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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 315002898
Report Date: 01/28/2025
Date Signed: 01/28/2025 12:10:21 PM

Document Has Been Signed on 01/28/2025 12:10 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 6FACILITY NUMBER:
315002898
ADMINISTRATOR/
DIRECTOR:		IVASCU, MIRELFACILITY TYPE:
740
ADDRESS:7040 LUDLOW DRTELEPHONE:
(916) 797-3405
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY: 6CENSUS: 4DATE:
01/28/2025
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:45 AM
MET WITH:Rebecca JacksonTIME VISIT/
INSPECTION COMPLETED:
12:15 PM
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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.
SUPERVISORS NAME: Laura Munoz
LICENSING EVALUATOR NAME: Cheyenne Ratajczak
LICENSING EVALUATOR SIGNATURE: DATE: 01/28/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/28/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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