<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 019200938
Report Date: 03/21/2025
Date Signed: 03/21/2025 04:56:22 PM

Document Has Been Signed on 03/21/2025 04:56 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612
FACILITY NAME:SILVERADO SENIOR LIVING-BERKELEYFACILITY NUMBER:
019200938
ADMINISTRATOR/
DIRECTOR:		EMORUWA, JEFFREY OFACILITY TYPE:
740
ADDRESS:2235 SACRAMENTO STREETTELEPHONE:
(949) 240-7200
CITY:BERKELEYSTATE: CAZIP CODE:
94702
CAPACITY: 90CENSUS: 76DATE:
03/21/2025
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
02:00 PM
MET WITH:Jeffrey Emoruwa, Administrator (ADM) TIME VISIT/
INSPECTION COMPLETED:
05:30 PM
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
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
SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Lisha Holmes
LICENSING EVALUATOR SIGNATURE: DATE: 03/21/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/21/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1