Silvana Senior Care 5

Allegation investigated: Staff did not seek medical attention in a timely manner. Staff did not meet resident’s incontinence care needs. Facility staff are not administrating residents’ medication as prescribed.

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to deliver complaint investigation findings. LPA met with Administrator Lina Alexeeva during today’s inspection. LPA investigated allegation, “Staff did not seek medical attention in a timely manner”. Relevant party stated R1 reported to them, that R1 requested to be sent out to the hospital and the facility staff stated R1 would need to wait until the following day. LPA interviewed administrator in which she stated R1 was refusing to be sent out and they had to call emergency services due to change of condition. Administrator stated they never denied R1 to be sent out to the hospital. LPA interviewed caregiver in which they stated they did not deny R1 to be sent out to the hospital. LPA interviewed R1 in which they could not recall the facility or staff refusing them medical attention. LPA interviewed R1’s responsible party and they are unaware of this issue. Due to the information gathered, LPA finds allegation to be unsubstantiated. Continuation on 9099-C. Unsubstantiated LPA investigated allegation, “Staff did not meet resident’s incontinence care needs.” Relevant party stated they observed R1 soaked with urine, and R1 smelled of urine. In addition, relevant party indicated R1 had a rash in the peri-area. R1 has since moved from the facility. LPA interviewed R1 in which they could not recall the facility or any issues that may have occurred. LPA interviewed administrator in which she stated R1 was able to provide their own incontinence care and manage their hygiene until few weeks prior to hospitalization. Administrator reports R1 was becoming weaker and having more incontinent care needs. Administrator stated R1 kept denying care to be provided and so they called emergency services due to hygiene needs and change of condition. LPA reviewed hospital documentation on 5/18/26 and no documentation was seen about a rash for R1 in the peri-area. R1 returned to the facility on 5/20 and then was sent out again to the hospital on 5/25/26. LPA interviewed caregiver in which they stated starting in May 2026 R1 was beginning to have incontinent accidents and denying care more frequently. Caregiver stated she would try to give R1 a shower or help them in the bathroom but R1 would refuse frequently. LPA interviewed responsible party in which they stated they did not know if facility staff meet R1’s incontinent care needs. Responsible party stated she did receive reports from medical employees that they had concerns about R1 receiving proper care. Due to the information gathered, LPA finds allegation to be Unsubstantiated. LPA investigated allegation, “Facility staff are not administrating residents’ medication as prescribed”. Relevant party stated R1 was observed with loose pills in their pocket. LPA interviewed R1 in which they could not recall the facility or any issues that may have occurred. LPA interviewed administrator in which she stated that she gives residents their medications each day. Administrator stated she stays with the residents while hey take their prescribed medications. Administrator stated the day R1 was sent out to the hospital, she gave R1 their medications in a small cup, but they refused. EMT’s arrived shortly after, and administrator believes she took the cup of pills back and disposed of the pills. Administrator stated she could not recall the details. LPA interviewed R1’s responsible party and they stated they were unaware of any issues with the medications. Due to the information gathered, LPA finds allegation to be Unsubstantiated. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated. Exit interview was conducted and copy of report provided.the state’s words, verbatim · CDSS document, Jul 29, 2026 · control 59-AS-20260603111619

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. During today’s office meeting no deficiencies cited. Copy of report provided to licensee.the state’s words, verbatim · CDSS document, Apr 14, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct the annual inspection. LPA met with Administrator Lina Alexeeva during today's inspection. LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured 5 resident rooms, 1 staff room, 2 bathrooms, kitchen, common living spaces, backyard and the garage area. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA toured the backyard and all exits are accessible and unlocked. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete. Hot water temperature was measured at 118 degrees. LPA reviewed 2 of 4 resident files and 2 staff files. LPA reviewed medications of 1 resident comparing with Centrally Stored Medication Record and physician orders. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current first aid certificates and training completed. LPA observed a copy of current liability insurance. No deficiencies are being cited as a result of todays inspection. Exit interview conducted.the state’s words, verbatim · CDSS document, Mar 18, 2026

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

Allegation investigated: Facility staff speak inappropriately to resident(s) Facility staff do not allow resident(s) to leave the facility

