Inspection Reports for
Hidden Gem by Splendor Oaks Senior Living

CA, 95678

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Deficiencies (last 6 years)

Deficiencies (over 6 years) 2.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

43% better than California average
California average: 4 deficiencies/year

Deficiencies per year

8 6 4 2 0
2020
2021
2022
2023
2024
2025

Census

Latest occupancy rate 50% occupied

Based on a September 2025 inspection.

This facility has shown a decline in demand based on occupancy rates.

Occupancy over time

0 3 6 9 12 Nov 2020 Jun 2021 Sep 2022 May 2024 Aug 2024 Sep 2025

Inspection Report

Census: 3 Capacity: 6 Deficiencies: 3 Date: Sep 30, 2025

Visit Reason
The visit was conducted to issue citations for violations found in the meeting of 9/29/25 during the process of change of ownership.

Findings
The licensee failed to transfer the criminal record clearance when transferring ownership and installing a new administrator, failed to maintain a title or lease for the licensed property, and failed to notify the Department in writing within 30 days of hiring a new administrator.

Deficiencies (3)
Criminal Record Clearance transfer was not completed when ownership changed and new administrator was installed.
Name and address of owner of facility premises not maintained due to lack of title or lease for licensed property.
Failure to notify the Department in writing within 30 days of hiring a new administrator.
Report Facts
Capacity: 6 Census: 3 Plan of Correction Due Date: Oct 1, 2025

Employees mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystMet with newly assigned administrator and conducted the inspection
Angela ChenAdministratorNewly assigned administrator involved in deficiencies
Maribeth SentyLicensing Program ManagerNamed in report header and signature

Inspection Report

Census: 3 Capacity: 6 Deficiencies: 3 Date: 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.

Deficiencies (3)
Failure to transfer criminal record clearance to new administrator Angela Chen.
Failure to maintain a lease or title for the licensed property.
Failure to notify the Department in writing within 30 days of hiring a new administrator.
Report Facts
Capacity: 6 Census: 3 Plan of Correction Due Date: Oct 1, 2025

Employees mentioned
NameTitleContext
Angela ChenAdministratorNewly assigned administrator involved in deficiencies
Kevin MknellyLicensing Program AnalystConducted the inspection and signed the report
Maribeth SentyLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 0 Date: Apr 29, 2025

Visit Reason
Licensing Program Analyst Kevin Mknelly arrived unannounced to conduct an Annual Inspection utilizing the CARE inspection tool to ensure compliance with health and safety regulations.

Findings
No deficiencies were cited during the inspection. The facility was found to be clean, residents appeared satisfied with care, and resident and staff files were complete except one staff file missing a recent CPR certificate.

Report Facts
Resident files reviewed: 3 Staff files reviewed: 2

Employees mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the annual inspection
Maria CuciceaDesignee who assisted with the inspection
Kevin LeeAdministrator/DirectorFacility administrator named in the report

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 1 Date: 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)
One staff file needs recent CPR certificate in the personnel file.
Report Facts
Resident files reviewed: 3 Staff files reviewed: 2

Employees mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the annual inspection
Maria CuciceaDesignee who assisted with the inspection
Kevin LeeAdministratorFacility administrator named in the report

Inspection Report

Plan of Correction
Census: 5 Capacity: 6 Deficiencies: 0 Date: Aug 22, 2024

Visit Reason
The visit was an unannounced plan of correction (POC) inspection to review the plan of correction for a citation issued on 08/01/2024 and to discuss accounting related to a refund dispute.

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.

Employees mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the inspection and discussed plan of correction.
Maria CuciceaAdministrator designeeAssisted during the inspection and discussed plan of correction.

Inspection Report

Plan of Correction
Census: 5 Capacity: 6 Deficiencies: 0 Date: 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
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the inspection and discussed plan of correction
Maria CuciceaAdministrator designeeAssisted during the inspection and discussed plan of correction

Inspection Report

Complaint Investigation
Census: 4 Capacity: 6 Deficiencies: 2 Date: Aug 1, 2024

Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to multiple allegations received on 05/17/2024 regarding admission agreement violations, failure to provide records, medication mismanagement, diet not followed, medical care not provided, and failure to report resident death.

