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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700856
Report Date: 08/12/2026
Date Signed: 08/12/2026 05:04:54 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/01/2025 and conducted by Evaluator Michael Hood
COMPLAINT CONTROL NUMBER: 59-AS-20251201155214
FACILITY NAME:A HEARTY CARE HOME IVFACILITY NUMBER:
342700856
ADMINISTRATOR:ARGANA, FERDINANDFACILITY TYPE:
740
ADDRESS:8734 SOTHEBY CT.TELEPHONE:
(916) 267-5275
CITY:FAIR OAKSSTATE: CAZIP CODE:
95628
CAPACITY:6CENSUS: 5DATE:
08/12/2026
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Maria Clardy, AdministratorTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Staff did not ensure residents were served food of good quality.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Hood arrived at the care home and met with Administrator, Maria Clardy, to deliver findings regarding the complaint allegation listed above. Over the course of the investigation, LPA toured the premises on multiple dates. The results of the investigation are as follows:

During visits conducted on December 8, 2025, and December 31, 2025, LPA observed multiple food items on the premises that had expired past their expiration date. During both visits, staff cleared the premises of the expired food items discovered by LPA during the inspection.

Based on observations, the preponderance of evidence standards have been met. Therefore, the above allegation is found to be SUBSTANTIATED. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D page. Exit interview was conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026
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 7
Control Number 59-AS-20251201155214
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: A HEARTY CARE HOME IV
FACILITY NUMBER: 342700856
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 08/12/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
09/11/2026
Section Cited
CCR
87555(b)(8)
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87555 General Food Service Requirements (b) The following food service requirements shall apply: (8) All food shall be of good quality. (…) This requirement is not met as evidenced by:
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Facility will ensure to purge expired food items from the care home regularly. Facility will conduct staff training regarding food safety with all staff and provide proof of training to LPA by POC due date of September 11, 2026.
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Based on LPA’s observations, the care home did not ensure that food items on the premises were of good quality as multiple food items were past their expiration date, which poses a potential health, safety, and personal rights risk to the residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/01/2025 and conducted by Evaluator Michael Hood
COMPLAINT CONTROL NUMBER: 59-AS-20251201155214

FACILITY NAME:A HEARTY CARE HOME IVFACILITY NUMBER:
342700856
ADMINISTRATOR:ARGANA, FERDINANDFACILITY TYPE:
740
ADDRESS:8734 SOTHEBY CT.TELEPHONE:
(916) 267-5275
CITY:FAIR OAKSSTATE:CAZIP CODE:
95628
CAPACITY:6CENSUS: 5DATE:
08/12/2026
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Maria Clardy, AdministratorTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Staff did not provide medical attention in a timely manner.

Staff did not respond to resident's call bell in a timely manner.

Staff did not ensure the home was clean and in good repair.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Hood arrived at the care home and met with Administrator, Maria Clardy, to deliver findings regarding the complaint allegations listed above.

Over the course of the investigation, LPA conducted interviews, toured the premises, and reviewed documentation pertinent to the investigation. The results of the investigation are as follows:

Allegation: Staff did not provide medical attention in a timely manner.

LPA conducted a Required-1 Year Inspection at the care home on November 19, 2025 and observed resident (R1) move out of the community prior to the conclusion of their inspection at 1:35 PM.

** Report continued on 9099-C **
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 3 of 7
Control Number 59-AS-20251201155214
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: A HEARTY CARE HOME IV
FACILITY NUMBER: 342700856
VISIT DATE: 08/12/2026
NARRATIVE
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LPA visited the care home R1 moved to on December 9, 2025 and obtained records on site, including R1’s Admission Agreement to the new home, Preplacement Appraisal, Needs and Services Plan, and Medical Assessment upon Admission. LPA observed R1’s Admission Date Listed for the new care home was November 19, 2025.

LPA observed R1’s Medical Assessment upon admission to the new care home was dated November 7, 2024. R1’s Medical Assessment indicated that R1 was non-ambulatory and had diagnoses that included acute stroke due to occlusion of right middle cerebral artery, Dermatitis, chronic low back pain with lumbar radiculopathy, left wrist joint pain, headache, history of ischemic stroke with unspecified residual deficits, Hemiplegia, right carotid artery occlusion, Hypothyroidism, unspecified anxiety disorder, Type 2 Diabetes Mellitus without retinopathy, Type 2 Diabetes Mellitus with peripheral neuropathy, ADHD unspecified, restless legs syndrome, daytime somnolence, sleep apnea, Hypertension, Type 2 Diabetes Mellitus with Hyperlipidemia, benign prostatic hyperplasia, bilat sensorineural hearing loss, cervical spondylosis, allergic rhinitis, history of gastric bypass surgery, and Mild Cognitive Impairment (MCI). LPA observed R1’s Preplacement Appraisal and Needs and Services Plan were dated November 22, 2025. LPA did not observe any new conditions on R1’s Preplacement Appraisal and Needs and Services Plan that were not listed on R1’s Medical Assessment dated November 7, 2024.