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to deliver complaint findings. LPA met with staff and LPA spoke to Administrator Krisztina Ivanscu over the phone. LPA investigated allegation, “Facility staff speak inappropriately to resident(s)”. LPA interviewed staff, residents, and relevant parties. LPA interviewed relevant party in which they stated they observed a caregiver talking bluntly to a resident in care. LPA interviewed 2 caregivers in which they stated they have not observed other staff talking inappropriately to residents. LPA interviewed 4 of 6 residents and all residents stated they are treated kindly and with respect. All resident’s stated caregivers have not talked inappropriately to residents in care. Due to the information gathered, LPA finds allegation to be UNSUBSTANTIATED. Continuation on 9099-C. Unsubstantiated LPA investigated allegation, "Facility staff do not allow resident(s) to leave the facility". LPA interviewed residents, staff, responsible parties, and relevant parties. Relevant party indicated that facility were preventing resident from leaving the facility. Responsible party indicated that they have instructed facility staff that resident is unable to leave the facility with unauthorized individuals. LPA interviewed administrator in which she stated that resident has not tried to leave with facility with authorized or unauthorized individuals and there has not been an incident where they have denied resident leaving with someone. LPA reviewed residents LIC602 in which it states resident is unable to leave the facility without assistance. LPA reviewed resident file and observed an Advanced Health Care Directive, but no power of attorney paperwork that documents responsible party having the authority to restrict visitation. Due to the information gathered LPA finds the allegation to be UNSUBSTANTIATED. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated. Exit interview conducted and copy of report provided.the state’s words, verbatim · CDSS document, Dec 2, 2025 · control 59-AS-20251027105351

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Bethany Mirlohi and LPM Troy Ordonez arrived unannounced to conduct a case management visit. LPA spoke to Administrator Krisztina Ivanscu over the phone and met with Caregiver Lina and Carmen. On 10/22/25, LPA informed Administrator that her annual fees were late and they needed to be paid. On 10/22/25 Administrator agreed to pay fees and send LPA a copy of receipt. As of 10/29/25 administrator never sent LPA a copy of receipt and fees were not paid. Deficiencies were cited today on 809-D. Exit interview conducted and report provided.the state’s words, verbatim · CDSS document, Oct 29, 2025

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.185(a)(1) · Plan of correction due date: Oct 30, 2025

1569.185(a)(1)An application fee adjusted by facility and capacity shall be charged by the department for the issuance of a license to operate a residential care facility for the elderly. After initial licensure, a fee shall be charged by the department annually on each anniversary of the effective date of the license. This requirement is not met based upon outstanding Annual fee amount with late fee assessed. LIS payment history reviewed, which poses an potential health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Oct 29, 2025

Plan of correction: Administrator paid annual fees today while LPA was on the phone and emailed a copy of receipt. Deficiency was cleared during today's inspection.

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct a case management visit. LPA met with care staff during today's inspection. LPA arrived today to discuss annual fees that are past due. LPA spoke to Administrator, Krisztina Ivanscu, over the phone and she stated she will pay annual fees today. Administrator agrees to send a receipt of payment to LPA by the end of the day. No deficiencies cited during today's inspection. Exit interview conducted.the state’s words, verbatim · CDSS document, Oct 22, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cassandra Mikkelson arrived unannounced and met with Administrator Krisztina Ivanscu to conduct an annual inspection utilizing the inspection tool. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA observed five (5) resident rooms and three (3) common area bathrooms. LPA observed rooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition, properly maintained, and the hot water temperature was observed to be degrees 115.3 F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two day perishable and (7) seven day non-perishable food supply on hand. Smoke detectors and carbon monoxide detectors are operational in the care home. Fire extinguishers and first aid kit are maintained and ready for emergency use. LPA checked medication storage and found medications to be locked away and inaccessible to the residents. LPA reviewed six (6) resident files, two (2) staff files and resident medications. Facility has a current copy of certificate of liability insurance and LPA requested a copy. As a result of this visit, no deficiencies were cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. Exit interview was conducted with Administrator.the state’s words, verbatim · CDSS document, Mar 6, 2025

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct a case management visit. LPA met with Administrator Krisztina Ivasscu during today's visit. LPA arrived to the facility to discuss several different topics. Permits for new staff room are almost complete and administrator to send approved permit once received. No deficiencies cited during today's inspection. Exit interview conducted. Copy of report provided.the state’s words, verbatim · CDSS document, Jun 18, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct an annual inspection. LPA met with Administrator Mirel and Krisztina Ivascu during today's inspection. Currently there are 5 residents that reside in the facility in which 1 is receiving hospice services. LPA toured facility with administrator to ensure health and safety of residents in care. LPA toured 5 resident rooms, 2 bathrooms, kitchen, common living spaces, backyard and the garage area. Administrator recently completed construction on a caregiver room and waiting on the final steps to obtain the permits. In the areas toured no immediate health, safety, or personal rights violations were observed. LPA toured the backyard and all exits are accessible and unlocked. There is a locked storage for medications and toxins. Food supply is adequate for 2-day perishable and 7-day nonperishable. LPA observed an adequate amount of linens and found the first aid kit to be complete. LPA reviewed 3 of 5 resident files and 2 staff files. LPA reviewed medications of two resident comparing with physician orders. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current first aid certificates completed and file drills are being completed. LPA observed a copy of current liability insurance. Deficiencies cited on 809-D. Exit interview conducted and appeal rights provided.the state’s words, verbatim · CDSS document, Apr 4, 2024