Complaint Details
The complaint investigation was substantiated for allegations related to admission agreement violations including failure to provide approved agreements and timely refunds. Allegations of medication mismanagement and diet not followed were unsubstantiated. Medical care and reporting of resident death allegations were found to be unfounded or met requirements.
Findings
The investigation substantiated that the licensee violated admission agreement requirements including failure to provide approved agreements and timely refunds. Other allegations such as medication mismanagement and diet not followed were found unsubstantiated. The facility met Title 22 requirements for medical care and notification of resident death was found to be not in the preferred method. Deficiencies were cited related to admission agreement violations posing potential or immediate health and safety risks.

Deficiencies (2)
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 nor was a copy provided promptly upon request. This potentially violated resident rights.
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 met based on interviews and records reviews finding a refund is due to R1 and has not been paid within 15 days. This posed a potential to R1's rights.
Report Facts
Capacity: 6 Census: 4 Plan of Correction Due Date: Aug 16, 2024

Employees mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the complaint investigation and delivered findings
Kevin LeeAdministratorFacility administrator involved in investigation and exit interviews
Audre SmithDesigneeAssisted during complaint investigation

Inspection Report

Complaint Investigation
Census: 4 Capacity: 6 Deficiencies: 2 Date: 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.

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.
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.

Deficiencies (2)
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.
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.
Report Facts
Facility capacity: 6 Census: 4 Plan of Correction due date: Aug 16, 2024

Employees mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the complaint investigation and delivered findings
Maribeth SentyLicensing Program ManagerOversaw the complaint investigation
Kevin LeeAdministratorFacility administrator involved in investigation and exit interviews
Audre SmithDesigneeArrived to assist during complaint findings delivery

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 0 Date: 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
The facility was found to be clean with no immediate health, safety, or personal rights violations observed. Resident and staff files were complete and well organized. No deficiencies were cited during this inspection.

Employees mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the annual inspection and met with staff.
Audre SmithMet with the Licensing Program Analyst during the inspection.
Kevin LeeAdministrator/DirectorNamed as facility administrator/director.

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 0 Date: 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
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the annual inspection and met with staff.
Audre SmithMet with the Licensing Program Analyst during the inspection.
Kevin LeeAdministrator/DirectorNamed as facility administrator/director.

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: Jun 20, 2023

Visit Reason
The inspection was conducted as a required annual unannounced visit to evaluate compliance with regulatory standards for the facility.

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
NameTitleContext
Talwinder BainsLicensing Program AnalystConducted the annual inspection
Maria CuciceaAdministratorMet with Licensing Program Analyst during inspection

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 0 Date: 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
NameTitleContext
Talwinder BainsLicensing Program AnalystConducted the annual inspection
Maria CuciceaAdministratorFacility administrator met with Licensing Program Analyst during inspection
Eva BogomazCaregiverStaff member met with Licensing Program Analyst during inspection

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 0 Date: Sep 22, 2022

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that a resident needed a higher level of care and that the facility failed to get the resident up and left them in bed.

Complaint Details
The complaint was investigated and found to be unfounded, meaning the allegations were false, could not have happened, or lacked reasonable basis.
Findings
The investigation found that the facility met Title 22 requirements, the resident's placement was appropriate, and the resident was assisted out of bed as desired. The complaint was determined to be unfounded and dismissed.

Report Facts
Capacity: 6 Census: 6

Employees mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the complaint investigation and provided findings
Maribeth SentySupervisorSupervisor overseeing the complaint investigation

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 6 Census: 6

Employees mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the complaint investigation and provided findings
Maribeth SentyLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 1 Date: May 16, 2022

Visit Reason
The Licensing Program Analyst conducted an unannounced annual inspection visit to the facility on 05/16/2022, focusing on infection control and compliance with health and safety regulations.

Complaint Details
The allegation was substantiated based on the preponderance of evidence, indicating a valid complaint related to health and safety risks in the facility.
Findings
The inspection found that the water temperature in the residents' 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. The complaint was substantiated with deficiencies cited under Title 22 Regulations.

Deficiencies (1)
Resident shower room sink water temperature measured at 124°F, exceeding the maximum allowed temperature and posing an immediate health and safety risk.
Report Facts
Water temperature: 124 Capacity: 6 Census: 6 Plan of Correction Due Date: May 17, 2022

Employees mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the annual inspection and documented findings
Ashanti InnisCaregiverMet with LPA during inspection and adjusted water temperature
Kevin LeeAdministratorFacility administrator who was notified but unable to attend inspection

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 1 Date: 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.

