Silicon Valley Senior Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Marcela Yanez conducted an unannounced Required 1 Year visit and met with Irish Ladwig, Administrator. LPA announced the purpose of the visit. LPA observed 2 staff and 5 residents. The facility room temperature is set to 72 degrees F. During visit, LPA toured the facility inside and out. LPA toured the mini garage being used as storage attached to the laundry room. LPA observed the kitchen area and observed locked cabinets for medications, sharp objects, and cleaning supplies. LPA observed perishable food supply of at least two days and a non-perishable food supply of at least seven days. The refrigerator temperature on door displayed 40 degrees f and freezer at 0 degrees f. The facility has an activity calendar and resident menu posted on the kitchen refrigerator. LPA toured 4 resident bedrooms. Each bedroom had available bedding and clothing storage areas as well as functioning lights. LPA toured 5 resident bathrooms. Each bathroom had available soap and paper towels and functioning lights. The water temperatures in the bathroom sinks measured with thermometer at 109-110 degrees F. LPA toured the outside area and found the exits to be clear of obstructions. LPA observed fire extinguisher was last serviced on 03/11/25. LPA reviewed Fire and Earthquake log. The last disaster drill was conducted on 10/10/25. Page 2 of 2 ADM tested the smoke detectors in the hallway and found the smoke detector to function properly when tested. During tour LPA observed a closet for emergency supply which contained a first aid kit linen and emergency supplies. LPA also observed 2 extra refrigerators one for staff and one for residents use. During tour LPA observed loose ramp rail leading from backyard exit to the kitchen dining area. ADM stated that the current rain season had loosened rail and is being repaired tomorrow. LPA reviewed resident records for 3 residents. LPA reviewed 3 staff records. ADM and LPA reviewed centrally stored medication record for 3 residents. No deficiency were cited as per California Code of Regulations Title 22. Technical violation was issued see LIC9102. This report was reviewed with ADM and a copy of this report was provided.the state’s words, verbatim · CDSS document, Dec 18, 2025

Allegation investigated: Facility did not address residents behavior of yelling, resulting in disturbing sleeping residents. Residents are smoking inside the facility

