Silvana Senior Care 2

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 7/1/26 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with staff and explained the purpose of the visit. LPA requested for staff to notify Administrator that LPA is present at the facility to conduct an annual inspection. Administrator , Manavdeep Sohal, arrived to assist. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. The home is clean and well kept. LPA reviewed 4 resident files. Files are complete and well organized. LPA reviewed 2 staff files. Files are complete and well organized. LPA and licensee discussed needed documents from Home Health and hospice and notification vs approval of family members for identified medical evaluation of residents. LPA requested copies of the following be submitted to CCL: Liability insurance certificate and admission agreement copy, 7/14/26. No deficiencies are being cited as a result of todays inspection. Exit interview conducted with licensee and copy of report left at the facility.the state’s words, verbatim · CDSS document, Jul 1, 2026

Type of visit: Office

Licensing Program Analyst (LPA) Bethany Mirlohi, Kevin Mknelly, and Melissa Parks, and Licensing Program Manager Troy Ordonez and Laura Munoz met licensee Krisztina Ivascu in person for an office visit. This meeting was initiated by licensee to discuss the following topics: Night supervision. Staff supervision for dementia residents. Live in staff. Annual Fees. Refund for hospice residents. Admin will email copies of proof of POC for 4/1/26 citation. During today’s office meeting no deficiencies cited. Copy of report provided to licensee.the state’s words, verbatim · CDSS document, Apr 14, 2026

Allegation investigated: Staff did not refund authorized representative after resident passed away

On (date), Licensing Program Analyst (LPA) Kevin Mknelly spoke to Administrator,s designee, to deliver complaint findings for the above allegation. LPA also spoke with Admistrator by phone. LPA reviewed resident records, and conducted and interview of the Administrator. LPA finds that the allegations cited above are substantiated. Records and interviews found that R1 passed away 4 days after admission and was receiving hospice care. R1 was admitted on 1/25/26 and passed away on 1/28/26. Belongings were removed from the home on 1/28/26 so R1 was a resident for 4 days. Administrator acknowledged that refund fees have not yet been paid As a result of this investigation, LPA finds allegation to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met. The following deficiencies were cited on 9099-D, per Title 22 Regulations, Division 6. (B) This poses a potential Health and Safety risk, or personal rights violation, to clients/residents in care. Report reviewed with . Copy of this report and appeal rights provided. Substantiatedthe state’s words, verbatim · CDSS document, Apr 1, 2026 · control 59-AS-20260324135409

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.652(c) · Plan of correction due date: Apr 10, 2026

(c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued to the individual, individuals, or entity contractually responsible for the fees or, if the deceased resident paid the fees, to the resident’s estate, within 15 days after the personal property is removed.the state’s words, verbatim · CDSS document, Apr 1, 2026

Plan of correction: Licensee agrees to refund the prorated rate for the remaining 26 days of the month by the POC date of 4/10/26.

Type of visit: Office

On Tuesday February 10, 2026, at 9:00 AM, an informal conference was conducted virtually via Microsoft Teams Meeting. Present in the meeting was Licensing Program Manager (LPM) Maribeth Senty, Licensing Program Analyst (LPA) Melissa Parks, LPA Bethany Mirlohi, and Licensee representative Krisztina Ivascu. License was informed that this Informal conference is a part of the Administrative Action process and that further noncompliance may result in an elevation to a formal noncompliance conference, which could lead to a referral to the Department's legal division for possible revocation of license. The purpose of today’s meeting was to discuss solvency, plan of corrections, and facility administrators. Topic discussed: - Solvency - Past due annual fees - Plan of Corrections - Facility Administrators At this time, the Department agreed to monitor each facility. Additionally, the facility will provide the Department with the required documents and a schedule of each Administrator for each facility. Krisztina agreed to pay outstanding annual fees by 2/28/2026. The Department will submit a referral to the Technical Support Program. No deficiencies cited. Exit interview conducted. Informal meeting concluded and a copy of report will be emailed. Facility Representative Signature is expected to be signed and returned to LPA by close of business, 2/10/2026.the state’s words, verbatim · CDSS document, Feb 10, 2026

Type of visit: Case Management - Other

On 11/25/25, LPA Kevin Mknelly met with The purpose of the meeting was to review late annual fees due for this and other homes. Administrator, on 11/19/25, committed to pay fees in their entirety today and submit proof to LPA. Administrator failed to pay fees as agreed. As a result of today's inspection, deficiencies were cited. Report reviewed, copy and appeal rights provided.the state’s words, verbatim · CDSS document, Nov 25, 2025

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.185(e) · Plan of correction due date: Dec 1, 2025

) Fees for license or applications (e) The failure of an applicant for licensure or a licensee to pay all applicable and accrued fees and civil penalties shall constitute grounds for denial or forfeiture of a license. This requirement was not met based on records that show late fees. This poses a potential riskthe state’s words, verbatim · CDSS document, Nov 25, 2025

Plan of correction: Licensee showed LPA that payment was completed while LPA was present. POC cleared by visit.

