Silvana Senior Care 6

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: POC

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct a POC visit. LPA met with Administrator Lina Alexeeva during today's inspection. During today's visit LPA reviewed deficiencies cited on 01/15/26. LPA reviewed staff files and observed staff files to be complete. POC letter was provided. Copy of report given. Exit interview conducted.the state’s words, verbatim · CDSS document, Apr 2, 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: POC

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct a POC visit. LPA spoke with Administrator Krisztina Ivanscu over the phone. On 1/15/26 LPA conducted a complaint investigation regarding, "Staff are not following refund conditions". Complaint was substantiated and POC date for deficiencies cited was for 1/19/26. Administrator was asked to send in receipts of refund to responsible party of resident. LPA did not receive the receipts from administrator, and only $4,000 of the $6,000 has been refunded to responsible party. Administrator to send LPA a receipt of the remaining $2,000 balance that is due to responsible party. Administrator agrees to send the remaining money by 1/23/26 into LPA. Civil Penalties have been assessed. Exit interview conducted and copy of report provided. Appeal rights given.the state’s words, verbatim · CDSS document, Jan 20, 2026

Allegation investigated: Staff are not following refund conditions

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to open complaint investigation. LPA met with Administrator Krisztina Ivanscu during today's inspection. Relevant Party stated they paid the facility a $6,000 deposit prior to family member moving into the facility in February 2025. Family member passed away before they moved into the facility. Relevant party stated licensee did not refund the $6,000 deposit. LPA interviewed Administrator in which she stated she made a mistake and forgot to refund the deposit due to lack of contact information. Licensee stated she paid relevant party $4,000 on 1/12/26 and still owes $2,000. Licensee stated she will refund the remaining $2,000. Due to the information gathered, LPA finds allegation to be SUBSTANTIATED.the state’s words, verbatim · CDSS document, Jan 15, 2026 · control 59-AS-20260113111411

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87507(g)(5)(E)(1)(a) · Plan of correction due date: Jan 19, 2026

87507 Admission agreement. (g) Admission agreements shall specify the following: (5) Refund conditions. (E) Preadmission fees shall be refunded according to the following conditions: 1. A 100 percent refund of a preadmission fee shall be provided to an applicant or the applicant’s representative if: a. The applicant decides not to enter the facility prior to the facility completing a preadmission appraisal as defined in Section 87457. This requirement is not met as evidence by: Based on interviews the licensee did not provide family member a refund of pre-admission deposit which poses a potential health, safety risk to residents in care.the state’s words, verbatim · CDSS document, Jan 15, 2026

Plan of correction: Administrator to send LPA a receipt that $6,000 refund was issued to resident responsible party. POC due by 1/19/26.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct an annual inspection. LPA met with Administrator Krisztina Ivanscu during today's inspection. LPA toured facility with Administrator to ensure health and safety of residents in care. LPA toured 3 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. Water temperature was measured. 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 2 of 3 resident files and staff files. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. LPA observed a copy of current liability insurance. Deficiencies cited on 809-D. Appeal Rights provided. Exit interview conducted.the state’s words, verbatim · CDSS document, Jan 15, 2026

Type of visit: Required - 1 Year

On 01/28/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived unannounced to conduct an annual inspection. LPA met with Staff Rebecca Jackson during today's inspection.LPA spoke with Administrator, Krisztina Ivascu via telephone, who gave permission to have staff Rebecca Jackson assist LPA with visit. LPA toured facility with staff to ensure health and safety of residents in care. LPA toured five (5) resident rooms, two (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. Hot water was measured at 109 degrees at the kitchen sink. 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 two (2) day perishable and seven (7) day nonperishable. LPA observed an adequate amount of linens. Fire extinguisher was last inspected on 12/18/2024. LPA reviewed four (4) resident files and two (2) staff files. 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 training completed. LPA observed a copy of current liability insurance. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and a copy of the report was left at the facility.the state’s words, verbatim · CDSS document, Jan 28, 2025

Type of visit: Case Management - Incident

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct a case management visit. LPA met with Administrator Krisztina Ivascu. LPA arrived to discuss an incident report that was received. Resident was sent out to the emergency department due to a change of condition and pressure injuries. Resident is currently admitted to a SNF and is pending return to facility. During the file review LPA observed resident's LIC602 was completed in August 2023 and there was no doctor signature. Resident was admitted to the facility in August 2024. Due to file review, deficiencies have been cited on 809-D. Exit interview conducted and appeal rights provided.the state’s words, verbatim · CDSS document, Sep 25, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87458(a) · Plan of correction due date: Oct 11, 2024

87458 Medical Assessment. (a) Prior to a person's acceptance as a resident, the licensee shall obtain and keep on file, documentation of a medical assessment, signed by a physician, made within the last year. The licensee shall be permitted to use the form LIC 602 (Rev. 9/89), Physician's Report, to obtain the medical assessment. This requirement is not met as evidence by: Based on record review the licensee did not obtain a signed, and current medical assessment prior to accepting resident which poses a potential health, safety risk to residents in care.the state’s words, verbatim · CDSS document, Sep 25, 2024

Plan of correction: Administrator agrees to send into LPA a statement of understanding for regulation 87458. Statement to be sent into CCL on 10/11/24.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to conduct an annual inspection. LPA met with Administrator Krisztina Ivascu 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. Hot water was measured at 111 degrees. 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 6 resident files and 2 staff files. LPA reviewed medications of two residents 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 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, Jan 4, 2024