SPLENDOR OAKS SENIOR LIVING 2

Official classification

Type A

Official code

87355(c)

Regulation authority

CCR

What the official deficiency says

Criminal Record Clearance (c) A licensee or applicant for a license may request a transfer of a criminal record clearance…This requirement was not met based on records and statements that Angela Chen is not associated though is acting administrator. This posed an immediate risk.

Official plan of correction

Licensee will provide proof of a transfer request by the POC of 10/1/25

Deadline recorded: Oct 1, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87155(a)(7)

Regulation authority

CCR

What the official deficiency says

Application for License (7) Name and address of owner of facility premises if applicant is leasing or renting. This requirement was not met based on statements that the licensee did not maintain a lease for their licensed property. This posed a potential risk.

Official plan of correction

Licensee will submit a copy of a lease back agreement by the POC date of 10/1/25

Deadline recorded: Oct 1, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87211(g)

Regulation authority

CCR

What the official deficiency says

Reporting Requirements (g) The licensee shall notify the Department, in writing, within thirty (30) days of the hiring of a new administrator. This requirement was not met based on statements that a new administrator has been in place for greater than 30 days without notice to CCLD. This posed a potential risk.

Official plan of correction

Licensee will submit a statement designating the new Administrator for this home by the POC date of 10/1/25

Deadline recorded: Oct 1, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87507(e)

Regulation authority

CCR

What the official deficiency says

Admission Agreement- (e) The licensee shall provide a copy of the signed and dated current admission agreement, and all subsequent signed and dated modifications, to the resident or the resident's representative, if any, immediately upon signing the admission agreement or modification. The licensee shall provide additional copies to the resident or resident’s representative upon request. This requirement was not met based on interviews that found R1 was not provided a copy at signing not was a copy provided promptly upon request. This potentially violated resident rights.

Official plan of correction

Licensee will submit a statement of procedures that ensure residents or their designee receive copies of signed documents upon admission or request. POC due by 8/16/24.

Deadline recorded: Aug 16, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.652

Regulation authority

CCR

What the official deficiency says

Admission Agreement- (c) A refund of any fees paid in advance covering the time after the resident’s personal property has been removed from the facility shall be issued to the individual, individuals, or entity ... responsible for the fees or... to the resident’s estate, within 15 days after the personal property is removed. This requirement was not based on interviews and records reviews finding a refund is doe to R1 and has not been paid within 15 days. This posed a potential to R1's rights.

Official plan of correction

Licensee will submit a procedure for accounting for and refund money owed to residents or their estate upon fully moving from the facility. Additionally, licensee will submit a statement that the estate of R1 has been refunded money owed. POC due 8/16/24.

Deadline recorded: Aug 15, 2024. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87303e(2)

Regulation authority

CCR

What the official deficiency says

Maintenance and Operation (e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degree C) and not more than 120 degree F (49 degree C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in the resident shower room sink had a temperature of 124' F. as measured by LPA thermometer at approximately 11 AM which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 05/17/2022 Plan of Correction Caregiver adjusted water temperature while LPA was present yet temperature had no sufficiently reduced. Licnesee will submit records of temperature readings taken 5/16/22 Pm and 5/17/22 am for POC date of 5/17/22.