke and Carbon monoxide detectors observed operational. Fire extinguisher was observed to be full and last serviced on 05/14/2024. There are no accessible bodies of water observed. No deficiencies cited during visit. Exit interview conducted and a copy of this report was provided to Jeffrey Emoruwa, Administrator.

On 03/05/2025 around 12:00 PM, Licensing Program Analyst (LPA) L. Holmes conducted an unannounced Required 1 Year inspection. LPA met with Jeffrey Emoruwa, Administrator and explained the purpose of the visit. LPA toured the facility with ADM who currently holds a certificate (#7016762740 ) that expires on 08/05/26. The facility’s fire clearance was approved for ninety (90) non-ambulatory residents; sixty-two (62) may be bedridden. Upon arrival LPA observed two (2) staff attending to the residents that were interacting and congregating in the common area of the facility. LPA, ADM and S5 toured the facility including, but not limited to bathrooms, shower room, common areas, medication room/nursing station, laundry room, dining areas and courtyard. The facility consists of individual apartments style rooms housed by the residents. Residents were exercising, playing the piano and listening to music. All outdoor and indoor passageways were free of obstruction. There were not any bodies of water. A comfortable temperature was maintained at 72 degrees Fahrenheit (F). LPA observed lighting in all areas to be adequate for the comfort and safety of the residents. Hot water temperature in the shared residents' bathroom was measured at 113 degrees (F). All toilets, hand washing, and bathing areas were safe, sanitary and in operating condition. Hand washing signs, paper towels, and soap observed at all hand washing stations. Linen and hygiene products were available for all residents. PPE, sanitizer, and paper goods remain sufficient. ...continued on LIC9099C. 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 LIC9099. The facility is masking per City of Berkeley's Public Health recommendations. Smoke detectors and carbon monoxide units were in operating condition during visit. Fire extinguishers were observed full and last inspected 05/13/2024. Emergency Disaster Plan is updated. Safety drill was conducted last quarter by Safety First. Five (5) staff records were reviewed, and all staff have criminal record clearances. Seven (7) residents records were reviewed and are complete. The following forms are to be updated and submitted to CCLD: -Resident Roster -LIC500 Personnel Report -LIC308 Designation of Administrative Responsibility (Reviewed) -LIC610 Emergency Disaster Plan (Reviewed) -An updated copy of Administrator Certificate(s) (Reviewed) -Liability Insurance No deficiencies cited during visit. Exit interview conducted and a copy of this report provided to Jeffrey Emoruwa, Administrator

On 03/05/25 around 10:00 AM L. Holmes, Licensing Program Analyst (LPA) arrived unannounced to conduct a case management regarding two (2) Unusual Incident Reports (UIRs). LPA was greeted by the Receptionist and explained the purpose of the visit while Jeffrey Emoruwa, Administrator (ADM) attended a meeting. ADM arrived about ten (10) minutes later. On 02/21/25, LPA received an email from ADM reporting 2 staff made physical contact with 2 residents on 2 different occasions. The facility became aware of the incidents evening on 02/19/25, and the investigation is still in progress. Staff (S1, S2) were suspended on 02/19/25 pending the results of the investigation; residents involved were (R1, R2). S4 alleged that S1 made contact to R1's left cheek while trying to stop R1 from be being agitated, throwing glass and trying to hit at S1. S4 stated that the incident happened in the dining area about a month ago (01/2025) S3 alleged that S2 slapped R2's forearm in an effort to prevent R2 from placing his/her hands inside their own briefs. S3 stated that the incident occurred about 2 months ago (12/2024) in R2's bedroom. Human Resources conducted a one (1) day investigation on site, and 1 day of calling for interviews; four (4) additional caregivers and 2 nurses were assigned to the facility to assist. W1 interviewed ADM also. S1 resigned prior to completion of the investigation. At this time, the facility's investigation is inconclusive. Exit interview conducted and a copy of this report provided to Jeffrey Emoruwa, Administrator.

...continued from LIC9099 LPA reviewed records and interviewed S1, S2, W2, and W5 which revealed that W1 is the Fiduciary and Responsible Party for R1. W2 stated that W1 refused to give him/her information about R1. S1 stated that W1 did not give notice that R1 was moving; W1 had an issue with W2 and did not want W2 to be allowed to visit although the facility had not had any problems with W2. W5 alleged that there had been emotional, medical, and financial abuse along with the death threats toward R1 from W2. S2 stated that he/she did not have knowledge of R1’s whereabouts and W1 just started gathering things to move R1 on 04/07/23. W1 did not return LPA’s phone calls prior, during or after the investigation on 05/01/2023. To date, W1 did not send any additional notification to S1 regarding R1's relocation. 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. Exit interview and a copy of this report provided to ADM.