Silvana Senior Care

Type of visit: Office

Licensing Program Analysts (LPAs) Bethany Mirlohi, Kevin Mknelly, and Melissa Parks, and Licensing Program Managers 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: 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

Licensing Program Analyst (LPA) Melissa Parks arrived on Thursday February 5, 2026 to conduct a case management visit. LPA met with Krisztina and explained the purpose of the visit. This facility has a fire clearance for 6 non ambulatory residents. R1 has a diagnosis of spastic quadriplegic cerebral palsy and is not currently on hospice. Although R1's physicians report and care plan state that R1 is non ambulatory, staff and R1 state that staff provide repositioning throughout the day and night. Therefore, R1 is considered bedridden. see 809D and and LIC421M for immediate civil penalty issued today. A copy of this report and appeal rights were provided to the facility. Exit interview conducted.the state’s words, verbatim · CDSS document, Feb 5, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87606(c) · Plan of correction due date: Feb 6, 2026

Care of Bedridden Residents (c) To accept or retain a bedridden person, other than for a temporary illness or recovery from surgery, a facility shall obtain and maintain an appropriate fire clearance as specified in Section 87202(a). This requirement was not met as evidenced by: staff and client interviews acknowledge that R1 requires full assist with ADLs including repositioning. This poses an immediate threat to the health and safety of residents in care.the state’s words, verbatim · CDSS document, Feb 5, 2026

Plan of correction: R1 is scheduled to move out of the facility on the day of citation (2/5/2026).

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday December 23, 2025 to obtain additional information regarding R1. LPA spoke with Kristina Ivascu, Administrator, on the phone regarding the visit. LPA spoke with R1. LPA obtained copies of R1's physicians report, LIC625, LIC601 and care plan. No deficiencies cited. A copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Dec 23, 2025

Type of visit: Case Management - Deficiencies

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday December 2, 2025 to conduct a case management regarding a citation given during the annual inspection continuation on 10/28/2025. The facility's plan of correction was due on 11/26/2025. As of today, a plan of correction has not been received. LPA is giving civil penalties. Civil penalties will continue to accrue until the plan of corrections has been received. Administrator agreed to submit plan of corrections by end of day 12/2/2025. Exit interview conducted. Appeal rights given. A copy of this report was given to the Administrator.the state’s words, verbatim · CDSS document, Dec 2, 2025

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Melissa Parks arrived unannounced to conduct a case management visit. On 10/28/2025, during the annual inspection continuation, LPA informed Administrator that her annual fees were late and they needed to be paid. LPA sent reminder emails about unpaid fees on 11/10/25 and 11/17/25. As of 12/2/25 administrator never sent LPA a copy of receipt and fees were not paid. Deficiencies were cited today on 809-D. Exit interview conducted and appeal rights and report provided.the state’s words, verbatim · CDSS document, Dec 2, 2025

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.185(a)(1) · Plan of correction due date: Jan 5, 2026

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, Dec 2, 2025

Plan of correction: Facility will pay total balance of past due annual fees by 1/5/2026

Type of visit: Case Management - Annual Continuation

Licensing Program Analyst (LPA) Melissa Parks arrived unannounced on Tuesday October 28, 2025 to continue and complete the annual inspection. LPA reviewed staff files. LPA and Rouzbeh toured the facility together. LPA observed resident bedrooms, bathrooms, laundry room, garage, kitchen, and backyard. LPA observed the dining room to be converted to a staff bedroom, with a curtain as privacy. Water temperatures were within the required range. LPA observed fire extinguishers with current inspection tagw. LPA observed carbon monoxide detectors. Facility had a fully stocked first aid kit. LPA obtained a copy of the current liability insurance and LIC500. See 809D for deficiency cited during todays visit. Exit interview conducted. A copy of this report and appeal rights were provided to the facility.the state’s words, verbatim · CDSS document, Oct 28, 2025

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87307(a) · Plan of correction due date: Nov 26, 2025

87307 Personal Accommodations and Services (a) Living accommodations and grounds shall be related to the facility's function. The facility shall be large enough to provide comfortable living accommodations and privacy for the residents, staff, and others who may reside in the facility. This requirement was not met as evidenced by the facility utilizing the dining room as a staff living quarters.the state’s words, verbatim · CDSS document, Oct 28, 2025

Plan of correction: Facility will reach out to the current fire department and obtain guidance to convert dining room to staff living quarters. Facility will provide information to LPA by POC date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Parks arrived on Thursday October 9, 2025 to conduct the unannounced annual inspection. LPA reviewed 6 resident files. LPA reviewed one staff file. Due to time constraints, this annual will be completed at a future date. No deficiencies cited. Exit interview conducted.the state’s words, verbatim · CDSS document, Oct 9, 2025

Allegation investigated: Facility staff are not treating residents with dignity Facility staff are not providing assistance with hygiene for residents in need

