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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198320514
Report Date: 09/30/2026
Date Signed: 09/30/2026 05:10:15 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/15/2026 and conducted by Evaluator Troy Watson
PUBLIC
COMPLAINT CONTROL NUMBER: 11-AS-20260915144044
FACILITY NAME:SILVERADO ROLLING HILLSFACILITY NUMBER:
198320514
ADMINISTRATOR:CHRISTINA HALEFACILITY TYPE:
740
ADDRESS:2455 PACIFIC COAST HWYTELEPHONE:
(949) 240-7200
CITY:TORRANCESTATE: CAZIP CODE:
90505
CAPACITY:68CENSUS: 67DATE:
09/30/2026
UNANNOUNCEDTIME BEGAN:
02:02 PM
MET WITH:JULIE LEWIS - DIRECTOR OF HEALTH SERVICESTIME COMPLETED:
05:06 PM
ALLEGATION(S):
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Licensee did not ensure sufficient staffing to meet residents' care needs, resulting in multiple falls.
INVESTIGATION FINDINGS:
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On 09/30/2026 LPA Watson conducted a subsequent unannounced complaint visit to the above listed facility.LPA Watson was met by the Director of and explained the reason for the visit. LPA Watson was granted entry in the facility.

Investigation consisted of the following:

The department requested the and obtained the following documents. Resident Roster, Staff Roster, Agency list dated 08/31/26 – 09/14/26, Staff Schedule dated 08/30/26 – 09/26/26, Staff Timecards dated 09/04/26 – 09/24/26, Assignment Sheets dated 09/01/26 – 09/15/26, Unusual Incident Reports dated 09/01/26, and 09/02/26, Overtime dated 08/15/26 – 09/15/26,
Admission Agreement, Silverado Specialized Care Approach brochure.

LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 11-AS-20260915144044
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: SILVERADO ROLLING HILLS
FACILITY NUMBER: 198320514
VISIT DATE: 09/30/2026
NARRATIVE
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Investigation revealed the following:

Allegation: Licensee did not ensure sufficient staffing to meet residents' care needs, resulting in multiple falls.

It is being alleged that the licensee did not sufficiently staff the facility, resulting in residents experiencing multiple falls.

On 09/24/2026, between 2:02 PM and 4:30 PM, the Department conducted an interview with Administrator Cristina Hale (S1). During the interview, S1 stated that the facility ensures sufficient staffing to meet residents’ care needs. S1 reported that the facility schedules adequate staff for each shift and, in cases of call outs or staff vacations, associates may pick up additional shifts. S1 also stated that the scheduling manager is trained to work the floor when needed. On 09/24/2026, between 2:02 PM and 4:30 PM the department asked S1 how many caregivers were scheduled and working on or around 09/04/2026, S1 stated that their best estimate was 6 to 7 caregivers in the morning shift and 5 to 6 caregivers in the evening shift. S1 was asked by the department if at any point that day only one caregiver was responsible for all residents, S1 said that such a situation has never happened. On 09/24/2026 the department asked how long any potential staffing shortage may have lasted on that date, S1 stated they could not recall and would need to review the staffing schedules. When asked whether any resident falls occurred on or around 09/04/2026, S1 stated they would need to review the incident reports to provide accurate information. S1 reported that the facility does not typically operate with staffing shortages. S1 stated that caregivers are not required to work overtime but may be asked when the need arises. When asked if they feel pressured to work additional shifts, S1 stated they do not feel pressured and typically work from 9 AM to 6 PM or until required work is completed. During the interview S1 was asked did the facility meet the advertised staffing ratios, of one caregiver for every 6 to 7 Residents. S1 said they would need to verify the facility’s materials but did not believe a 6–7 residents per caregiver ratio is advertised. S1 reported that the usual staffing pattern is 6 caregivers during the day shift, 5 caregivers in the evening shift, and 3 caregivers overnight, not including other staff. On 09/24/2026, between 2:02 PM and 4:30 PM the department asked S1 whether they have reported staffing concerns to management,

CONTINUED ON LIC9099-C
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 11-AS-20260915144044
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
EL SEGUNDO ASC, 400 CONTINENTAL BLVD, STE 340
EL SEGUNDO, CA 90245
FACILITY NAME: SILVERADO ROLLING HILLS
FACILITY NUMBER: 198320514
VISIT DATE: 09/30/2026
NARRATIVE
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S1 stated they do not have staffing concerns. When asked whether any incident reports were completed for falls on or around 09/04/2026, S1 again stated they would need to review facility records to confirm.
On 09/24/2026 the department interviewed Staff #1-#6 (S1-S6) and Resident #1- #7 (R1-R7). Out of those interviewed 2 out of 6 Staff interviewed denied the above allegation and 6 out 7 Residents denied the above allegation.

The department obtained and reviewed the Resident Roster, Staff Roster, Agency list dated 08/31/26 – 09/14/26, Staff Schedule dated 08/30/26 – 09/26/26, Staff Timecards dated 09/04/26 – 09/24/26, and Assignment Sheets dated 09/01/26 – 09/15/26 and it showed sufficient staff assigned to the resident’s care needs.

Based on the information gathered, interviews conducted,and an analysis of records reviewed, the department found no evidence to support the allegation mentioned above. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation, did or did not occur, therefore the allegation is Unsubstantiated.

An exit interview was conducted with the Director of Health Services Julie Lewis and a copy of this report was given.
SUPERVISORS NAME: Stephanie Cifuentes
LICENSING EVALUATOR NAME: Troy Watson
LICENSING EVALUATOR SIGNATURE:

DATE: 09/30/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 3