SPLENDOR OAKS SENIOR LIVING 1

Official classification

Type A

Official code

87202(a)(2)

Regulation authority

CCR

What the official deficiency says

87202 Fire Clearance (a) All facilities shall maintain a fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. Prior to accepting or retaining any of the following types of persons, the applicant or licensee shall notify the licensing agency and obtain an appropriate fire clearance approved by the city, county, or city and county fire department, or district providing fire protection services, or the State Fire Marshal. (2) Bedridden persons This requirement is not met as evidenced by: Deficient Practice Statement Based on file review of R1's LIC 601 and LIC 625, the licensee did not comply with the section cited above as facility is licensed for six non-ambulatory but R1's file indicated R1 is bedridden which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 11/14/2025 Plan of Correction Licensee is to submit LIC 200 and updated facility sketch to LPA for a new fire inspection. The following is due November 14, 2025.

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 October 4, 2025.

Deadline recorded: Oct 4, 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 October 6, 2025.

Deadline recorded: Oct 6, 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 October 6, 2025.

Deadline recorded: Oct 6, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

1569.652(c)

Regulation authority

HSC

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 contractually responsible for the fees or, if the deceased resident paid the fees, to the resident’s estate, within 15 days after the personal property is removed. This requirement was not met based on one of one residents who's fees were not refunded within 15 days. This posed a potential risk.

Official plan of correction

Assistant administrator informed LPA that they are resolving the issue today. Licensee agrees that LPA will rceive confirmation for R1's POA that fees have been reimbursed by the POC date of 7/30/24.

Deadline recorded: Jul 30, 2024. A deadline is not proof that correction was completed.