Complaint Details
As a result of this investigation, the allegation was substantiated based on the preponderance of evidence standard.
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.

Deficiencies (1)
Resident shower room sink water temperature measured at 124°F, exceeding the maximum allowed temperature and posing an immediate health and safety risk.
Report Facts
Water temperature: 124 Capacity: 6 Census: 6 Deficiencies cited: 1

Employees mentioned
NameTitleContext
Kevin MknellyLicensing Program AnalystConducted the inspection and authored the report
Maribeth SentyLicensing Program ManagerSupervisor of the inspection
Ashanti InnisCaregiverMet with Licensing Program Analyst during inspection and adjusted water temperature

Inspection Report

Annual Inspection
Census: 4 Capacity: 6 Deficiencies: 0 Date: 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
NameTitleContext
Latoya ScottStaffMet with Licensing Program Analyst during inspection and participated in exit interview.
Maria CuciceaProgram ManagerCompleted infection control domain via Facetime with Licensing Program Analyst.
Kevin LeeAdministratorFacility Administrator notified of inspection presence.
Sarena KeosavangLicensing Program AnalystConducted the Required-1 Year Inspection.
Anthony PerezLicensing Program ManagerNamed as Licensing Program Manager on report.

Inspection Report

Annual Inspection
Census: 4 Capacity: 6 Deficiencies: 0 Date: Jun 3, 2021

Visit Reason
The inspection was an unannounced Required-1 Year annual inspection conducted to evaluate infection control compliance and overall health and safety of residents at the facility.

Findings
The facility was found to be in substantial compliance with infection control requirements, with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of this inspection.

Employees mentioned
NameTitleContext
Latoya ScottStaffMet with Licensing Program Analyst during inspection and participated in exit interview.
Maria CuciceaProgram ManagerCompleted infection control domain via Facetime with Licensing Program Analyst.
Kevin LeeAdministratorFacility administrator notified of inspection presence.
Sarena KeosavangLicensing Program AnalystConducted the annual inspection.

Inspection Report

Complaint Investigation
Census: 4 Capacity: 6 Deficiencies: 0 Date: May 27, 2021

Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 2021-04-23 regarding overcharging fees, denial of access to personal belongings, injury by staff, and lack of dignity and respect towards a resident.

Complaint Details
The complaint included 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.
Findings
The investigation included interviews with staff, residents, the resident's Power of Attorney, and the Ombudsman, as well as review of relevant documentation. All four allegations were found to be unfounded based on the evidence and interviews conducted.

Report Facts
Capacity: 6 Census: 4 Additional monthly charge alleged: 500

Employees mentioned
NameTitleContext
Sabrina CalzadaLicensing Program AnalystConducted the complaint investigation
Kevin LeeAdministratorFacility administrator during investigation
Maria CuciceaHouse ManagerInterviewed during investigation
Eva BogomazCaregiverInterviewed during investigation
Latoya ScottCaregiverInterviewed during investigation
Maribeth SentySupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 4 Capacity: 6 Deficiencies: 0 Date: 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.

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.
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.

Report Facts
Capacity: 6 Census: 4 Additional monthly charge alleged: 500

Employees mentioned
NameTitleContext
Sabrina CalzadaLicensing Program AnalystConducted the complaint investigation and authored the report
Maribeth SentyLicensing Program ManagerOversaw the complaint investigation
Kevin LeeAdministratorFacility administrator interviewed during investigation
Eva BogomazCaregiverMet Licensing Program Analyst at facility entrance and interviewed
Latoya ScottCaregiverInterviewed during investigation
Maria CuciceaHouse ManagerInterviewed during investigation

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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.
Report Facts
Residents reviewed: 6 Capacity: 6 Census: 6 Plan of Correction Due Date: Nov 9, 2020

Employees mentioned
NameTitleContext
Kevin LeeAdministratorNamed in relation to the complaint and investigation findings.
Kevin MknellyLicensing Program AnalystConducted the complaint investigation.
Maribeth SentyLicensing Program ManagerNamed in the report as Licensing Program Manager.

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