Silverado Thousand Oaks, Llc

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Resident was hospitalized due to a urinary tract infection resulting from staff neglect Facility staff did not meet resident’s incontinence care needs Facility staff handled resident in a rough manner Facility staff did not ensure resident had sufficient intake of food Facility staff did not answer resident’s calls for assistance Facility staff yelled at resident Facility staff did not provide records to resident’s responsible person

Licensing Program Analyst (LPA) Kelly Dulek conducted an unannounced subsequent complaint visit to this facility to deliver findings. At 11:45AM, the LPA was greeted by front desk staff and LPA explained the reason for the visit. At 11:57AM, the Administrator Rob Babasanta met with the LPA. On 04/09/2024, A referral was made to Community Care Licensing Division's (CCLD) Investigation Branch (IB) and was accepted as an assignment to obtain medical records and home health records for Resident #1 (R1). During the initial visit conducted on 4/10/2024 between 10:04 a.m. and 12:15 p.m., LPA Teresa Camara conducted a physical plant tour, interviewed the Administrator and obtained pertinent documents. During a subsequent visit conducted on 03/25/2025, LPAs Peraldi, Dulek and Huynh conducted a physical plant tour and conducted interviews with the Administrator, six (6) staff and four (4) residents. The LPAs also requested and obtained copies of pertinent documents during the subsequent visit. Rthe state’s words, verbatim · CDSS document, Apr 30, 2025 · control 29-AS-20240409091302

Allegation investigated: Neglect/lack of care & supervision – Resident 1 (R1) caused severe injuries to Resident 2 (R2) that led to the death of R2 Facility did not provide basic services to resident(s) in care Facility did not reappraise resident(s) in care Facility retained a resident that required a higher level of care Facility staffing is inadequate

Licensing Program Analysts (LPAs) Kelly Dulek, Emily Peraldi, and Quoc Huynh conducted a subsequent complaint visit with the purpose of delivering findings for the above listed allegations. LPAs met with Administrator Robloe (Rob) Babasanta at 10:00AM. Entrance interview conducted. On 11/01/2024, LPA Dulek received a telephone call/voicemail from Administrator Babasanta at 12:06PM indicating an incident had occurred between two (2) residents at the facility. LPA spoke to Administrator and Health Services Director (HSD) on the telephone at 02:30PM. LPA arrived at the facility at 03:10PM to conduct a Case Management visit related to the reported incident. During the visit, LPA interviewed HSD at 03:12PM, LPA conducted a health and safety check tour of the facility at 03:19PM, and LPA reviewed and obtained copies of relevant documents. LPA then received a complaint related to the reported incident and conducted an initial complaint visit on 11/06/2024. During the visit, LPA interviewed Adthe state’s words, verbatim · CDSS document, Mar 25, 2025 · control 29-AS-20241105163045

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Resident care needs not met. Staff did not initiate meeting with resident's responsible person.

Licensing Program Analyst (LPA) Zabel Chochian conducted an unannounced subsequent complaint visit to this facility to deliver investigation finding. LPA met with Executive Director and reason for the visit was stated. On 09/14/2023, Community Care Licensing Division (CCLD) received a complaint with the above allegations. On 9/20/2023, investigation was initiated from approximately 10:30am – 2pm; records were reviewed; interview was conducted with potential witnesses, and staff; ten (10) random resident rooms and common areas were toured. Attempt was made to interview residents during the room inspection. Following is a summary of the investigation findings: Regarding allegations, “Resident care needs not met” and “Staff did not initiate meeting with resident's responsible person”– It was alleged that staff did not follow through in addressing R1’s change in condition. It was also reported that subsequent care plan meeting was never initiated by facility staff. (cont.to LIC9099c). Substhe state’s words, verbatim · CDSS document, Dec 23, 2024 · control 29-AS-20230914154258

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are sleeping while on working hours

Licensing Program Analyst (LPA) Kelly Dulek conducted a subsequent complaint investigation with the purpose of delivering findings for the above noted allegation. LPA met with Director of Health Services Heather Hampel and explained the reason for the visit. During the initial visit conducted on 08/23/2024, LPA interviewed Executive Director (ED) at 10:48AM and LPA conducted a health and safety check tour of the facility at 11:25AM. LPA interviewed staff at 01:20PM, 04:00PM, and 04:15PM and obtained copies of pertinent documents. Throughout the course of the investigation, LPA reviewed documents and interviewed staff telephonically. The following was then determined: It was alleged that staff are sleeping during the overnight (NOC) shift, however, no specific information was provided related to staff members involved nor a time frame indicated. LPA interviewed staff and Report Continued on LIC 9099-C Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 10, 2024 · control 29-AS-20240821111712

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Physical Abuse - Resident #1 (R1) was physically and emotionally injured by Staff #1 (S1) while under the care and supervision of the facility. Conduct Inimical - Staff #1 (S1) was arrested and charged with misdemeanor elder abuse and being under the influence of a controlled substance.

