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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005211
Report Date: 10/22/2025
Date Signed: 10/22/2025 11:48:55 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
02/10/2023 and conducted by Evaluator Joseph Alejandre
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20230210111523
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: 22DATE:
10/22/2025
UNANNOUNCEDTIME BEGAN:
08:15 AM
MET WITH:Melinda FloresTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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9
Staff does not provide adequate supervision to resident in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Joseph Alejandre made an unannounced visit to continue the investigation into the allegation listed above. LPA met with Administrator Melinda Flores and explained the reason for the visit. The investigation into the allegation revealed the following. It was alleged that, staff does not provide adequate supervision to resident in care, which led to Resident 1 (R1) falling on February 5, 2023 and February 6, 2023. Both incidents were reported to the Agency and R1's responsible party. After each incident staff assessed R1 and immediately called 911. After the fall on February 5, 2023 R1 had a bump on their forehead and after the fall on February 6, 2023 R1 had a bump on the back of their head. When R1 was admitted to the hospital after their fall on February 6, 2023 and discharged on February 9, 2023. R1 was admitted to the hospital because they suffered 2 falls, 2 days in a row, their loss of consciousness (on February 6), and history of hypertension. The Administrator reported that after the fall on February 5, 2023 R1 was placed on increased checks (hourly) and had a pressure pad but on their bed to notify staff when R1 got out of bed. R1 was encouraged to spend more time in the main activity room where most of the residents spend their day to minimize their risk of falls.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
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 22-AS-20230210111523
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: 10/22/2025
NARRATIVE
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The facility also put pads on the side of the bed in case R1 fell out of bed at night. According to R1's physician report dated August 18, 2022 R1 was diagnosed with Dementia and could ambulate. A review of hospital discharge paperwork shows R1's CT scans and X-rays were negative and showed no injuries. R1 was advised to drink more water to stay hydrated to help their Kidney function and advised to have a follow up appoint with their primary care physician (PCP) to check on their kidney function. 5 out of 5 staff interviewed reported that R1 is checked on hourly and always assisted. R1 did not respond to questions asked by LPA. The Administrator reported that they have scheduled a meeting with R1's responsible party to discuss their care plan. R1's responsible party could not be reached and was not interviewed. R1 moved out of the facility on December 18, 2023 and has since passed away. After R1 fell on February 5, 2023, the facility took action and since there have been no reports of any incidents involving R1. Based on the evidence gathered the allegation is unsubstantiated, meaning although the allegation may have happened or is valid, there is no preponderance of evidence to prove the alleged violation did or did not occur. An exit interview was conducted and a copy of the report provided.
SUPERVISORS NAME: Sheila Santos
LICENSING EVALUATOR NAME: Joseph Alejandre
LICENSING EVALUATOR SIGNATURE:

DATE: 10/22/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/22/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2