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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 315002898
Report Date: 01/15/2026
Date Signed: 01/15/2026 11:34:33 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/13/2026 and conducted by Evaluator Bethany Mirlohi
COMPLAINT CONTROL NUMBER: 59-AS-20260113111411
FACILITY NAME:SILVANA SENIOR CARE 6FACILITY NUMBER:
315002898
ADMINISTRATOR:IVASCU, MIRELFACILITY TYPE:
740
ADDRESS:7040 LUDLOW DRTELEPHONE:
(916) 797-3405
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY:6CENSUS: 3DATE:
01/15/2026
UNANNOUNCEDTIME BEGAN:
08:50 AM
MET WITH:Krisztina Ivanscu, AdministratorTIME COMPLETED:
11:30 AM
ALLEGATION(S):
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Staff are not following refund conditions
INVESTIGATION FINDINGS:
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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.

Deficiencies cited on 9099-D. Copy of report provided. Appeal rights provided.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Bethany Mirlohi
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
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-20260113111411
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 2525 NATOMAS PARK DR STE 270
SACRAMENTO, CA 95833

FACILITY NAME: SILVANA SENIOR CARE 6
FACILITY NUMBER: 315002898
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/15/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/19/2026
Section Cited
CCR
87507(g)(5)(E)(1)(a)
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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.
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Administrator to send LPA a receipt that $6,000 refund was issued to resident responsible party. POC due by 1/19/26.
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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.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Bethany Mirlohi
LICENSING EVALUATOR SIGNATURE:

DATE: 01/15/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/15/2026
LIC9099 (FAS) - (06/04)
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