019200938-9-9-2025-15-AS-YFLS-DMFNYG-20251014105243

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 019200938
Report Date: 09/09/2025
Date Signed: 09/09/2025 01:02:53 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/20/2025 and conducted by Evaluator Lisha Holmes

PUBLIC

COMPLAINT CONTROL NUMBER: 15-AS-20250320151634

FACILITY NAME:	SILVERADO SENIOR LIVING-BERKELEY		FACILITY NUMBER:	019200938
ADMINISTRATOR:	EMORUWA, JEFFREY O		FACILITY TYPE:	740
ADDRESS:	2235 SACRAMENTO STREET		TELEPHONE:	(949) 240-7200
CITY:	BERKELEY	STATE: CA	ZIP CODE:	94702
CAPACITY:	90	CENSUS: 67	DATE:	09/09/2025
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Michelle Neumann, Senior Administrator Specialist		TIME COMPLETED:	01:30 PM

ALLEGATION(S):

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Staff did not provide adequate supervision resulting in resident being sexually assaulted.

INVESTIGATION FINDINGS:

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On 09/09/25 around 12:15 PM, Licensing Program Analyst (LPA) L. Holmes arrived unannounced to deliver the complaint findings. LPA met with Michelle Neumann, Senior Administrator Specialist and explained the purpose of the visit.

During the course of investigation, the Department obtained copies of the following documents: Records for Residents (R1, R2, R3, R4) including, but not limited to the most recent Physician's Reports, 02/10/25 to 03/10/25 Progress and Care Notes, facility's incident form dated 03/10/25. Centrally Stored Medication and Destruction Records/Medication Lists, Service Detail Plans, Admission Agreements, ID/Emergency Contact information/Face Sheets. LPA requested a staff and resident roster. The Berkeley Fire Department (BFD), and Berkeley Police Department (BPD) were involved in the investigation; a police report was obtained by the Department for R1’s medical records from Highland Hospital Alameda Medical Center in Oakland, California which also contained R1’s Sexual Assault Response Team (SART) report.
Continued on LIC9099C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Lisha Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 15-AS-20250320151634

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

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-BERKELEY	FACILITY NUMBER: 019200938
	VISIT DATE: 09/09/2025

NARRATIVE

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...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.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Lisha Holmes
LICENSING EVALUATOR SIGNATURE:	DATE: 09/09/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/09/2025

LIC9099 (FAS) - (06/04)

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