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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 198601845
Report Date: 07/24/2025
Date Signed: 07/24/2025 11:51:17 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/18/2025 and conducted by Evaluator Glenn Trueman
PUBLIC
COMPLAINT CONTROL NUMBER: 28-AS-20250718152046
FACILITY NAME:A SPLENDOR LIVING - THE GLENDORA INCFACILITY NUMBER:
198601845
ADMINISTRATOR:CHRIS JENGFACILITY TYPE:
740
ADDRESS:452 SELLERS ST.TELEPHONE:
(626) 594-0152
CITY:GLENDORASTATE: CAZIP CODE:
91741
CAPACITY:34CENSUS: 4DATE:
07/24/2025
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Assistant Administrator Celia GarciaTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Staff are unable to communicate with residents
Staff are not properly reporting/communicating to authorized representative
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Glenn Trueman conducted a complaint investigation regarding the allegations listed above. LPA arrived unannounced and met with Assistant Administrator, Celia Garcia. The purpose of the visit was explained.
Shortly thereafter Administrator Pamela Ogot arrived.
LPA obtained a copy of the staff and resident rosters, reviewed Resident #1’s file, and interviewed the administrator, Staff S1-S2, and Residents R2-R4.
Emergency ID Face Sheet, Physician's Report and Admission Agreement to be submitted from Resident R1's file.
In regards to the allegation Staff are unable to communicate with residents, based on interviews conducted and information gathered it was revealed by Resident's R2-R4 that all staff communicate very well in English. Stated there isn't a language barrier and everything is clear. All said staff are very nice and that there are no problems.
Unsubstantiated
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 28-AS-20250718152046
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME: A SPLENDOR LIVING - THE GLENDORA INC
FACILITY NUMBER: 198601845
VISIT DATE: 07/24/2025
NARRATIVE
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Interviews were conducted with staff at today's visit and all spoke clearly and all speak English.
All stated there was no language barrier and there is no problem with assisting and communicating with the residents.
Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

In regards to the allegation Staff are not properly reporting/communicating to authorized representative, based on interviews conducted and information gathered staff revealed that there is an individual calling asking for personal information regarding Resident R1 and stating he is the husband living out of state.
Stated that he is not listed on any documents as an authorized representative.
Also said that he threatened to call the ombudsman and the police.
Administrator said that anytime R1 is discharged this individual will call and was threatening.
Resident R1 was discharged to skilled nursing on 7/7/2025.
Review of file for Resident R1 was conducted and revealed the following:
Admission Agreement signed 8/12/2022 lists for Resident R1 under responsible party Self.
Under Parties to this Agreement it is signed by Resident R1 as resident's responsible party.
Personal Rights responsible party signed by Resident R1.
Non-Discrimination Notice signed by Resident R1 as authorized representative.
Funeral Arrangements Document signed by Resident R1 as authorized representative.
ID and Emergency Information signed by Resident R1 as authorized representative.
Resident Appraisal signed by Resident R1 as authorized representative.
Release of Resident Client/Resident Medication signed by Resident R1 as authorized representative.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.
NAME OF LICENSING PROGRAM MANAGER: Wei Siew Ho
NAME OF LICENSING PROGRAM ANALYST: Glenn Trueman
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 07/24/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/24/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2