Licensing Program Analyst (LPA) Manuel Monter and Marcella Tarin conducted an unannounced complaint inspection to deliver the findings on the above allegation. LPA met with Lead Staff Joey Cervantes. On April 22, 2025, the Department received a complaint alleging Facility did not address residents behavior of yelling, resulting in disturbing sleeping residents. On April 23-30, 2025, LPA Monter interviewed residents R1-R6. (During interviews with residents, LPA spoke at a normal base line sound level, and did not need to raise his voice for residents to hear questions posed by LPA.) Resident R1 declined to be interviewed. Page 1 Out of 3. Unfounded Resident R2 stated R1 has been screaming. R2 stated R1 will Storm up and down the hallways. R2 stated R1’s screaming became unnerving and happens many times at night. LPA asked R2 how loud R1 is and if he/she can describe the noise. R2 stated R1 mostly yells in his/her room. R2 described the sound like an animal that can be heard pretty much through the entire home. R2 stated when R1 yells, The staff will go to talk to R1 to calm him/her down. 3 Out of 6 residents (R3, R4, R6) interviewed stated they haven’t heard screaming or yelling at the facility day or night. R5 stated around the time when R1 first moved in, there was a day when R1 was talking really loudly. R5 stated R1 wasn’t screaming or screeching. R5 stated the loud talking only occurred 1 time. R5 stated he/she hasn't heard yelling/screaming or screeching and has had no issues. LPA interviewed staff S1 and S2. S1 and S2 stated when R1 first moved in, he/she was agitated and talk in a loud voice. S1 and S2 stated R1 did not scream/yell. S1 and S2 stated they responded to R1 speaking loudly. Staff S1 and S2 stated they spoke to R1 and redirected R1 to help R1 calm down. Both staff interviewed stated R1 has calm down and not had any incidents since then. LPA interview ADM Ladwig. ADM stated R1 has had 2 incidents where R1 was speaking loudly. ADM stated R1 was not screaming or yelling. ADM stated on March 31st, 2025, R1 was talking loudly. ADM stated staff attempted to redirect R1. ADM stated they would ask R1 what he/she wants and ask what the problem is. ADM stated that day R1 was not cooperating and complaining about a potential doctor visit the following day. ADM stated staff attempted to redirect R1, but R1 continued to talk loudly in his/her room. ADM stated R1 was taken to a local hospital, to be re-assessed because R1 was having trouble sleeping. ADM stated R1 was prescribed a new medication. ADM stated regarding the outburst on April 22, 2025, one of her residents had complained about R1 yelling. ADM stated this occurred on April 22, 2025, 5:24am. ADM stated R1 doesn’t yell. ADM stated R1 is talking loud to him/herself. ADM stated that she was informed that it bothers some of the residents. ADM stated R1 isn’t yelling. R1 is just talking loud. ADM stated when R1 was talking loudly, staff will try to redirect R1. ADM stated they reported this changes to R1’s physician and the behaviors has been fine since they have updated R1’s medications. Page 2 Out of 3. The Department has completed the investigation of the above allegations. Based on interviews conducted and records review, the department has found that the above allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. Residents are smoking inside the facility On April 22, 2025, the Department received a complaint alleging residents are smoking inside the facility. On April 23-30, 2025, LPA Monter interviewed residents R1-R6. Resident R1 declined to be interviewed. R2 stated he/she is not sure where R1 is smoking. R2 stated R1 might be smoking in his/room or in the outside deck but cannot be 100% sure. 4 Out of 6 residents (R3-R6) interviewed stated they have never seen residents smoking inside the facility. LPA interviewed staff S1 and S2. Both staff interviewed stated only resident R1 smokes. S1 and S2 stated R1 smokes outside in the smoking area. Both staff interviewed stated they have never seen R1 smoking inside the facility. LPA interview ADM Ladwig. ADM stated the only resident who smokes in the facility is resident R1. ADM stated there is an area where R1 can smoke. ADM stated R1 knows to smoke there. ADM stated R1 does not smoke inside the facility. ADM stated she has never seen or heard about R1 smoking inside the facility. The Department has completed the investigation of the above allegations. Based on interviews conducted and records review, the department has found that the above allegations were UNFOUNDED, meaning that the allegations were false, could not have happened and/or are without a reasonable basis. This report was reviewed with Administrator Ladwig via phone call. ADM stated Lead Staff Joey Cervantes can sign on her behalf. A copy of the signed report was provided. Page 3 Out of 3. END OF REPORT.the state’s words, verbatim · CDSS document, May 7, 2025 · control 26-AS-20250422114517

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced annual inspection, and met with Administrator (ADM) Irish Ladwig 3 staff and 6 residents were observed in the facility. 3 resident files and 3 staff files were reviewed. License, ADM certificate, and personal rights posters were observed in the facility. LPA toured the facility with ADM inside and out. LPA toured living room, dinning area, laundry room, garage, and kitchen. There are 3 restrooms for residents, 1 restroom for staff, 1 restroom for visitor, 1 staff live-in room, and 5 resident rooms in facility. Two days perishable foods and seven day nonperishable foods were observed sufficient. Room temperature was observed at 72 degree F, hot water temperature was observed at 119 degree F. Medication cabinet, Knife closet were observed locked. Dish washing solution products was observed unlocked on the top of the sunk in the kitchen. ADM locked it immediately during LPA's visit. The facility was equipped with smoke and carbon monoxide detectors. Smoke detector alarm system and carbon monoxide detectors were tested, and were working. Fire extinguisher was serviced on 3/6/2024. ADM provided 5 residents document for usage of bed rails. First aid box, night lights and flash lights were observed in the facility. The last time the facility conducted the fire drill was on 10/29/2024. Front yard and backyard were inspected. 3 big storage rooms were observed at the backyard. Deficiency noted today. See LIC809-D. Exit interview was conducted with ADM. This report was provided to ADM for signature. A copy of this report was provided to ADM.the state’s words, verbatim · CDSS document, Dec 18, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.