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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198603267
Report Date: 06/20/2025
Date Signed: 06/20/2025 03:05:14 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, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/13/2025 and conducted by Evaluator Nune Margaryan
COMPLAINT CONTROL NUMBER: 28-AS-20250613122057
FACILITY NAME:SILVERADO SENIOR LIVING-SIERRA VISTAFACILITY NUMBER:
198603267
ADMINISTRATOR:GWINN, VIDAFACILITY TYPE:
740
ADDRESS:125 E. SIERRA MADRE AVETELEPHONE:
(626) 812-9777
CITY:AZUSASTATE: CAZIP CODE:
91702
CAPACITY:87CENSUS: 66DATE:
06/20/2025
UNANNOUNCEDTIME BEGAN:
09:10 AM
MET WITH:Selene Rangel- DHSTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff do not keep the facility clean and sanitary.
Staff do not ensure that pets in the facility are managed and receive approrpriate care
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced 10 day complaint visit to investigate the allegations listed above. Upon arriving at the facility, LPA met with Administrator Vida Gwinn and Rangel-Gutierrez Selene DHS (Director of Health Care Services) who assisted with the visit. The reason for the visit was explained.
The investigation consisted of the following: LPA Margaryan inspected the facility including dining areas and common areas, obtained a copy of the staff roster, residents roster, reviewed and obtain documentation relevant to this investigation and interviewed Administrator, DHS( Director of Health Services) , Staff 1 to Staff 3 (S1 to S3) and
Resident 1 to Resident 7 ( R1 to R7).

Continue 9099C
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Nune Margaryan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 28-AS-20250613122057
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: SILVERADO SENIOR LIVING-SIERRA VISTA
FACILITY NUMBER: 198603267
VISIT DATE: 06/20/2025
NARRATIVE
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In regards the allegation: Staff do not keep the facility clean and sanitary. It was alleged that there are approximately five (5) dogs freely roaming inside the facility and these animals have been observed defecating and urinating on the carpeted hallways, creating an ongoing foul odor.

Interviewed staff denied the allegation. They stated that facility is always clean and sanitary. They stated that there are 4 community dogs and 2 residents dogs on the premises and all staff properly taking care of them. Interviewed Administrator and DHS (Director of Health Services) indicated that there is a Pet Policy in place and all staff follow the policy. Interviewed staff stated if accidents happened, dogs urinate and defecate on the carpet / floor, staff will directly pick up feces and call the maintenance department for disinfecting and cleaning. Plant operations also keep a carpet / floor cleaning schedule to rid of any incident that could have gone unwitnessed. Interviewed Administrator and DHS stated that they have not received any concerns/complaints from residents, visitors nor staff in regard facility having a foul odor. Seven (7) residents were interviewed. All 7 residents stated that they don't have any concerns/ complaints about the facility dogs and reported that facility clean there is a no foul odor at the facility. LPA also conducted a tour of the facility and not observed any feces on the carpeted hallways.

In regards the allegation: Staff do not ensure that pets in the facility are managed and receive appropriate care. It was alleged that the facility dogs often seen inside patient rooms and common areas and residents have been seen stepping in the facility dogs feces and dogs being fed by residents during lunch time, using their hands and utensils.

Interviewed staff denied the allegation. They stated that there are 4 community dogs and 2 residents dogs on the premises and facility staff ensure that dogs are managed and receive appropriate care. Interviewed Administrator and DHS (Director of Health Services) stated have not received any concerns/complaints from residents, visitors nor staff in regard residents stepping in the facility dogs feces and / or dogs being fed by residents during lunch time, using their hands and utensils. They indicated that dogs are not allowed in residents room and not allowed in the dining areas during mealtimes. Interviewed staff stated that they didn't witness that resident stepped facility dogs feces. They stated that if accidents happened, dogs urinate and defecate on the carpet / floor, staff will directly pick up feces and call the maintenance department for disinfecting and cleaning. Interviewed staff indicated that dogs not allowed in residents room and dining areas during the mealtimes.

Continue 9099C

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Nune Margaryan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 28-AS-20250613122057
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: SILVERADO SENIOR LIVING-SIERRA VISTA
FACILITY NUMBER: 198603267
VISIT DATE: 06/20/2025
NARRATIVE
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Seven (7) residents were interviewed. All 7 residents stated that they don't have any concerns/ complaints about the facility dogs and reported that never stepped dogs feces. They stated they didn't fed dogs in the dining areas using their hands and utensils. LPA conducted tour at the facility including dining room and didn't see dogs in the dining areas. Interviewed staff and residents stated that residents enjoy the dogs and dogs make residents happy. LPA obtained and reviewed the Pet Philosophy and Policies & Procedures, Resident and Family Handbook which indicated that pets are welcome to facility. Handbook provided to all residents and family members with Residency Agreement.

Based on the observation, interviews conducted with the residents and staff although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED

An exit interview was conducted, and a copy of this report was provided to Director of Health Care Services.

NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Nune Margaryan
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3