Licensing Program Analyst (LPA) Graham Gunby arrived unannounced on 08/19/2025 to complete and deliver findings to a complaint received on 06/09/2024. LPA met with Caregiver, Marta Baros and explained the purpose of the visit. Throughout the course of the investigation, the department conducted interviews and record reviews. Please continue to LIC9099C.. Unfounded Facility staff are not treating residents with dignity The department conducted a tour of the facility on 06/16/25 and conducted interviews with residents and staff. LPA interviewed (3) staff and (1) resident. Interviews indicated that all staff are treating all residents with dignity and respect. LPA observed during facility tour on 06/16/25 and 08/19/2025 that facility staff appeared to be attentive to resident’s needs and treating residents with dignity and respect. During residents’ interviews, residents stated that facility staff is treating all residents with respect and dignity and did not express any concern in this area. Based on facility tour, interviews and observation, department found out that there is no evidence that facility staff do not treat resident with respect, therefore this allegation is found to be UNFOUNDED. Exit interview conducted. A copy of this report was emailed to the Administrator. Facility staff are not providing assistance with hygiene for residents in need Based on observations and interviews, it has been concluded that facility has adequate supplies for all hygiene supplies including soap, toilet paper and paper towels. Furthermore, staff is providing assistance to residents with their hygiene needs per their care needs with no issues. Through interviews with S1, R1 receives full hygiene assistance throughout the day. LPA observed R1’s room to be clean an odor free with no stains on the bedding or ground. LPA found hygiene needs have been met. Based on facility tour, interviews and observation, department found out that there is no evidence that facility staff are not providing assistance with hygiene for residents in need, therefore this allegation is found to be UNFOUNDED. Exit interview conducted. A copy of this report was emailed to the Administrator.the state’s words, verbatim · CDSS document, Aug 19, 2025 · control 59-AS-20250609132607

Allegation investigated: Staff refused to reposition resident in care

Licensed Program Analyst (LPA) Cassandra Mikkelson arrived at the facility unannounced and met with Karcia Walker to deliver findings for the above complaint allegation. During the investigation, LPA conducted interviews, conducted a tour of the facility, and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: *** Report continued on 9099-C*** Unfounded Interviews with staff members S1, staff member S2 and administrators indicated that staff help reposition resident R1 in bed when requested. Staff check on R1 multiple times daily and offer to help reposition when needed or requested. Interviews with S1 and S2 indicated that R1 is very particular when repositioning. S1 and S2 indicated they attempt to assist as much as possible with ADL’s but R1’s behaviors can make it difficult to navigate care at times. R1 uses a power wheelchair and is able to get out of bed and navigate around the facility with transfer assistance. R1 is considered non-ambulatory as indicated on LIC602. In review of R1’s records, R1 needs assistance with ADLs and transferring but is able to get out of bed with transfer assistance and does not require repositioning in bed. Based on records reviewed and interviews, LPA finds the above allegations to be UNFOUNDED- meaning that the allegations were false, could not have happened and/or is without reasonable basis. Exit interview conducted with the Administrator. Copy of report was given to facility.the state’s words, verbatim · CDSS document, Jul 1, 2025 · control 59-AS-20250623093127

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Parks arrived on Thursday September 19, 2024 to conduct the unannounced annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA Parks reviewed resident (6) and staff files (2). All resident files contained the required paperwork. Staff files contained the required paperwork and training. This facility is also vendored through ALTA Regional for one resident. LPA Parks and Administrator Kristina toured the facility together to ensure the health and safety of residents in care. The areas toured included resident rooms, bathrooms, living room, kitchen, garage, and backyard. In the areas toured, there were no health or safety violations observed. Facility was clean and well organized. All required posting were observed. All knives/sharps were kept locked and inaccessible to residents. All chemicals and cleaning products were kept locked. First Aid kit was fully stocked. LPA obtained a copy of the current LIC500 and liability insurance. No deficiencies cited. Exit interview conducted. A copy of this report was emailed to the facility.the state’s words, verbatim · CDSS document, Sep 19, 2024

Allegation investigated: Licensee did not provide comfortable living accommodations and privacy for the staff who resided in the facility

On 9/29/23, Licensing Program Analyst (LPA) Kevin Mknelly LPA Mknelly arrived and met with Administrator to deliver investigation findings. LPA reviewed staff records and facility records. LPAs also conducted inspections and conducted interviews. LPA finds that facility met Tittle 22 requirements. The staff alleged to have not been provided reasonable living accommodations, no longer work at the facility. Phone contact to one staff was not responded to. An email for another staff mentioned was no longer active. The Department has conducted various inspections during the time the staff accommodations violations are alleged to have occurred. Inspections, records and interviews found that when staff have stayed at the facility for non-work times, they have been provided reasonable break and living accommodations. This agency has investigated the above complaint allegations. We have found that the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint. Exit interview conducted and report provided. Unfoundedthe state’s words, verbatim · CDSS document, Sep 29, 2023 · control 59-AS-20230814142430