Inspection Report Summary
Most inspections found no deficiencies, with several complaint investigations determined to be unsubstantiated. The most recent report from September 30, 2025, cited three deficiencies related to administrative oversights during a change of ownership, including failure to transfer criminal record clearance, maintain property lease or title, and notify the Department about the new administrator in a timely manner. Prior issues included substantiated complaints about admission agreement violations and improper fee increase notifications, but medication management and care-related complaints were not confirmed. No fines, license suspensions, or severe harm-level findings were noted in the available reports. The facility’s record shows mostly compliance with occasional administrative and documentation issues, with the latest inspection indicating some new concerns after a period of improvement.
Deficiencies per Year
4
3
2
1
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Census: 3
Capacity: 6
Deficiencies: 3
Sep 30, 2025
Visit Reason
The visit was conducted to issue citations for violations found in a prior meeting on 09/29/2025 during the process of change of ownership.
Findings
The licensee failed to transfer the criminal record clearance to the new administrator, did not maintain a lease or title for the licensed property, and failed to notify the Department in writing within 30 days of hiring a new administrator. These violations posed immediate and potential risks.
Severity Breakdown
Type A: 1
Type B: 2
Deficiencies (3)
| Description | Severity |
|---|---|
| Failure to transfer criminal record clearance to new administrator Angela Chen. | Type A |
| Failure to maintain a lease or title for the licensed property. | Type B |
| Failure to notify the Department in writing within 30 days of hiring a new administrator. | Type B |
Report Facts
Capacity: 6
Census: 3
Plan of Correction Due Date: Oct 1, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angela Chen | Administrator | Newly assigned administrator involved in deficiencies |
| Kevin Mknelly | Licensing Program Analyst | Conducted the inspection and signed the report |
| Maribeth Senty | Licensing Program Manager | Named as Licensing Program Manager on the report |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 1
Apr 29, 2025
Visit Reason
The inspection was an unannounced annual inspection conducted to ensure compliance with health and safety regulations using the CARE inspection tool.
Findings
No immediate health, safety, or personal rights violations were observed during the inspection. Resident and staff files were reviewed and found mostly complete, with one staff file missing a recent CPR certificate. No deficiencies were cited as a result of this inspection.
Deficiencies (1)
| Description |
|---|
| One staff file needs recent CPR certificate in the personnel file. |
Report Facts
Resident files reviewed: 3
Staff files reviewed: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Mknelly | Licensing Program Analyst | Conducted the annual inspection |
| Maria Cucicea | Designee who assisted with the inspection | |
| Kevin Lee | Administrator | Facility administrator named in the report |
Inspection Report
Plan of Correction
Census: 5
Capacity: 6
Deficiencies: 0
Aug 22, 2024
Visit Reason
The visit was conducted as a plan of correction (POC) unannounced inspection to review the facility's response to a citation written on 08/01/2024.
Findings
The Licensing Program Analyst and the Administrator designee discussed the plan of correction and accounting related to the citation. No additional citations were issued as a result of this visit.
Report Facts
Capacity: 6
Census: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Mknelly | Licensing Program Analyst | Conducted the inspection and discussed plan of correction |
| Maria Cucicea | Administrator designee | Assisted during the inspection and discussed plan of correction |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 2
Aug 1, 2024
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by multiple allegations including violation of admission agreement requirements, failure to provide requested records, medication mismanagement, diet not followed, medical care not provided, and failure to report resident death.
Findings
The investigation substantiated that the licensee violated admission agreement requirements, including failure to provide approved agreements and timely refunds to a resident's estate. Other allegations such as medication mismanagement and diet not followed were found unsubstantiated, and the complaint regarding medical care and failure to report resident death was found unfounded. Deficiencies related to admission agreement violations were cited with potential health and safety risks.
Complaint Details
The complaint investigation was substantiated for allegations related to admission agreement violations, including failure to provide approved agreements and refunds. Allegations of medication mismanagement and diet not followed were unsubstantiated. Allegations of medical care not provided and failure to report resident death were unfounded.
Severity Breakdown
Type B: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Admission Agreement- The licensee failed to provide a copy of the signed and dated current admission agreement and subsequent modifications to the resident or representative immediately upon signing or upon request. | Type B |
| Admission Agreement- A refund of fees paid in advance covering the time after the resident’s personal property was removed was not issued within 15 days as required. | Type B |
Report Facts
Facility capacity: 6
Census: 4
Plan of Correction due date: Aug 16, 2024
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Mknelly | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Maribeth Senty | Licensing Program Manager | Oversaw the complaint investigation |
| Kevin Lee | Administrator | Facility administrator involved in investigation and exit interviews |
| Audre Smith | Designee | Arrived to assist during complaint findings delivery |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 0
May 7, 2024
Visit Reason
The inspection was an unannounced annual inspection conducted to ensure compliance with health and safety regulations using the CARE inspection tool.
Findings
No immediate health, safety, or personal rights violations were observed. The facility was clean, residents appeared satisfied with care, and resident and staff files were complete and well organized. No deficiencies were cited.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Mknelly | Licensing Program Analyst | Conducted the annual inspection and met with staff. |
| Audre Smith | Met with the Licensing Program Analyst during the inspection. | |
| Kevin Lee | Administrator/Director | Named as facility administrator/director. |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 0
Jun 20, 2023
Visit Reason
The visit was an unannounced required annual inspection to evaluate compliance with regulatory standards.