Licensing Program Analyst (LPA) Teresa Camara conducted a subsequent complaint visit to deliver findings for the above allegations. LPA met with Administrator Rob Babasanta and explained the reason for the visit. On 02/28/2024, the Department received a complaint regarding allegations of physical abuse and conduct inimical. Resident #1 (R1) was physically and emotionally injured by Staff #1 (S1), while under the care and supervision of the facility; and S1 was arrested and charged with a misdemeanor elder abuse and being under the influence of a controlled substance. The complaint was referred to the Community Care Licensing Division (CCLD) Investigations Branch (IB) and assigned to Investigator Philippe Ryan Miles. (continued on LIC9099-C) Substantiatedthe state’s words, verbatim · CDSS document, May 31, 2024 · control 29-AS-20240228102452

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff are prohibiting resident from receiving family's phone calls.

Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced subsequent visit to deliver the findings pertaining to the allegation listed above. The LPA met with the Director of Healh services, Heather Hampel and explained the reason for the visit. On 02/12/2024, Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced initial 10-day visit to investigate allegations listed above. The LPA met with the Administrator Sabrina Pegross and explained the reason for the visit. At 11:50 a.m. the LPA requested records pertaining to the complaint, and interviewed the Administrator from 12:00 p.m. to 12:30 p.m. The LPA interviewed the resident #1(R1) from 12:45 to 1:10 p.m. At the time of the R1’s interview, R1 appeared to be alert and oriented to questions during the interview. Continues on LIC 9099C... Substantiatedthe state’s words, verbatim · CDSS document, Feb 22, 2024 · control 29-AS-20240206125039

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff do not provide daily activities for resident.

Licensing Program Analyst (LPA) Sandra Urena conducted an unannounced initial 10-day visit to investigate allegation listed above. The LPA met with the Administrator Sabrina Pegross and explained the reason for the visit. At 11:30 a.m. the LPA requested records pertaining to the complaint, and interviewed the Administrator from 12:00 p.m. to 12:30 p.m. The LPA interviewed the resident #1(R1) from 12:45 to 1:10 p.m. At the time of the R1’s interview, R1 appeared to be alert and oriented to questions during the interview. Staff do not provide daily activities for residents. On the allegation that staff are not providing daily activities for residents, the LPA interviewed the Administrator about the activities offered to residents. The Administrator provided a monthly calendar for activities available to residents. Continues on LIC 9099C... Unsubstantiatedthe state’s words, verbatim · CDSS document, Feb 12, 2024 · control 29-AS-20240206125039

Allegation investigated: Staff did not refund fees according to the resident's admission agreement Staff are billing resident for services not provided

Licensing Program Analyst (LPA) Elsie Campos arrived unannounced to conduct an initial complaint visit for the above allegations. Upon arrival, the LPA met with Executive Director (ED) Sabrina Pegross and explained the reason for the visit. During today's visit, the LPA along with the ED conducted a tour of the facility to ensure there are no health and safety concerns, conducted an interview with the ED at 11:00 a.m., conducted a file review at 11:20 a.m., and obtained copies of the census, staff schedule, and other pertinent documents relevant to the investigation. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 19, 2023 · control 29-AS-20231213094351

Allegation investigated: Facility Staff did not follow proper reporting requirements.

Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced complaint visit to investigate the allegation listed above. Upon arrival LPA met with Administrator Sabrina Pegross and explained the reason for the visit. At approx. 10:30am, LPA conducted physical plant, interviewed staff and reviewed and obtained copies of pertinent documentation relevant to the investigation. It was reported that, Facility Staff did not follow proper reporting requirements as it was alleged that Resident #1 (R1)'s responsible party requested a written report pertaining to an incident that occurred on 10/29/2023. Interviews conducted and records review reflected that the facility had self-reported an incident to the Department on 10/30/2023, which stated that on 10/29/2023, R1 and Resident #2 (R2) were involved in a verbal altercation, and R1 stated that R2 had slapped them on the back of the head. Staff separated both R1 and R2 and no further incident or injuries were noted. The incident report athe state’s words, verbatim · CDSS document, Nov 28, 2023 · control 29-AS-20231121120147

Allegation investigated: Staff did not adequately supervise residents, resulting in a resident hitting another resident while in care.

Licensing Program Analyst (LPA) Martha Arroyo arrived unannounced to conduct an initial complaint visit for the above allegation. Upon arrival, the LPA met with Executive Director (ED) Sabrina Pegross and Director of Health Services (DHS) Heather Hampel and the reason for the visit was explained. Entrance interview conducted. During today's visit, the LPA along with the ED and DHS conducted a tour of the facility to ensure there are no health and safety concerns at 12:20 p.m., conducted interviews with four staff and five residents between 12:35 p.m. and 2:50 p.m., conducted a file review at 11:45 a.m., and obtained copies of the census, staff schedule, and other pertinent documents relevant to the investigation. (Report Continued on LIC 9099C...) Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 2, 2023 · control 29-AS-20231031082743

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.