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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 312700676
Report Date: 07/01/2025
Date Signed: 07/01/2025 10:10:01 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/23/2025 and conducted by Evaluator Cassandra Mikkelson
COMPLAINT CONTROL NUMBER: 59-AS-20250623093127
FACILITY NAME:SILVANA SENIOR CAREFACILITY NUMBER:
312700676
ADMINISTRATOR:DANIEL LUCAFACILITY TYPE:
740
ADDRESS:4748 ROBIN CTTELEPHONE:
(916) 824-2025
CITY:ROCKLINSTATE: CAZIP CODE:
95677
CAPACITY:6CENSUS: 5DATE:
07/01/2025
UNANNOUNCEDTIME BEGAN:
10:05 AM
MET WITH:Karcia Walker, AdministratorTIME COMPLETED:
10:15 AM
ALLEGATION(S):
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Staff refused to reposition resident in care
INVESTIGATION FINDINGS:
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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
Estimated Days of Completion:
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
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 2
Control Number 59-AS-20250623093127
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: SILVANA SENIOR CARE
FACILITY NUMBER: 312700676
VISIT DATE: 07/01/2025
NARRATIVE
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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.

SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cassandra Mikkelson
LICENSING EVALUATOR SIGNATURE:

DATE: 07/01/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/01/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2