<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005211
Report Date: 06/20/2025
Date Signed: 06/20/2025 11:01:15 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/15/2025 and conducted by Evaluator Edward Kim
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250115141051
FACILITY NAME:ARDENT CAREFACILITY NUMBER:
306005211
ADMINISTRATOR:MELINDA FLORESFACILITY TYPE:
740
ADDRESS:1665 SOUTH BROOKHURST STREETTELEPHONE:
(714) 991-0991
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:27CENSUS: 24DATE:
06/20/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator- Melinda FloresTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff fail to seek timely medical attention for resident
Staff refuse resident to leave facility
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On June 20, 2025, Licensing Program Analyst (LPA) Edward Kim conducted a subsequent complaint visit to deliver the findings of the investigation. LPA met with Administrator Melinda Flores and explained the purpose of the visit.

The investigation included the following activities: On January 21, 2025, LPA Kim conducted the initial visit, during which relevant records were obtained. In addition, interviews were conducted with three staff members (S1–S3), five residents (R1–R5), and three witnesses (W1–W3).

The investigation revealed the following:

Continued on LIC 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
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 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/15/2025 and conducted by Evaluator Edward Kim
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20250115141051

FACILITY NAME:ARDENT CAREFACILITY NUMBER:
306005211
ADMINISTRATOR:MELINDA FLORESFACILITY TYPE:
740
ADDRESS:1665 SOUTH BROOKHURST STREETTELEPHONE:
(714) 991-0991
CITY:ANAHEIMSTATE: CAZIP CODE:
92804
CAPACITY:27CENSUS: 24DATE:
06/20/2025
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Administrator- Melinda FloresTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff refuse to disclose information to responsible party.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On June 20, 2025, Licensing Program Analyst (LPA) Edward Kim conducted a subsequent complaint visit to deliver the findings of the investigation. LPA met with Administrator Melinda Flores and explained the purpose of the visit.

The investigation included the following activities: On January 21, 2025, LPA Kim conducted the initial visit, during which relevant records were obtained. In addition, interviews were conducted with three staff members (S1–S3), five residents (R1–R5), and three witnesses (W1–W3).

Allegation: Staff refuse to disclose information to responsible party.

It is alleged staff did not want to give resident’s medical records and disclose medication given to resident.

Continued on LIC 9099-C.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 22-AS-20250115141051
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: ARDENT CARE
FACILITY NUMBER: 306005211
VISIT DATE: 06/20/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Based on interviews conducted, five residents, one witness. and three staff denied staff refused to disclose information to responsible party. Two witnesses could not confirm or deny staff refused to disclose information to responsible party.

W1 stated on January 12, 2025, the family member requested a copy of the medication list and medical records from the facility and the family received the list of medications and medical records on the day they requested it and S1 also confirmed during an interview. According to California Code of Regulations 87468.2 (a) (19), “[the resident or responsible party is] to have prompt access to review all of their records and to purchase photocopies of their records. Photocopied records shall be provided within two (2) business days and a cost that does not exceed the community standard for photocopies.”

Based on Information gathered, the family has received the medical records within the two business day which does not corroborate the above allegation.

This department has investigated the complaint and based on the observations, interviews, and the records that were reviewed, the above allegation is deemed UNFOUNDED. We have found that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.

Exit interview conducted and a copy of this report was provided to Administrator Melinda Flores.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 5
Control Number 22-AS-20250115141051
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: ARDENT CARE
FACILITY NUMBER: 306005211
VISIT DATE: 06/20/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Allegation: Staff fail to seek timely medical attention for resident.
It was alleged that on January 10, 2025, a resident began experiencing swelling in their eyes. Staff reportedly stated they would contact the doctor and obtain medication; however, the facility allegedly failed to follow through. The resident’s condition worsened, with continued eye swelling and the onset of coughing.

During interviews, five out of five residents and three out of three staff members denied that staff failed to seek timely medical attention for the resident. One out of three witnesses claimed staff did fail to seek timely medical care, while the remaining two witnesses could neither confirm nor deny the allegation. One resident interview was conducted using a Spanish translator.

On January 10, 2025, Staff 1 (S1) reported that Resident 1 (R1) had watery eyes and a runny nose, but staff were not concerned at the time. Staff 2 (S2) noted R1 was also coughing. By around January 12, 2025, both S1 and S2 observed that R1’s cough had worsened, prompting the facility to arrange an X-ray. On January 13, staff offered to take R1 to the hospital due to the worsening cough, but R1 declined. On the early morning of January 14, 2025, R1 requested to go to the hospital. Staff contacted R1’s Responsible Party (RP), who agreed to take R1 to the hospital.

Based on the information gathered, there is insufficient evidence to support the allegation that the facility failed to seek timely medical attention for the resident.

Allegation: Staff refuse resident to leave facility.

It is alleged that facility staff did not allow family to take resident to the doctor. Based on interviews, five out of five residents and three out of three staff denied the allegation that staff refused resident to leave the facility.
Based on interview with Witness 1 (W1), the staff refused resident to leave facility and two witnesses could not confirm or deny staff refused resident to leave facility. W1 stated the family requested to take R1 to the hospital but the facility prevented the family to take R1 to the hospital because R1 needed to take an X-ray at the facility. W1 stated family then asked if they can eat lunch at the outdoor area of the facility and the family ate lunch with the resident. Interview with S1 stated, on January 12, 2025 family mentioned taking R1 at the outdoor area within the facility premises, but it was misunderstood as leaving the facility.

Continued on LIC 9099-C.
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 22-AS-20250115141051
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: ARDENT CARE
FACILITY NUMBER: 306005211
VISIT DATE: 06/20/2025
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
S1 emphasized, the family never mentioned taking R1 to the doctor that day or go outside the facility for lunch. S2 stated the family never requested to leave the facility. The resident (R1) did not request to leave the facility and only the family member mentioned it to the R1 that the facility wouldn’t let them go out to lunch together.

Based on Information gathered, there is no sufficient evidence to corroborate the above allegation.

Based on records review, interviews, and observations, LPA did not find sufficient evidence to support the above allegations. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are Unsubstantiated.

Exit interview was conducted and a copy of the report was provided to Administrator Melinda Flores
SUPERVISORS NAME: Lourdes Montoya
LICENSING EVALUATOR NAME: Edward Kim
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2025
LIC9099 (FAS) - (06/04)
Page: 5 of 5