Spring Azure Senior Care

Allegation investigated: Facility is not sufficiently staffed to meet the needs of resident Staff do not properly monitor residents alcohol consumption

Licensing Program Analyst (LPA) Melissa Parks arrived on Wednesday June 3, 2026, unannounced to conduct a complaint visit regarding the above allegations. LPA met with Administrator Dyan and explained the purpose of the visit. LPA interviewed Dyan and staff regarding the allegations. LPA learned the following: R1 has lived at the facility since February 2026. R1 needs assistance from staff to reposition. Per R1's request, staff are to wake them up (if needed) before repositioning. On May 26, 2026, staff attempted to wake R1 up in order to reposition them. R1 then began to yell at staff and hit S2 on their arm, leaving a bruise. R1 later apologized for their behavior, stating that they drank too much alcohol. LPA reviewed staffing schedules for the facility: this facility currently has 6 residents, 4 of which are ambulatory and 2 are non-ambulatory. There are two staff scheduled 7am - 7pm daily with one awake staff from 7pm - 7am. Additionally, the administrator is here 9am - 5pm Monday - Friday and works as direct care staff on Saturday and Sunday. Staff stated that this was the only incident where R1 attempted to Unfounded hit staff and has not occurred since. R1 has a history of being rude or yelling at staff. LPA interviewed R2 who stated that they felt the facility is staffed appropriately. R2 stated that their needs are being met. LPA reviewed R1's facility file including LIC625, physicians report, admission agreement, and resident appraisal. R1 is their own power of attorney. Per R1's 602, there is no cognitive impairment, and they can manage their own medication. R1 needs assistance with dressing, toileting, and repositioning. R1 can leave the facility unassisted. LPA did not find any documentation from R1's physician stating that they could not drink or to limit alcohol. Additionally, there are no house rules regarding alcohol consumption. R1 refused to meet with LPA during the facility visit. Based on the evidence provided, the preponderance of evidence standards was not met, therefore, the above allegations are found to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted. A copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jun 3, 2026 · control 59-AS-20260527133619

Type of visit: Required - 1 Year

On 12/09/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived unannounced to conduct an annual inspection. LPA met with Administrator Dyan Christine Chua-Harris and explained the purpose of the visit. LPA and Administrator conducted a tour of the facility. Areas toured include but not limited to resident bedrooms, bathrooms, kitchen, and common areas. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of seven(7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies are locked and inaccessible to residents in care. LPA observed the fire extinguisher located in the hallway last inspected on 11/07/2025. LPA observed fire detectors and carbon monoxide alarms to be operable. LPA observed medications to be locked and inaccessible to residents in care. LPA observed required Licensing posters posted throughout the facility. LPA reviewed five (5) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, and resident's rights. LPA reviewed two (2) staff files. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current training completed. LPA requested for Administrator to email LPA a copy of the Liability Insurance by 12/12/2025. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and a copy of the report was left at the facility.the state’s words, verbatim · CDSS document, Dec 9, 2025

Type of visit: Required - 1 Year

On 02/10/2025 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived unannounced to conduct an annual inspection. LPA met with Administrator Dyan Christine Chua-Harris and explained the purpose of the visit. LPA and Administrator conducted a tour of the facility. Areas toured include but not limited to (4) resident bedrooms, bathrooms, kitchen, and common areas. LPA observed required furniture, and lighting throughout the residents' bedrooms and facility. LPA observed residents' bathrooms to be clean, sanitary, and in good repair. LPA observed food supplies of non-perishables for a minimum of seven(7) days and perishable foods for a minimum of two (2) days. Toxins and cleaning supplies are locked and inaccessible to residents in care. LPA observed the fire extinguisher located in the hallway last inspected on 11/11/2024. LPA observed fire detectors and carbon monoxide alarms to be operable. LPA observed medications to be locked and inaccessible to residents in care. LPA observed required Licensing posters posted throughout the facility. LPA reviewed four (4) resident files. Resident files contain signed admission agreements, physician's reports, appraisals, identification sheets, and resident's rights. LPA reviewed two (2) staff files. A review of staff records indicates that all facility staff has received criminal record clearances and/or are associated to this facility. Staff records reviewed indicated current training completed. LPA requested for Administrator to email LPA a copy of the LIC308 and Liability Insurance by 02/14/2025. No deficiencies are being cited as a result of todays inspection. Exit interview conducted and a copy of the report was left at the facility.the state’s words, verbatim · CDSS document, Feb 10, 2025

