Silver Springs RCFE 1

We haven’t transcribed this report yet. The complete document is on the state’s site.

Type of visit: POC

On 11/13/25 at 2:10pm Licensing Program Analyst (LPA) Kevin Gould conducted a Plan of Correction (POC) inspection at Silver Springs RCFE 1. LPA conducted an inspection and review of previously cited deficiencies. LPA observed all staff have been associated to the facility. LPA observed appropriate lighting and operable light fixtures. LPA observed all staff training is up to date and meeting regulations. LPA observed the hot water temperature still exceeds regulations as LPA tested the hot water and recorded a temperature of 133 degrees F. LPA could not verify all staff members have a health screening/TB clearance. LPA observed staff members who administer medications are not documenting when medications are administered to residents at the time the medications are administered. POC clearance letters generated. Per California Code of regulations, Title 22, all deficiencies that had no been corrected have been cited again during todays inspection. A copy of this report and appeal rights were provided.the state’s words, verbatim · CDSS document, Nov 13, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87303(e)(2) · Plan of correction due date: Nov 14, 2025

Water supplies and plumbing fixtures shall be maintained as follows: (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 was not met as evidenced by LPAs testing of water temp to be 133 degrees which poses an immediate health, safety adn personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Nov 13, 2025

Plan of correction: facility has has agreed to turn down the hot water temperature and test to ensure it meets regulations.

From the deficiency page — Deficiency type: Type B · Section cited: CCR87412(a) · Plan of correction due date: Nov 30, 2025

The licensee shall ensure that personnel records are maintained on the licensee, administrator and each employee. Each personnel record shall contain the following information such as health screening. This requirement was not met as evidenced by incomplete staff files reviewed which poses a potential health, safety or persona rights risk to residents in care.the state’s words, verbatim · CDSS document, Nov 13, 2025

Plan of correction: Facility has agreed to ensure all staff files are complete and well organized by the POC due date.

From the deficiency page — Deficiency type: Type B · Section cited: CCR 7465(a)(1) · Plan of correction due date: Nov 28, 2025

The licensee shall arrange, or assist in arranging, for medical and dental care appropriate to the conditions and needs of residents. This requirement is not met as evidenced by LPA review or medication administration records which showed no documented medication administration for any residents on 11/13/15 which poses a poential health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Nov 13, 2025

Plan of correction: Facility will conduct training for all staff members ad provide documentation of training for all staff to the department by the POC due date 11/28/25.

Type of visit: Required - 1 Year

On 10/15/25 at 9:30am Licensing Program Analyst (LPA) Kevin Gould arrived at Silver Springs RCFE 1 for the purpose of conducting a required 1 year annual inspection. LPA met with Administrator, Janssen Germono and together conducted a tour of the home. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture LPA noted the lighting in the kitchen and above the laundry area are not operable at the time of inspection. LPA measured the water temperature, temperature measured at 131 degrees F which does not meet the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. LPA reviewed staff records and observed three staff members do not their criminal record clearance associated to the facility. LPA observed incomplete documentation for medication administration. LPA could not review all staff files and confirm health screening for all staff members as not all staff records were present at the facility for LPA to review. Per California Code of Regulations, Title 22 the following deficiencies are cited during today's inspection. An immediate civil penalty was issued. An exit interview was conducted, a copy of this report and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Oct 15, 2025

The state marks this report as 7 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.

Type of visit: Prelicensing

On 10/4/24 at 9:15am Licensing Program Analyst (LPA) Kevin Gould arrived at Silver Springs RCFE 1 for the purpose of conducting a pre-licensing inspection for a change of ownership. LPA met with Licensee, David Casler and together conducted a tour of the home. There are currently 6 residents in care. LPA and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA and Licensee completed Component III orientation. LPA measured the water temperature, temperature measured at 120 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. Per California Code of Regulations, Title 22 there were no deficiencies cited during today's inspection. The licensee has met all requirements to be licensed. LPA did observe there is currently one (1) resident receiving hospice services and LPA did not observe any documentation of approved hospice care waiver. Please ensure hospice waiver is approved prior to licensing the facility.the state’s words, verbatim · CDSS document, Oct 4, 2024

Type of visit: Office

COMP II by CAB successfully completed Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 6 Method: Telephone call with CAB COMP II Participants: Jacqueling Chan, Administrator; David Casler, Owner; Shannon Betker, analyst. Applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Sep 20, 2024