Silverlake Senior Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator April Lopez and was granted entry to the facility. Licensed capacity is (6) current census (4). LPA was accompanied by Administrator April Lopez to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated space for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care.Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (2) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (2) resident medications and (1) hospice files. LPA also reviewed (3) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings.Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrators April Lopez. .the state’s words, verbatim · CDSS document, Mar 6, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Mary Rico made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Administrator Wilaipon Evans and was granted entry to the facility. Licensed capacity is (6) current census (6). LPA was accompanied by Administrator April Lopez to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident bedrooms; they are equipped with required furniture such as: mattresses, night stands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with operating smoke detectors and carbon monoxide alarms. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated space for resident/staff files. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care.Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Facility has a variety of food available for residents. Dishes, cups, and utensils were also stored properly. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. Record Review: LPA reviewed (3) resident files for admission agreements, updated physician reports, and needs and services plans. LPA reviewed (3) resident medications and (3) hospice files. LPA also reviewed (3) staff files for First Aid/CPR certification, criminal record clearance, training's, and health screenings.Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided to Administrators Lesley Vannoy, April Lopez and Wilaipon Evans .the state’s words, verbatim · CDSS document, Mar 21, 2025

Allegation investigated: Staff did not prevent a resident from hitting another resident while in care.

Licensing Program Analyst (LPA) Anna Fannell conducted an unannounced visit to this facility for the purpose of initiating the investigation of and delivering findings for the above allegation. LPA met with licensee Leslie Vannoy who was advised of the purpose of visit. Licensee left the facility before the conclusion of today's visit. The investigation consisted of interviews with relevant parties, and review of pertinent records. It is alleged that Staff did not prevent a Resident (R1) from hitting another Resident (R2) while in care. Interviews revealed that residents were roommates and that the incident occurred in their room. Interview with R2 revealed that the incident was unprovoked and that staff responded immediately when called by R2. Interviews with staff and records reviewed confirm that R1 has a history of increasing aggressive behaviors. Based on the available information, the complaint allegations are UNSUBSTANTIATED meaning that, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. An exit interview was where this report was discussed and a copy was given to administrator April Lopez. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 11, 2024 · control 56-AS-20240402222036

Type of visit: Required - 1 Year

On 02/27/2024 at 09:30 AM, Licensing Program Analyst (LPA) Melody Brown made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA Brown met with a staff and was granted entry to the facility. Licensee/Administrator Leslie Vannoy was contacted and arrived at the facility during the visit. At the time of the visit there were three (3) staff present, and six (6) residents present. The facility is a five (5) bedroom, three (3) bathrooms with a kitchen/dining area, and living room/activity room and garage. The facility is Residential Care Facility for the Elderly (RCFE). The facility is licensed for a capacity of six (6) non-ambulatory residents, approved for six (6) hospice waivers. The current census is six (6) residents. LPA Brown was accompanied by Staff #2 (S2) to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing Division (CCLD). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature of 72 degrees Fahrenheit. LPA Brown inspected resident bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA Brown observed sufficient furniture and lighting throughout the facility. LPA Brown measured and observed the water temperature in a resident bathroom to be at 112 degrees Fahrenheit. During the tour of the facility, LPA Brown observed four (4) inches scissor in the kitchen drawer, not locked and accessible to residents in care. Deficiency will be issued. Moreover, LPA Brown observed one (1) window screen in disrepair, the shared room of Resident #3 (R3) and Resident #4 (R4). Deficiency will be issued. The facility is equipped with operating combined smoke detectors and carbon monoxide alarms. Fire extinguisher was also observed at the facility. Posters such as personal rights, the CCLD complaint poster, Ombudsman poster labor laws, and the disaster plan were posted in a common area. ***Continuation in LIC809C *** Cleaning supplies, toxins, were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. There is a Medicine cabinet with the resident’s medications locked. However, LPA Brown observed residents whole day of medications pre-poured. Deficiency will be issued. A complete first aid kit and first aid book at the facility. Furthermore, during the tour of the facility on 02/27/2024, LPA Brown observed Resident #4 (R4) with half bed rail and no written order from R4's physician indicating the need for half bed rail for mobility. Deficiency will be issued. Also, LPA Brown observed Resident #2 (R2) with full bed rail. Staff #5 (S5) removed the full bed rail during the visit on 02/27/2024. Food Service: More than seven (7) days’ supply of Non-perishable foods and more than two (2) days’ supply of perishable food supply were observed and sufficient for the number of residents in care. Care & Supervision: The facility has an Administrator present in the facility with appropriate and enough hours to appropriately manage the facility. The facility has sufficient number of staff to provide care and supervision to the residents in care. Record Review: LPA Brown reviewed three (3) resident files for admission agreements, updated physician reports, pre-placement appraisals. LPA Brown observed resident files reviewed were complete. LPA Brown reviewed three (3) staff files for First Aid/CPR certification, criminal record clearance, trainings, and health screenings with tuberculosis (TB) test result. LPA Brown observed staff files reviewed were complete. Medications were audited, and LPA Brown observed Resident #2 (R2) medication was dispensed without medication record maintained at the facility. Deficiency will be issued. Based on the observations made during today’s visit, deficiencies were issued per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809), LIC809D, LIC9102 and Appeal Rights were discussed and provided to Licensee/Administrator Leslie Vannoy.the state’s words, verbatim · CDSS document, Feb 27, 2024

The state marks this report as 9 pages; the online copy we transcribed has 6. You can request the full file from the county licensing office.