SILVANA SENIOR CARE 4

Official classification

Type A

Official code

87468.2(a)(4)

Regulation authority

CCR

What the official deficiency says

87468.2(a)(4) 87468.2 Additional Personal Rights of Residents . . . (a) In addition to the rights listed in Section 87468.1, Personal Rights of Residents . .(4) To care, supervision, and services that meet their individual needs and are delivered by staff that are sufficient in numbers, qualifications, and competency to meet their needs.This requirement was not met as evidenced by: R1 being documented as a fall risk and not providing adequate supervision which poses an immediate health, safety, and personal rights risk to resident in care.

Official plan of correction

Facility agrees to submit a plan regarding how the facility will manage resident's supervision during the day and nightime. Included in the plan will be the facility's staffing when resident's are identified as a fall risk.

Deadline recorded: Apr 23, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(g)

Regulation authority

CCR

What the official deficiency says

87465 Incidental Medical and Dental Care (g) The licensee shall immediately telephone 9-1-1 if an injury or other circumstance has resulted in an imminent threat to a resident’s health . . . This requirement was not met as evidenced by R1 having an unwitnessed fall and staff not calling 911 for transport and evaluation which poses an immediate health, safety, and personal rights risk to resident in care.

Official plan of correction

Facility agrees to submit training for all staff regarding emergency and 911 protocol.

Deadline recorded: Apr 23, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(a)(1)(D)

Regulation authority

CCR

What the official deficiency says

87211 Reporting Requirements (a) Each licensee shall furnish to the licensing agency such reports. . . (1) A written report shall be submitted to the licensing agency and to the person responsible for the resident within seven days . . .(D) Any incident which threatens the welfare, safety or health of any resident, . . .This requirement was not met as evidenced by R1 sustaining a fall and being sent to the hospital and the facility did not submit the required LIC624. This poses an indirect threat to the health and safety of residents in care.

Official plan of correction

Facility agrees to: submit a statement of understanding regarding the reporting requirement.

Deadline recorded: May 6, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.185(a)(1)

Regulation authority

HSC

What the official deficiency says

1569.185(a)(1)An application fee adjusted by facility and capacity shall be charged by the department for the issuance of a license to operate a residential care facility for the elderly. After initial licensure, a fee shall be charged by the department annually on each anniversary of the effective date of the license. This requirement is not met based upon outstanding Annual fee amount with late fee assessed. LIS payment history reviewed, which poses an potential health, safety and personal rights risk to residents in care.

Official plan of correction

Facility agreed to pay balance of past due annual fees by 1/5/2026.

Deadline recorded: Jan 5, 2026. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.625(b)(2)

Regulation authority

HSC

What the official deficiency says

(2) In addition to paragraph (1), training requirements shall also include an additional 20 hours annually, eight hours of which shall be dementia care training, as required by subdivision (a) of Section 1569.626, and four hours of which shall be specific to postural supports, restricted health conditions, and hospice care, as required by subdivision (a) of Section 1569.696. This training shall be administered on the job, or in a classroom setting, or both, and may include online training. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 out of 2 persons which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 04/14/2023 Plan of Correction Administrator will create an in-service training calendar for 2023 and send outlined plan to CCL by 04/14/2023.

Official classification

Type B

Official code

87463(a)

Regulation authority

CCR

What the official deficiency says

Reappraisals (a) The pre-admission appraisal shall be updated, in writing as frequently as necessary to note significant changes and to keep the appraisal accurate. This requirement was not met based on records review and interviews. This posed a potential risk to resident.

Official plan of correction

Licensee will submit completed and current needs and services plan for all current residents in care (as of 11/22/22) by the POC date of 12/13/22.

Deadline recorded: Dec 13, 2022. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87470(a)(5)

Regulation authority

CCR

What the official deficiency says

Personal Rights of Residents in All Facilities. Residents in all residential care facilities for the elderly shall have all of the following personal rights: To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: During inspection conducted by CCLD on 3/17/2022, LPAs observed staff not wearing face masks while inside the facility, which poses a potential health, safety, and personal rights risk to the residents in care.

Official plan of correction

Administrator will conduct an in-service training for staff regarding COVID-19 precautionary measures, including proper face covering practices and screening. Facility will submit to LPA information regarding training, including time and date of training and training material, by POC due date 05/27/2022

Deadline recorded: May 27, 2022. A deadline is not proof that correction was completed.