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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 374604254
Report Date: 02/20/2025
Date Signed: 02/20/2025 04:58:21 PM

Document Has Been Signed on 02/20/2025 04:58 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
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
FACILITY NAME:SILVERADO SENIOR LIVING-ENCINITASFACILITY NUMBER:
374604254
ADMINISTRATOR/
DIRECTOR:		SABRINA PEGROSSFACILITY TYPE:
740
ADDRESS:335 SAXONY ROADTELEPHONE:
(949) 240-7200
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY: 122CENSUS: 75DATE:
02/20/2025
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
01:25 PM
MET WITH:Administrative Specialist Sabrina Pegros, Executive Director Dyan Summerell, and Director of Health Services Cindy BlenkarnTIME VISIT/
INSPECTION COMPLETED:
02:15 PM
NARRATIVE
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Licensing Program Analyst (LPA) Carmen Lopez conducted an unannounced visit to open a complaint investigation and in conjunction conducted this case management visit. LPA Lopez identified herself and was granted entry by concierge Jeffrey Keast. LPA Lopez stated the purpose and reviewed basic elements of the case management visit with Cindy Blenkarn, Director of Health Services (DHS).

On 02/20/2025, the Department received a Report of Suspected Dependent Adult/Elder Abuse (SOC 341) for resident #1 (R1 – see Confidential Names List). According to DHS Blenkarn, the SOC341 was not the formal notice of eviction but a notification that one will be forthcoming. LPA reviewed Title 22, Division 6, Chapter 8, Article 4, Sections 87224 Eviction Procedures with Director of Health Services Blankarn, and the records to submit alongside the notice.

No deficiencies were cited during this visit.

An exit interview was conducted with Administrative Specialist Sabrina Pegros, Executive Director Dyan Summerell, and Director of Health Services Cindy Blenkarn. A copy of this report along with the Licensee Rights (LIC9058 03/22) were provided to Administrative Specialist Sabrina Pegros at the conclusion of the visit. The signature below confirms the documents were received.
SUPERVISORS NAME: Robyn Clark
LICENSING EVALUATOR NAME: Carmen Lopez
LICENSING EVALUATOR SIGNATURE: DATE: 02/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 02/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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