Type of visit: Case Management - Other

On 11/19/25, LPA Kevin Mknelly met with Mirel Ivascu. Administrator Kristina Ivascu joined by phone. The purpose of the meeting was to review late annual fees due for this and other homes. Administrator committed to pay fees in their entirety today and submit proof to LPA. LPA will provide Admin the PIN numbers for the other homes. As a result of today's inspection, no deficiencies were cited. Report reviewed and copy to be emailed to licensee.the state’s words, verbatim · CDSS document, Nov 19, 2025

Allegation investigated: Staff did not respect resident’s choices regarding their care needs. Staff did not ensure resident had the ability to request assistance when needed. Staff did not respond to resident’s request for assistance with care needs in a timely manner. Staff did not dispense medication according to doctor’s orders. Staff did not provide adequate personal hygiene care to resident. Staff did not follow proper personal hygiene protocols. Licensee did not ensure facility was free from pests. Staff did not ensure mats provided to residents maintained slip-resistant properties. Licensee did not provide planned activities for residents.

On 10/21/25 Licensing Program Analyst (LPA) Kevin Mknelly conducted an unannounced complaint investigation visit to deliver the findings for the above allegations and met with designee. Administrator was informed of the visit by phone. LPA conducted records review , facility inspection and extensive interviews. LPA is unable to find and or meet the preponderance, per policy. Specific to the allegations pertaining to R1: Staff did not respect resident’s choices regarding their care needs; Staff did not ensure resident had the ability to request assistance when needed; Staff did not respond to resident’s request for assistance with care needs in a timely manner; Staff did not dispense medication according to doctor’s orders; Staff did not provide adequate personal hygiene care to resident; and, Staff did not follow proper personal hygiene protocols, additional corroborating eveidence was not found during this investigation. Report continued... Unsubstantiated Regarding the general allegations: Licensee did not ensure facility was free from pests; Staff did not ensure mats provided to residents maintained slip-resistant properties; Licensee did not provide planned activities for residents, LPA did not find additional corroborating evidence to support the allegations. Regarding activities, LPA advised licensee to continue to develop activities for those residents with varied abilities and interests that fall outside the standard routine activities offered to the group. As a result of this investigation, LPA finds allegation to be (US)Unsubstantiated - A finding that the complaint is Unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. Exit interview with administrator.the state’s words, verbatim · CDSS document, Oct 22, 2025 · control 59-AS-20250708140603

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 7/3/25 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with staff and explained the purpose of the visit. LPA requested for staff to notify Administrator that LPA is present at the facility to conduct an annual inspection. Administrator arrived to assist. Upon arrival a sole staff member was present with residents who did not have a criminal record clearance. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. The home is clean. All residents observed to have their care needs met during this inspection. LPA reviewed 2 resident files. Files are complete and well organized. LPA reviewed 2 staff files. Files are complete. LPA discussed updated dementia regulations with Licensee and link to resources was provided. Licensee will update administrator. As a result of this inspection, a deficiency is noted on LIC 809D Report reviewed and copy with appeal rights were provided.the state’s words, verbatim · CDSS document, Jul 3, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(2)(B)(v) · Plan of correction due date: Jul 4, 2025

Criminal Record crealance- (2)(B)(v)(v) The volunteer is not left alone with clients in care. This requiemtn was not met when S1 was obseved as a volunteer left alone with residents. This posed an immediate risk to residentsthe state’s words, verbatim · CDSS document, Jul 3, 2025

Plan of correction: Staff returned. Licensee wil submit a understanding of volunteer requiremtns as well as a LIC 500 showing adequate staff resources by the POC date of 7/4/25

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kevin Mknelly arrived at the facility unannounced on 6/12/24 to conduct a Annual Inspection utilizing the CARE inspection tool. LPA met with staff and explained the purpose of the visit. LPA requested for staff to notify Administrator that LPA is present at the facility to conduct an annual inspection. Administrator arrived to assist. LPA toured the interior and exterior of the facility together with staff to ensure health and safety of residents in care. Areas toured include but are not limited to: common areas, resident bedrooms, bathroom, kitchen, laundry room, and backyard. In the areas toured no immediate health, safety, or personal rights violations were observed. The home is clean. One of five residents are able to participate in an interview- resident stated they are happy with care. All residents observed to have their care needs met during this inspection. LPA reviewed 5 resident files. Files are complete and well organized. Recent incident of a fall with injury of R2 was discussed. Needed care was provided and R2 has returned to baseline. LPA reviewed 2 staff files. Files are complete. S1 interviewed and expressed understanding of current resident care needs. LPA and licensee discussed needed documents from Home Health and hospice and notification vs approval of family members for identified medical evaluation of residents. LPA requested copies of the following be submitted to CCL: Liability insurance certificate, LIC 500, resident roster and personnel docs for S2, by 6/19/24. No deficiencies are being cited as a result of todays inspection. Exit interview conducted with licensee and copy of report left at the facility.the state’s words, verbatim · CDSS document, Jun 12, 2024

The state marks this report as 5 pages; the online copy we transcribed has 1. You can request the full file from the county licensing office.