Silvergate Rancho Bernardo.

Licensing Program Analyst (LPA) Renita Hall conducted an unannounced required annual visit. LPA was allowed entry by Sondra Brakeville, Administrator. LPA identified herself and disclosed the purpose of the visit with the Administrator. Physical Environment:  The facility was found to be clean, well-maintained, and free from any safety hazards. Adequate lighting and ventilation were observed in all areas of the facility. All necessary safety equipment, such as fire extinguishers and emergency exits, was present and in good working condition. The facility's outdoor spaces were properly maintained and accessible to residents. Staffing and Training:  The facility had a sufficient number of qualified staff members to meet the needs of the residents.  The staff member was observed to be professional, courteous, and knowledgeable in their respective roles.  All staff members had completed the required training and certifications following licensing regulations.  Staffing schedules were posted and adhered to, ensuring adequate coverage at all times. 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 Resident Care and Services:  Residents' care plans were reviewed and found to be comprehensive and up-to-date.  Medication administration was observed to be following the facility's policies and procedures. Residents' nutritional needs were met, and the meals provided were nutritious and well-balanced. Recreational activities and social engagement opportunities were available to residents regularly. Health and Safety:  Regular health assessments and monitoring of residents' well-being were conducted by qualified healthcare professionals.  Infection control measures were in place and followed by staff members. The facility had established protocols for emergencies, and evacuation plans were readily available. Overall, the facility was found to comply with the licensing regulations.  An exit interview was conducted, and a copy of this report, along with the Licensee Rights (LIC 9058) was provided to Sondra Brakeville, Administrator. Her signature on this form confirms receipt of the documents.

Purpose of Visit: Incident Follow-Up – Death of Resident Licensing Program Analyst (LPA) Renita Hall conducted an unannounced case management visit to follow up on an incident reported to Community Care Licensing.  LPA met with Jessica Swaaley, Executive Director, and discussed the purpose of the visit. On January 13, 205, the facility sent the death report of Resident 1 (R1), age 78, to the Community Care Licensing Division (CCLD). The death occurred at the hospital after an unwitnessed fall at the facility. According to the facility’s written incident report, R1 experienced an unwitnessed fall on January 10, 2025 at approximately 7:30 am. R1 was transported to the hospital for medical treatment. The Responsible Party (RP) informed facility that R1 passed away on January 13, 2025. No official diagnosis of cause of death has been made known by the hospital or medical examiner's office. Diagnosis fractured neck and breathing complications 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 The Licensing Program Analyst (LPA) interviewed the Administrator and staff regarding the incident. The Administrator stated that staff followed the facility’s emergency protocols and contacted emergency services. Staff present during the incident confirmed that R1 was monitored per their care plan before the event. Review of Records:  The primary diagnosis was Dementia "sun downing" no secondary diagnosis and not a fall risk per LIC 602A. The facility’s incident reports were submitted within the required timeframe and included all pertinent details. Observations of the facility revealed appropriate safety measures were in place; no environmental hazards were observed. Based on the information gathered, the facility appears to have acted appropriately and in compliance with applicable regulations regarding this incident. No deficiencies were cited during this visit. An exit interview was conducted, and a copy of this report was provided to the Executive Director along with appeal rights (LIC9058 03/22) and an LIC 811.

Licensing Program Analyst (LPA) Renita Hall, conducted an unannounced Required 1 year Annual Visit. LPA was allowed entry by Sondra Brakeville, Administrator . LPA identified herself and disclosed the purpose of the visit with the Administrator. Physical Environment:  The facility was found to be clean, well-maintained, and free from any safety hazards. Adequate lighting and ventilation were observed in all areas of the facility. All necessary safety equipment, such as fire extinguishers and emergency exits, were present and in good working condition. The facility's outdoor spaces were properly maintained and accessible to residents. Staffing and Training:  The facility had a sufficient number of qualified staff members to meet the needs of the residents.  The staff member was observed to be professional, courteous, and knowledgeable in their respective roles.  All staff members had completed the required training and certifications per the licensing regulations.  Staffing schedules were posted and adhered to, ensuring adequate coverage at all times. 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 Resident Care and Services:  Residents' care plans were reviewed and found to be comprehensive and up-to-date.  Medication administration was observed to be in accordance with the facility's policies and procedures. Residents' nutritional needs were met, and the meals provided were nutritious and well-balanced. Recreational activities and social engagement opportunities were available to residents regularly. Health and Safety:  Regular health assessments and monitoring of residents' well-being were conducted by qualified healthcare professionals.  Infection control measures were in place and followed by staff members. The facility had established protocols for emergencies and evacuation plans were readily available. Overall, the facility was found to comply with the licensing regulations.  An exit interview was conducted and a copy of this report along with the Licensee Rights (LIC 9058) was provided to Sondra Brakeville, Administrator. Her signature on this form confirms receipt of the documents.