SILVERADO SENIOR LIVING-SAN JUAN CAPISTRANO

Official classification

Type B

Official code

1569.269(a)(21)

Regulation authority

HSC

What the official deficiency says

Residents of residential care facilities for the elderly shall have all of the following rights: To have prompt access to review all of their records and to purchase photocopies. Photocopied records shall be promptly provided, not to exceed two business days..This req is not met as evidenced by: Based on interviews conducted, Licensee failed to ensure R1's records were provided within two business days which poses a potential health and safety risk to residents in care.

Official plan of correction

Licensee agrees to forward proof that records have been provided to LPA by POC due date.

Deadline recorded: Aug 20, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(4)

Regulation authority

CCR

What the official deficiency says

Personal assistance and care as needed by the resident and as indicated in the pre-admission appraisal, with those activities of daily living such as dressing, eating, bathing and assistance with taking prescribed medications..This req is not met as evidenced by: Based on record review, Licensee failed to ensure R2 was assisted with proper administration of medications. R2 was administered metronidazole 250mg orally when the order indicates it is to be administered topically which poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee agrees to conduct an in-service on medication administration and forward proof to LPA by POC due date.

Deadline recorded: Jul 23, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)

Regulation authority

CCR

What the official deficiency says

Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded dignity in their personal relationships with staff, residents, and other persons. This req is not met as evidenced by: Based on interviews conducted and record review, Licensee failed to ensure R1 was accorded dignity at the facility. S1 was reportedly rough with the resident and was subsequently terminated which poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee agrees to conduct an in-service on personal rights and forward proof to LPA by POC due date.

Deadline recorded: Jul 23, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(c)(2)

Regulation authority

CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (2) Once ordered by the physician the medication is given according to the physician's directions. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in 2 out 8 residents, Resident 1 and Resident 2 were each missing one PRN which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/19/2026 Plan of Correction Licensee agrees to order the missing PRN medications for Resident 1 and Resident 2.

Official classification

Type B

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above hot water measured above 120.0 (120.9 to 125.9 degrees Fahrenheit) degrees in 5 out of the 8 rooms inspected which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 03/25/2026 Plan of Correction Licensee agrees to adjust the water temperature to measure between 105.0 to 120.0 degrees Fahrenheit in all resident rooms.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in 10 out of 10 staff files, all 10 staff had 20 hours of training including 8 hours of Dementia training but did not have 4 hours of training specific to postural supports reviewed which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/01/2026 Plan of Correction Licensee will ensure all staff have 4 hours of training in the topics of postural supports, restricted health conditions, and hospice. Licensee will provide proof of training to LPA by POC due date.

Official classification

Type B

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

87464 Basic Services (f) Basic services shall at a minimum include: (1) Care and supervision... This requirement was not met as evidenced by: Based on documents and admission, the licensee did not ensure R1 received assistance with showers by not making multiple attempts to assist R1 with showers in response to R1’s refusals, which poses a potential health risk to persons in care.

Official plan of correction

The licensee stated they will retrain staff on resident care refusals and submit proof to LPA by POC due date.

Deadline recorded: Sep 3, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review the licensee did not comply with the section cited above in 1 out of 6 staff members meeting the 20 hours of annual training required which poses a potential health and safety risk to persons in care.

Official plan of correction

POC Due Date: 04/01/2024 Plan of Correction Licensee agrees to train Staff 6 (Staff member who did not have 20 hours of training) to meet the 20 hours of training by 4/1/2024. Licensee agrees to ensure all staff meet al the requirements of HSC 1569.625. LPA to be provided proof of training by 4/1/2024.