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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700761
Report Date: 06/03/2026
Date Signed: 06/03/2026 10:02:59 AM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/27/2026 and conducted by Evaluator Kerry Hiratsuka
COMPLAINT CONTROL NUMBER: 59-AS-20260527102138
FACILITY NAME:SPLENDOR OAKS SENIOR LIVING 1FACILITY NUMBER:
342700761
ADMINISTRATOR:LEE, KEVINFACILITY TYPE:
740
ADDRESS:3609 VOLEYN STTELEPHONE:
(916) 993-9921
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:6CENSUS: 6DATE:
06/03/2026
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Ronette Cunningham TIME COMPLETED:
10:10 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility shower is in disrepair
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst Hiratsuka, conducted this unannounced complaint visit.

LPA toured the facility and interviewed staff. LPA observed the shower in the main shower room and it worked. Two staff members showed LPA the shower head worked and both stated there hasn't been any issues with it. LPA didn't observe any leaks or defects in the shower. There is a second shower in a private bathroom that is not in use at the moment because the resident who occupies the room is unable to use it. LPA toured the facility and did not observe any physical plant issues.

Based on the above, the allegaion is unfounded.

A finding that an allegation is UNFOUNDED means that the allegation is false, could not have happened, and/or is without a reasonable basis.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Kerry Hiratsuka
LICENSING EVALUATOR SIGNATURE:

DATE: 06/03/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/03/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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