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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 374604254
Report Date: 07/03/2025
Date Signed: 07/03/2025 05:24:23 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN DIEGO RO, 7575 METROPOLITAN DR. #109
SAN DIEGO, CA 92108
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/01/2025 and conducted by Evaluator Nacole Patterson
COMPLAINT CONTROL NUMBER: 08-AS-20250701131855
FACILITY NAME:SILVERADO SENIOR LIVING-ENCINITASFACILITY NUMBER:
374604254
ADMINISTRATOR:SABRINA PEGROSSFACILITY TYPE:
740
ADDRESS:335 SAXONY ROADTELEPHONE:
(949) 240-7200
CITY:ENCINITASSTATE: CAZIP CODE:
92024
CAPACITY:122CENSUS: 70DATE:
07/03/2025
UNANNOUNCEDTIME BEGAN:
01:45 PM
MET WITH:Executive Director Calais AnguianoTIME COMPLETED:
05:30 PM
ALLEGATION(S):
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Staff mismanaged resident's medications.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced 10-day visit to initiate a complaint investigation and deliver findings regarding the above complaint allegation. LPA introduced themselves and disclosed the purpose of the visit to Executive Director Calais Anguiano.

On 07/01/2025 it was alleged that staff mismanaged Resident 1's (R1) medication. The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff, outside sources, and records review. Staff interview did not corroborate the allegation, as staff involved with medication administration informed no medication errors had occurred. Staff informed that a documentation discrepancy had ocurred but was corrected and the correct medication was given. Management informed that all medication errors are elevated and investigated, and confirmed that no medication errors had occurred for residents during the timeframe of complaint.

Two outside sources were interviewed regarding the allegation. (Continued on LIC9099 p.2)
Unsubstantiated
Estimated Days of Completion: 0
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2025
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 2
Control Number 08-AS-20250701131855
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		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-ENCINITAS
FACILITY NUMBER: 374604254
VISIT DATE: 07/03/2025
NARRATIVE
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(Continued from LIC9099 p.1)

An outside protective agency familiar with the facility informed that they had not been made aware of any medication errors for the timeframe of complaint and did not have any concerns. An outside medical agency familiar with R1 informed that there have been no medication errors for R1 and no concerns about medication administration at the facility.

Review of facility records did not corroborate the allegation. Progress notes for R1 showed that R1's prescription for a behavior condition was adjusted, resulting in them presenting as more lethargic than normal. R1 was placed on alert charting during the timeframe of concern, the notes showing that the new prescription was effective. Review of R1's Medication Administration Record (MAR) did not evidence that a medication error had occurred. No records were found to corroborate that a medication error occurred.

Based on interviews, direct LPA observations and records review, a preponderance of evidence does not exist to prove that the alleged violation occurred, therefore the allegation is UNSUBSTANTIATED. An exit interview was conducted with Executive Director Calais Anguiano, to whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided.
SUPERVISORS NAME: Sabel Martinez
LICENSING EVALUATOR NAME: Nacole Patterson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/03/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/03/2025
LIC9099 (FAS) - (06/04)
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