Findings
The facility was found to be clean, well organized, and in compliance with all health and safety regulations. No deficiencies were observed or cited during the inspection.
Report Facts
Food supply duration: 2
Food supply duration: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Talwinder Bains | Licensing Program Analyst | Conducted the annual inspection |
| Maria Cucicea | Administrator | Facility administrator met with Licensing Program Analyst during inspection |
| Eva Bogomaz | Caregiver | Staff member met with Licensing Program Analyst during inspection |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 0
Sep 22, 2022
Visit Reason
Unannounced complaint investigation visit conducted in response to allegations that a resident needs a higher level of care and that the facility failed to get the resident up and left them in bed.
Findings
The investigation found that the facility met Title 22 requirements and that the resident's placement was appropriate. The complaint was determined to be unfounded and dismissed.
Complaint Details
The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, or were without reasonable basis.
Report Facts
Capacity: 6
Census: 6
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Mknelly | Licensing Program Analyst | Conducted the complaint investigation and provided findings |
| Maribeth Senty | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 1
May 16, 2022
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate infection control and overall health and safety compliance at the facility.
Findings
The inspection found that the water temperature in the resident shower room sink was 124°F, exceeding the allowed maximum and posing an immediate health and safety risk. Cleaning supplies were found unsecured in the garage. Records for symptom screening and staff testing were advised to be maintained.
Complaint Details
As a result of this investigation, the allegation was substantiated based on the preponderance of evidence standard.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Resident shower room sink water temperature measured at 124°F, exceeding the maximum allowed temperature and posing an immediate health and safety risk. | Type A |
Report Facts
Water temperature: 124
Capacity: 6
Census: 6
Deficiencies cited: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Mknelly | Licensing Program Analyst | Conducted the inspection and authored the report |
| Maribeth Senty | Licensing Program Manager | Supervisor of the inspection |
| Ashanti Innis | Caregiver | Met with Licensing Program Analyst during inspection and adjusted water temperature |
Inspection Report
Annual Inspection
Census: 4
Capacity: 6
Deficiencies: 0
Jun 3, 2021
Visit Reason
The inspection was an unannounced Required-1 Year Inspection conducted to assess infection control compliance and overall health and safety of residents at the facility.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Latoya Scott | Staff | Met with Licensing Program Analyst during inspection and participated in exit interview. |
| Maria Cucicea | Program Manager | Completed infection control domain via Facetime with Licensing Program Analyst. |
| Kevin Lee | Administrator | Facility Administrator notified of inspection presence. |
| Sarena Keosavang | Licensing Program Analyst | Conducted the Required-1 Year Inspection. |
| Anthony Perez | Licensing Program Manager | Named as Licensing Program Manager on report. |
Inspection Report
Complaint Investigation
Census: 4
Capacity: 6
Deficiencies: 0
May 27, 2021
Visit Reason
Unannounced investigation of a complaint received on 2021-04-23 alleging overcharging fees, denial of access to personal belongings, injury by staff, and lack of dignity and respect in care.
Findings
After interviews with staff, residents, family members, and review of documentation, all four allegations were found to be unfounded, meaning the allegations were false or without reasonable basis.
Complaint Details
Complaint involved four allegations: 1) resident being overcharged fees, 2) staff denying resident access to personal belongings, 3) staff injuring a resident while providing care, and 4) staff not treating resident with dignity and respect. All allegations were investigated and found to be unfounded.
Report Facts
Capacity: 6
Census: 4
Additional monthly charge alleged: 500
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Sabrina Calzada | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Maribeth Senty | Licensing Program Manager | Oversaw the complaint investigation |
| Kevin Lee | Administrator | Facility administrator interviewed during investigation |
| Eva Bogomaz | Caregiver | Met Licensing Program Analyst at facility entrance and interviewed |
| Latoya Scott | Caregiver | Interviewed during investigation |
| Maria Cucicea | House Manager | Interviewed during investigation |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
Nov 6, 2020
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2020-07-13 regarding alleged violations of admission agreement fee increases at Splendor Oaks Senior Living 2.
Findings
The investigation substantiated that the licensee violated the requirement to provide residents with at least 60 days' prior written notice of fee increases. The facility increased fees without proper notification, posing a potential risk to residents' personal rights. The licensee rescinded the initial notice and issued a new notice to residents in July 2020, completing the plan of correction.
Complaint Details
The complaint was substantiated. The allegation that the licensee violated the terms of admission agreement fee increase was found valid based on records review and interviews. The licensee agreed to rescind the rate increase and provide residents a 60-day notice of upcoming rate changes.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Increase in fee rates for elderly residents without providing no less than 60 days' prior written notice to residents as required by HSC 1569.655. | Type B |
Report Facts
Residents reviewed: 6
Capacity: 6
Census: 6
Plan of Correction Due Date: Nov 9, 2020
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Lee | Administrator | Named in relation to the complaint and investigation findings. |
| Kevin Mknelly | Licensing Program Analyst | Conducted the complaint investigation. |
| Maribeth Senty | Licensing Program Manager | Named in the report as Licensing Program Manager. |
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