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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 315002859
Report Date: 12/02/2025
Date Signed: 12/02/2025 12:32:38 PM

Unsubstantiated


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
10/27/2025 and conducted by Evaluator Bethany Mirlohi
COMPLAINT CONTROL NUMBER: 59-AS-20251027105351
FACILITY NAME:SILVANA SENIOR CARE 5FACILITY NUMBER:
315002859
ADMINISTRATOR:SANDOR IVASCU, MIRELFACILITY TYPE:
740
ADDRESS:2505 CORIN DR.TELEPHONE:
(916) 966-8562
CITY:ROSEVILLESTATE: CAZIP CODE:
95747
CAPACITY:6CENSUS: 6DATE:
12/02/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Rouzbh Moradhasel, Assistant AdministratorTIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Facility staff speak inappropriately to resident(s)
Facility staff do not allow resident(s) to leave the facility
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Bethany Mirlohi arrived unannounced to deliver complaint findings. LPA met with staff and LPA spoke to Administrator Krisztina Ivanscu over the phone.

LPA investigated allegation, “Facility staff speak inappropriately to resident(s)”. LPA interviewed staff, residents, and relevant parties. LPA interviewed relevant party in which they stated they observed a caregiver talking bluntly to a resident in care. LPA interviewed 2 caregivers in which they stated they have not observed other staff talking inappropriately to residents. LPA interviewed 4 of 6 residents and all residents stated they are treated kindly and with respect. All resident’s stated caregivers have not talked inappropriately to residents in care. Due to the information gathered, LPA finds allegation to be UNSUBSTANTIATED.

Continuation on 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Bethany Mirlohi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2025
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-20251027105351
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 5
FACILITY NUMBER: 315002859
VISIT DATE: 12/02/2025
NARRATIVE
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LPA investigated allegation, "Facility staff do not allow resident(s) to leave the facility". LPA interviewed residents, staff, responsible parties, and relevant parties. Relevant party indicated that facility were preventing resident from leaving the facility. Responsible party indicated that they have instructed facility staff that resident is unable to leave the facility with unauthorized individuals. LPA interviewed administrator in which she stated that resident has not tried to leave with facility with authorized or unauthorized individuals and there has not been an incident where they have denied resident leaving with someone. LPA reviewed residents LIC602 in which it states resident is unable to leave the facility without assistance. LPA reviewed resident file and observed an Advanced Health Care Directive, but no power of attorney paperwork that documents responsible party having the authority to restrict visitation. Due to the information gathered LPA finds the allegation to be UNSUBSTANTIATED.

Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove that the alleged violations occurred, and the findings are unsubstantiated.

Exit interview conducted and copy of report provided.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Bethany Mirlohi
LICENSING EVALUATOR SIGNATURE:

DATE: 12/02/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/02/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2