LPA observed a Discharge Instructions Document for R1’s visit to the hospital on November 22, 2025. Document indicates that R1 was diagnosed with Cellulitis, chronic radicular low back pain, Type 2 Diabetes Mellitus, Hypertension, Hyperlipidemia, benign prostatic hyperplasia, Hypothyroid, Hemiplegia, and Headache. LPA observed Cellulitis as a change in condition for R1. Based on LPA's observations and records obtained during the investigation, there was approximately three (3) days between R1 moving out of the care home into another care home and R1 being sent to the hospital, where they were diagnosed with Cellulitis as a new diagnosis. It cannot be determined whether or not the care home R1 moved from would have sent R1 to the hospital sooner had they not moved to a new care home. Therefore, the allegation that the care home did not provide medical attention in a timely manner is unsubstantiated.

Allegation: Staff did not respond to resident's call bell in a timely manner.

** Report continued on 9099-C **
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026
LIC9099 (FAS) - (06/04)
Page: 4 of 7
Control Number 59-AS-20251201155214
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: A HEARTY CARE HOME IV
FACILITY NUMBER: 342700856
VISIT DATE: 08/12/2026
NARRATIVE
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LPA conducted interviews with residents R2 and R3, as well as staff members S1, S2, and S3. R2 and R3 indicated that they have used a call button to obtain assistance from care staff. Interviews conducted with residents did not indicate any concerns regarding wait times before receiving assistance from staff after using their call button. Interviews with staff indicated wait times that ranged from immediate to 15 minutes in which a resident would have to wait for assistance from care staff after using their call button. LPA observed progress notes for R1 and observed staff acknowledge R1 using their call button and staff providing assistance in response to R1 using their call button.

Allegation: Staff did not ensure the home was clean and in good repair.

LPA conducted interviews with residents R2 and R3, as well as staff members S1, S2, and S3. Interviews conducted with residents and staff did not indicate any concerns regarding the care home being unclean or in disrepair. The Department conducted visits at the care home on December 8, 2025, December 31, 2025, July 14, 2026, August 11, 2026, and August 12, 2026. LPAs who conducted visits did not observe care home to be unclean or in disrepair.

Based on interviews conducted, observations, and records reviewed, the preponderance of evidence standards have not been met. Therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means that, although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview was conducted. A copy of this report and appeal rights were provided. Signature on these forms acknowledges receipt of these documents.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 7
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/01/2025 and conducted by Evaluator Michael Hood
COMPLAINT CONTROL NUMBER: 59-AS-20251201155214

FACILITY NAME:A HEARTY CARE HOME IVFACILITY NUMBER:
342700856
ADMINISTRATOR:ARGANA, FERDINANDFACILITY TYPE:
740
ADDRESS:8734 SOTHEBY CT.TELEPHONE:
(916) 267-5275
CITY:FAIR OAKSSTATE:CAZIP CODE:
95628
CAPACITY:6CENSUS: 5DATE:
08/12/2026
UNANNOUNCEDTIME BEGAN:
12:25 PM
MET WITH:Maria Clardy, AdministratorTIME COMPLETED:
04:45 PM
ALLEGATION(S):
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Staff did not ensure the home was free of pests.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Michael Hood arrived at the care home and met with Administrator, Maria Clardy, to deliver findings regarding the complaint allegation listed above.

Over the course of the investigation, LPA conducted interviews, toured the premises, and reviewed documentation pertinent to the investigation. The results of the investigation are as follows:

Allegation: Staff did not ensure the home was free of pests.

LPA conducted interviews with residents R2 and R3, as well as staff members S1, S2, and S3. Interviews conducted with residents and staff did not indicate any concerns regarding pests at the care home. The Department conducted visits at the care home on December 8, 2025, December 31, 2025, July 14, 2026, August 11, 2026, and August 12, 2026. LPAs who conducted visits did not observe pests at the care home.
** Report continued on 9099-C **
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 6 of 7
Control Number 59-AS-20251201155214
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: A HEARTY CARE HOME IV
FACILITY NUMBER: 342700856
VISIT DATE: 08/12/2026
NARRATIVE
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LPA received a pest control invoice dated December 5, 2025, which was prior to LPA opening the complaint investigation. Pest control invoice dated December 5, 2025 indicates that there was no pest activity noted.

Based on interviews conducted, observations, and records reviewed, the above allegation is found to be UNFOUNDED. A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

Exit interview was conducted. A copy of this report was provided. Signature on these forms acknowledges receipt of these documents.
SUPERVISORS NAME: Anthony Perez
LICENSING EVALUATOR NAME: Michael Hood
LICENSING EVALUATOR SIGNATURE:

DATE: 08/12/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/12/2026
LIC9099 (FAS) - (06/04)
Page: 7 of 7