Allegation investigated: Facility is not ADA accessible. Staff not providing a safe environment for resident(s).

On 09/26/24, Licensing Program Analysts (LPAs) Cheyenne Ratajczak and Graham Gunby arrived at the facility unannounced to deliver final findings Community Care Licensing (CCL) received on 05/30/24. LPA met with Administrator, Dyan Christine Chua-Harris and explained the purpose of the visit. During the course of the investigation, the Department conducted interviews and obtained pertinent documents relevant to the complaint investigation. Please continue to LIC9099-C.. Unfounded Allegation- Facility is not ADA accessible. -UNFOUNDED The department conducted record review and interviews with staff and residents to investigate this allegation. During staff interviews, Administrator stated that facility has approved emergency disaster plan and was not ADA compliant (Americans with Disabilities Act Standards for Accessible Design) as it is not a requirement. Record review indicated that facility has Approved Fire Evacuation plan and Approved Facility’s sketch by local fire department per requirement. Department observed that facility was in compliance of Approved Fire plan for facility’s operations and there were no issues. From gathered information, it has been concluded that facility was operating under RCFE Title 22 Regulations which does NOT require facility to follow ADA guidelines, therefore this allegation was found to be UNFOUNDED. Allegation- Staff not providing a safe environment for resident(s). -UNFOUNDED Department conducted record review and interviews with staff and residents to investigate this allegation. It was alleged that facility’s main hallway and backyard area was not safe to meet resident’s medical transportation needs. Residents and staff interviews conducted on 06/04/24 indicated that resident, R1 was scheduled to go for doctor’s appointment on 05/30/24 in private ambulance on gurney which was arranged by facility. When the driver came to pick up R1, driver assessed that facility’s main hallway and backyard area was not safe for gurney transport and left the facility without taking R1. After that, facility called another private ambulance company who came and assisted R1 on gurney and transport R1 to their doctor’s appointment without any issues. During R1s interview on 06/04/24, R1 did not express any concerns with staff’s care or safety at the facility. Department observed that facility was providing safe environment to all residents without any issues. Based on gathered information, this allegation was found to be UNFOUNDED. Exit interview conducted. A copy of the report was left at the facility.the state’s words, verbatim · CDSS document, Sep 26, 2024 · control 59-AS-20240530151725

Allegation investigated: Staff are using a medical device on resident without authorization.

On 09/26/24, Licensing Program Analysts (LPAs) Cheyenne Ratajczak and Graham Gunby arrived at the facility unannounced to deliver final findings Community Care Licensing (CCL) received on 07/05/24. LPA met with Administrator, Dyan Christine Chua-Harris and explained the purpose of the visit. During the course of the investigation, the Department conducted interviews and obtained pertinent documents relevant to the complaint investigation. Please continue to LIC9099-C Unfounded Allegation- Staff are using a medical device on resident without authorization. - UNFOUNDED The Department conducted record review and interviews with staff and residents to investigate this allegation. It was alleged that facility is using an external catheter for resident, R1 without physician’s order for R1’s toileting care needs. Record review indicated that per R1s physician, facility does not require any doctor’s order to use external catheter to address resident’s toileting care needs as it falls under Incontinent Supplies which does not require any doctor’s orders. During staff and resident’s interview, it has been concluded that facility tried to use external catheter for a day, but it did not work out, so staff stopped use. R1 did not verbalize any issues with external catheter and were at their baseline without any issues. Based on gathered information, it has been concluded that facility used external catheter to address R1s toileting needs but that was not a violation of Title 22 Regulations, therefore, this allegation was found to be UNFOUNDED. Exit interview conducted. A copy of the report and appeal rights left at the facility.the state’s words, verbatim · CDSS document, Sep 26, 2024 · control 59-AS-20240705090948

