306005211-3-24-2026-22-AS-AORZ-DSNRU7-20260330131927

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 306005211
Report Date: 03/24/2026
Date Signed: 03/24/2026 04:50:42 PM

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
02/06/2026 and conducted by Evaluator Hanna Gough

COMPLAINT CONTROL NUMBER: 22-AS-20260206155019

FACILITY NAME:	ARDENT CARE		FACILITY NUMBER:	306005211
ADMINISTRATOR:	MELINDA FLORES		FACILITY TYPE:	740
ADDRESS:	1665 SOUTH BROOKHURST STREET		TELEPHONE:	(714) 991-0991
CITY:	ANAHEIM	STATE: CA	ZIP CODE:	92804
CAPACITY:	27	CENSUS: 23	DATE:	03/24/2026
		UNANNOUNCED	TIME BEGAN:	04:34 PM
MET WITH:	Melinda Flores		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Staff did not provide records to responsible party in a timely manner
Lack of care and supervision for resident led to multiple falls

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct an investigation into the above mentioned complaint allegation. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Melinda Flores and discussed the purpose of the visit.

The investigation into the allegation of staff did not provide records to responsible party in a timely manner revealed the following: It was alleged that documents were requested from Resident #1 (R1)s file and they were not received in a timely manner. LPA reviewed text messages and emails sent between Witness #1 (W1) and facility staff of W1 requesting R1s admission agreement on Tuesday February 3, 2026. LPA reviewed an email exchange between W1 and Witness #2 (W2) on February 14, 2026, where W2 provided the information to W1. W1 also requested fall/ incident reports from facility staff on February 16, 2026, and as of February 26, 2026, W1 still had not received the documents requested. LPA observed W1 as the responsible party/emergency contact for R1.
Continue on LIC9099C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026

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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Control Number 22-AS-20260206155019

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: 03/24/2026

NARRATIVE

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LPA did not observe conservator papers or Power of Attorney(POA) paperwork in R1s file naming W1 as their authorized individual for the facility to share documentation with. Interviews with AD revealed that W1 requested documentation and the documents had to be sent by postal mail due to the facility scanner not working properly. AD requested a postal address from W1 and never received it. AD informed LPA that W2 came to the facility to pick up the documentation to send to W1 electronically on behalf of AD. AD informed LPA that R1 did not have a POA and was not conserved.

The investigation into the allegation of lack of care and supervision for resident led to multiple falls revealed the following: It was alleged that R1 is lacking care and supervision by facility staff due to R1 having five or more falls while residing at the facility. LPA reviewed an Admission Agreement for R1 stating that they were admitted to the facility on February 26, 2024. LPA reviewed a physicians report for R1 dated August 20, 2025, stating that R1 has a diagnosis of Dementia, does not have motor impairment, is able to transfer to and from bed and is non ambulatory. This report was signed and dated by a medical professional.

LPA reviewed incident reports regarding R1 from May 22, 2025, through January 19, 2026. LPA reviewed that R1 had three unwitnessed falls, four witnessed falls and one fall due to an aggressive act to another resident. LPA reviewed the incident reports to state that the witnessed falls were due to another resident moving R1s chair or R1 tripping. LPA reviewed a staff schedule for December 2025 through February 2026 that indicates four to five staff for the AM shift, three to four staff for the PM shift and two staff for the NOC shift.

Interviews with staff revealed 3 of 3 staff informed LPA that R1 had witnessed falls due to R1 being aggressive and tripping. 3 of 3 staff informed LPA that R1 would trip due to attempting to get up and start walking even if something was in their way. 3 of 3 staff informed LPA that the falls are not due to a lack of care and supervision but due to the staff not being able to react fast enough when they see R1 moving and not observing what was in front of them. 2 of 3 staff informed LPA that R1s latest fall was due to R1 tripping over their wheel chair foot rests before attempting to ambulate.

LPA interviewed 4 residents in care and 1 of 4 residents informed LPA that they feel safe at the facility, have never fallen and staff is always there to assist them. 3 of 4 residents did not confirm or deny the quality of care and supervision provided at the facility including R1.

LPA observed R1 attempt to get up and ambulate without moving the objects in front of their feet. LPA observed staff assist R1 move the objects so that R1 would not trip and fall.

Continue on 9099C

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026

LIC9099 (FAS) - (06/04)

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Control Number 22-AS-20260206155019

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: 03/24/2026

NARRATIVE

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LPA reviewed staff training conducted on February 5, 2026, on topics such as resident on resident bullying and recognizing a change in condition.

Based on interviews conducted, observations and records reviewed the Department is unable to ascertain if the above allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violations occurred; therefore, the allegations are deemed UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report was left at the facility.

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:	DATE: 03/24/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/24/2026

LIC9099 (FAS) - (06/04)

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