Silverado Senior Living-Tustin Hacienda

Type of visit: Case Management - Incident

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct a case management visit. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. The Department received an Unusual Incident/Injury Report - LIC 624 on June 22, 2026 for an incident that occurred on June 6, 2026 with Resident 1 (R1). It was reported that R1 had a wrist fracture and went to urgent care and was then transferred to St Joseph Hospital. Per interview with Director of Health Services Breanna Creekmore via telephone Breanna stated that R1 had a fall on the floor on June 06, 2026 and the facility had ordered mobile x-ray which is when R1 was diagnosed with wrist fracture. It was reported then R1's Doctor advised R1 to be taken to urgent care for a splint. It was reported then R1 went to urgent care on June 07, 2026 and then the ER. R1 was discharged on June 8, 2026 with a splint and was placed on 1:1 care due to fall precautions. LPA Mendivil obtained copies of LIC 602 Physician's Report, Service Plan and care notes for R1. Based on observations no deficiencies cited during today's visit. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Jun 24, 2026

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct an annual inspection. LPA was greeted and granted entry into the facility by staff and explained the reason for the visit. Director of Health Services Breanna Creekmore and Administrator Sheila Fike arrived shortly after. The facility is a single story building with an approved fire clearance of forty-two non-ambulatory residents of which eighteen may be on hospice. The facility currently has a census of thirty-four residents in care. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing hot water temperature in five bathrooms, and testing auditory delayed egress devices. The hot water temperature measured between 106.8 and 118.7 degrees Fahrenheit. LPA Mendivil observed the facility to have two day perishables and seven day non-perishables, facility stores emergency food and water in dry storage. LPA observed medications in a locked med-cart located inside of locked wellness room. LPA Mendivil reviewed Electronic Medication Administration Record for three residents, and medications were given as prescribed. LPA observed two separate activity calendars posted in entryway and hallway leading to the dining room. LPA observed residents participating in activities and in their bedrooms. LPA observed six residents rooms and all had required items including bed, chair, dresser/closet and ample lighting. LPA Mendivil reviewed six resident files and five staff files. LPA observed Staff 1 - 5 did not have the required training. The facility conducted a fire drill on 01/28/2026 conducted with Fire Safety Services, INC. Based on the observations made the following is being cited. An exit interview was conducted and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 18, 2026

Type of visit: Required - 1 Year

On this day, Licensing Program Analyst (LPA) Andrea Mendivil made an unannounced visit to conduct an annual inspection. LPA was greeted and granted entry into the facility by Director of Health Services Breanna Creekmore and explained the reason for the visit. Administrator (AD) Benjamin Velasquez arrived shortly after. The facility is a single story building with an approved fire clearance of forty-two non-ambulatory residents of which eighteen may be on hospice. The facility currently has a census of twenty-three residents in care. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing hot water temperature in three bathrooms, and testing auditory delayed egress devices. The hot water temperature measured between 106.7 and 112.6 degrees Fahrenheit. LPA Mendivil observed the facility to have two day perishables and seven day non-perishables, facility stores emergency food and water in dry storage. LPA observed medications in a locked med-cart located inside of locked wellness room. LPA Mendivil reviewed Electronic Medication Administration Record for two residents, and medications were given as prescribed. LPA observed two separate activity calendars. LPA observed residents throughout the common areas and in their bedrooms. LPA observed four residents rooms and all had required items including bed, chair, dresser/closet and ample lighting.LPA Mendivil reviewed four resident files and four staff files and all files contained the required documentation. Facility had an annual testing of fire/carbon monoxide conducted on 03/29/2024. The facility conducted a fire drill on 01/16/2025. Based on the observations made during today’s visit no deficiencies cited on this date. An exit interview was conducted with AD Benjamin Velasquez and Director of Health Services Breanna Creekmore and a copy of this report was provided.the state’s words, verbatim · CDSS document, Feb 24, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to the facility today to conduct an Annual Required Evaluation. LPA was greeted and granted entry by Staff #6 at 8:00 AM. During today’s visit, LPA met with Sheila Fike, Administrator (AD) and Benjamin Velasquez, Administrator-in-Training (AIT). The facility is a single story building with an approved fire clearance of forty-two non-ambulatory residents of which eighteen may be on hospice. The facility currently has a census of twenty-nine residents in care. During today’s visit, LPA toured the facility and inspected the physical plant, including but not limited to testing all smoke detectors, testing hot water temperature in five of five resident bathrooms, and testing auditory delayed egress devices on all exits. The hot water temperature measured between 110.6 and 117.8 degrees Fahrenheit and all smoke detectors and carbon monoxide detectors were operational. The fire extinguishers are charged and were serviced on March 25, 2024. The facility’s last fire drill was conducted on July 11, 2024. The PUB 475 poster was observed to be the incorrect size. Facility immediately ordered the required 20" X 26" and provided proof of documentation. LPA inspected the facility food supply and observed the facility retained a minimum of two days perishable and seven days non-perishable food on hand. LPA observed medication storage and reviewed the centrally stored medications. Per review medications are being given as prescribed. LPA reviewed five of five staff training and fingerprint records. LPA reviewed five of five resident records. LPA interviewed alert residents regarding their quality of care and spoke to staff present regarding care provided. LPA confirmed that administrator has a current administrator certificate which expires on July 17, 2025. (see LIC 809-C) (Continued from LIC 809) Based on the observations made during today’s visit, the facility appears to be in compliance with Title 22 Division 6 of the California Code of Regulations, no deficiencies cited on this date. An exit interview was conducted with Sheila Fike, AD and Benjamin Velasquez, AIT and a copy of the report, Technical Assistance (LIC 9102-TA) and files reviewed (LIC 858 & LIC 859) were given at the time of the visit.the state’s words, verbatim · CDSS document, Aug 23, 2024