Silverado Senior Living-escondido.

On 3/24/26, Licensing Program Analyst (LPA) Kyle Wellington made an unannounced visit to the facility to conduct an annual inspection. LPA met with the Administrator (Admin), Michael Zuletta, who was informed of the purpose of the visit. Admin told LPA there are 73 residents and 87 staff members at the facility. The facility has a fire clearance to serve 104 non-ambulatory residents and an approved hospice waiver for 30 residents with 12 residents currently receiving hospice services. LPA received a resident and staff roster from the Admin. LPA did an observation of the inside and outside of the facility with the Admin and conducted record reviews for the inspection. The facility is a one story building designated for memory care residents. The facility has a large dining room and common areas available for resident use along with outside shaded areas with seating. Indoor and outdoor passageways are free of obstructions. No bodies of water were observed on the premises. There were fire alarm systems, carbon monoxide detectors, and charged fire extinguishers throughout the facility. The fire extinguisher service tags noted the fire extinguishers were last serviced on 3/2/26. LPA reviewed the Inspection and Testing Certificate provided by JJJ Enterprises noting the facility's fire alarm and signaling systems passed their inspection conducted on 3/9/26. LPA reviewed the facility's Fire/Disaster Drill noting the facility's last fire drill was conducted on 2/17/26. LPA observed the laundry and supply rooms to be locked and inaccessible to residents, LPA toured the kitchen and observed food stored in a safe and clean manner. The facility has a two day supply of perishable foods and a seven day supply of non perishable foods. LPA observed a card rack on the kitchen wall noting residents' food allergies and dietary needs. LPA observed medications secured in medication carts, only accessible to authorized personnel such as nurses and medication technicians. LPA reviewed two staff and two resident files. The files contained all the required paperwork. LPA observed that all facility exits were clear of obstructions and had the required signage. 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 No deficiencies were cited during this visit. Exit interview was conducted with the Administrator and a copy of this report was given to the Administrator.

On 3/28/2025, Licensing Program Analyst (LPA) Janette Romero conducted an unannounced visit to the facility for a required annual inspection. LPA met with Administrator, Michael Zuletta who was informed of the purpose of the visit. The facility has a fire clearance to serve 104 non-ambulatory elderly residents. The facility also has an approved hospice waiver for 30 and LPA was informed 12 residents are currently receiving hospice services at the facility. LPA toured the facility with Administrator Zuletta and observed the facility is made up of a one-story building designated for memory care. The facility has large dining rooms and common areas available for resident use along with outside shaded seating. Indoor and outdoor passageways are free of obstruction. No bodies of water were observed on the premises. LPA observed fire alarm systems, carbon monoxide detectors, and charged fire extinguishers throughout the facility. The fire extinguisher service tags noted the fire extinguishers were last serviced on 3/5/2025. LPA reviewed the Inspection and Testing Certificate provided by JJJ Enterprises noting the facility's fire alarm and signaling systems passed their inspection conducted on 3/5/2025. LPA also reviewed the facility's Fire/Internal Disaster Drill noting the facility's last fire drill was conducted on 3/8/2025. LPA toured the kitchen and observed food was stored in a safe and healthful manner. The facility met Departmental requirements for a two-day supply of perishable foods and seven-day supply of non-perishable food items. LPA observed a card rack on the kitchen wall noting residents' food allergies and dietary needs. Resident interviews confirmed kitchen staff accommodate residents’ special requests/dietary needs. Medications are secured in medication carts, only accessible to authorized personnel such as facility nurses and medication technicians. During today's visit, LPA did not observed any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to Administrator Zuletta.

Licensing Program Analyst (LPA) Sabel Martinez conducted an unannounced Collateral visit. The LPA introduced himself and disclosed the purpose of the visit to Executive Director Michael Zuletta. During the visit, the LPA collected records, and conducted interviews. There were no immediate health, nor safety concerns observed. An exit interview was conducted with Executive Director Michael Zuletta, to whom a copy of this report, and Licensee Rights (LIC9058), were provided.

(Continued from LIC9099) It was alleged that the facility did not safeguard resident's personal property.  Interviews with S1 through S3 confirmed that resident's personal property was removed and accounted for by OS1.  OS1 confirmed that resident's personal property was accounted for and returned to the resident. Based on interviews and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED.  An exit interview was conducted with Administrator Michael Zuletta to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.

Licensing Program Analyst (LPA) Jacqueline Shaw Ross conducted an unannounced annual required visit. LPA met with Administrator In Training, Michael Zuletta and Family Ambassador Dementia Care Specialist, Shanyn Chapman, who were informed of the purpose of the visit. The facility is comprised of a one story building licensed for memory care. Total capacity of (104) residents, all of which may be non-ambulatory. The residents served are elderly ages 60 and above. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted (4) staff and (4) resident interviews. LPA observed the following: Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen. LPA observed gloves and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan. LPA observed PPE supplies at the facility. Physical Plant/Planned activities: LPA observed the resident bedrooms. Physical plant, floors, windows, and doors were observed to be clean. Fixtures and furniture were in good repair were present. The outdoor area was observed to be free of hazards. No pools are present at the facility. Laundry room was observed to be locked and equipment was observed to be in working condition. Food Service: LPA observed facility kitchen had the ability to prepare food in clean environment and possessed equipment in good working condition. LPA observed the facility met the required 2-day supply of perishable and 7-day supply of non-perishable foods. 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 Care & Supervision / Administration: LPA observed adequate staff are present for the supervision of residents. Emergency exiting plans, personal rights, and ombudsmen were found posted in the facility. LPA reviewed the facility's liability insurance and found that it was current. Record Review and Resident/Staff Files: LPA reviewed (5) staff files. All staff have updated training along with CPR/First Aid Certification. Five (5) resident files were reviewed, and found all required documents were present. Health Related Services/ Incidental Medical Services: All resident medications were locked in a medication room with medication carts. LPA observed the facility has a first aid kit on the premises and had a sharps container for needles. Disaster preparedness: LPA reviewed the facility's emergency and disaster plan. LPA reviewed documentation showing the facility last disaster drill on 2/16/2024, which met the department requirements. LPA observed all facility exits, and evacuation routes were posted at the facility. LPA observed the facility's emergency supplies along with disaster preparedness binder. There were no regulation violations observed during today's visit. An exit interview was conducted where a copy of this report was reviewed and provided to Administrator In Training, Michael Zuletta.

Licensing Program Analyst (LPA), Natasha Persaud conducted an unannounced Collateral visit. LPA met with Executive Director, Kellie Pacheco-Smith and discussed the purpose of the visit was to interview a resident. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 01/16) were provided to Executive Director, Kellie Pacheco-Smith whose signature below confirms receipt of these rights.