Type of visit: Post Licensing

On 05/16/24 Licensing Program Analyst (LPA) Cheyenne Ratajczak arrived at the facility unannounced to conduct a post- licensing visit utilizing the care tool. LPA met with Administrator, Christine Chua- Harris and explained the purpose of the visit. The facility was licensed on/around 02/13/24 for six (6) non-ambulatory residents and has an approved hospice waiver for four (4). Currently, there are six (6) residents and no one receiving hospice services. LPA and Administrator conducted a tour of the interior and exterior of the facility. Areas toured include but not limited to: resident bedrooms, bathrooms, kitchen, garage, and backyard. LPA observed food supplies of non-perishables for a minimum of seven (7) days and perishable foods for a minimum of two (2) days. Toxins, knives and medications are locked and inaccessible to residents in care. Hot water temperature was measured at 117.2 degrees Fahrenheit at the kitchen sink, which is within the required range of 105 to 120 degrees. The temperature in the facility was 74 degrees. Fire extinguisher was last inspected on 11/06/23. LPA observed fire detectors and carbon monoxide detectors to be operable. LPA observed required Licensing posters posted throughout the facility. LPA conducted a file review of two (2) resident files and one (1) staff file. LPA observed one (1) staff working at the facility who is not fingerprint cleared. Administrator stated they will send staff today to get fingerprinted. LPA additionally provided facility with LIC311f which states required documents for personnel and resident files. LPA completed the full care tool, deficiencies was observed and civil penalties was assessed. Please see LIC 809-D. Exit interview conducted and a copy of the report and appeal rights was provided.the state’s words, verbatim · CDSS document, May 16, 2024

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Sabrina Calzada arrived announced to conduct a pre-licensing inspection at 2:15 pm on 2/2/24. LPA met with Christine Chua- Harris, Administrator and Shane Harris, Co-Licensese. There are currenly no residents present as this location has a new license pending. LPA, Administrator and Licensee toured the interior and exterior of the facility including the common areas, (2) private resident bedrooms (2) shared resident bedrooms, (2) resident bathrooms, kitchen, office area and laundry/garage. LPA observed the facility to be clean, have newly remodeled rooms equipped with furniture and lighting throughout. The bathrooms have the necessary grab bars, and non-skid flooring- to post 20-second hand-washing posters. LPA observed some non-perishable food and dishes, flatware and cooking pans in the kitchen. Sharps and toxins are locked in the kitchen using magnetic locks. Medications will be stored in a locked cabinet in the office area. LPA observed a patio table and chairs and (2) unlocked exit gates in the backyard. All exit doors have alarms. The inside temperature measured 68*F. Fire extinguishers were last serviced on 11/6/23. LPA observed a complete First Aid kit and sufficient PPE and paper supplies. All smoke/monoxide alarms work. Water temperature measured 114*F in the kitchen. Refrigerator/freezer measured 37*F/0*F, within regulation. LPA observed sufficient linens/towels/blankets. LPA observed various required postings posted, including the Emergency Disaster Plan and Theft & Loss Policy. LPA observed some games/activities and an operating land line. LPA reviewed a sample resident file and found it to contain all the required forms. Staff files are digitized. Administrator to repair two small tears in two window screens by tomorrow. Component III was reviewed during today’s inspection. Pre-Licensing is complete and this facility has no deficiencies. Exit interview. Copy of report left at facility. LPA to notify to the Centralized Applications Bureau.the state’s words, verbatim · CDSS document, Feb 2, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Christine Dyan Chua-Harris, Administrator/Applicant and Shane Harris, Applicant Interview Method: Virtual interview (MS Teams) On 01/08/2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Jan 8, 2024