ARDENT CARE

Official classification

Type B

Official code

87465(c)(3)

Regulation authority

CCR

What the official deficiency says

87465(c)(3) Incidental Medical and Dental Care A record of each dose is maintained in the resident's record... This requirement was not met as evidence by: LPA observed 2 of 5 residents to not have the medication administration record signed off when medications have been given. This poses a potential health, safety or personal rights risk to residents in care.

Official plan of correction

LPA observed an in service regarding medication signatures on November 25, 2025. Licensee stated they will write a medication policy regarding the MAR and do an in service on said policy and send proof to LPA by POC due date.

Deadline recorded: Jan 20, 2026. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(2)

Regulation authority

CCR

What the official deficiency says

87468.1(a)(2) Personal Rights of Residents in all Facilities (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidence by: LPA observed a camera in room 4 and a live feed picture was observed showing 2 resident beds. LPA did not observe conservatorship papers from R1 and R1 did not consent to the camera. This poses an immediate personal rigths risk to residents in care.

Official plan of correction

LPA observed staff take the camera out of room 4 at the time of the inspection. Licensee stated they will write a policy on cameras in resident rooms, submit a statement of understanding and send to LPA by October 31, 2025. ***This is an amended report***

Deadline recorded: Oct 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87555(b)(26)

Regulation authority

CCR

What the official deficiency says

87555 (b)(26) General Food Service Requirements (26) Supplies of nonperishable foods for a minimum of one week and perishable foods for a minimum of two days shall be maintained on the premises. This requirement was not met as evidence by: LPA did not observe a 2 day perishable and 7 day nonperishable food supply at the facility at the time of the investigation. This poses an immediate health and safety risk to residents in care.

Official plan of correction

Licensee stated they will purchase groceries and send proof to LPA by POC due date. Licensee stated they submit a plan of action for future grocery trips so the facility is within regulations regarding food to LPA by 10/31/2025. ***This is an amended report***

Deadline recorded: Oct 30, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87303(a)

Regulation authority

CCR

What the official deficiency says

87303 Maintenance and Operation(a) The facility shall be clean, safe, sanitary and in good repair at all times... This requirement was not met as evidence by: Based on interviews and record review LPA observed that room 3 had a broken faucet with no hot water causing R1 to go to a different room to shower. This poses a potential health, safety or personal rights risk to residents in care.

Official plan of correction

LPA observed a work order to fix the faucet and was completed on October 3, 2025, where the faucet was replaced. LPA tested the water to be at 109.3 degrees Farenheit at the time of the investigation. CLEARED AT THE TIME OF THE INVESTIGATION.

Deadline recorded: Nov 19, 2025. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87468.1(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Residents in all residential care facilities for the elderly shall have all of the following rights: (3) to be free from punishment, humiliation, intimidation, abuse, or other actions of a punitive nature, ….This requirement was not met as evidenced by: based on interview and records review, the licensee did not provide a safe environment for resident R2 due to R1 entering bedroom naked and trying to force R2 to open their mouth to engage in inappropriate behavior at the facility, which poses an immediate safety and personal rights risk for persons in care.

Official plan of correction

Administrator stated that R1 no longer reside at the facility due to the incident and was moved to an all-male board and care facility. The administrator corrected the incident in question within 30 days of it occurrence. POC cleared at time of visit due incident being corrected.

Deadline recorded: Sep 23, 2025. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87307(a)(D)

Regulation authority

CCR

What the official deficiency says

87307(a)(D) Personal Accommodations and services (D) Not more than two residents shall sleep in a bedroom. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in putting 3 residents in one bedroom which poses an immediatel health, safety or personal rights risk to persons in care going against the approved fire clearance that was given on May 4, 2016. A civil penalty was assessed at the time of the inspection.

Official plan of correction

POC Due Date: 08/23/2025 Plan of Correction Licensee stated that they will remove the third bed from the room by and send proof to LPA by POC due date.

Official classification

Type B

Official code

87412(a)(11)

Regulation authority

CCR

What the official deficiency says

87412(a)(11) Personnel Records (11) A health screening as specified in Section 87411, Personnel Requirements - General. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 out of 3 staff not having a health screening which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/12/2025 Plan of Correction Licensee stated they will obtain a health screening for staff and send proof to LPA by POC due date.

Official classification

Type A

Official code

87303(e)(2)

Regulation authority

CCR

What the official deficiency says

(e) Water supplies and plumbing fixtures shall be maintained as follows: (2) Faucets used by residents for personal care such as shaving and grooming shall deliver hot water. Hot water temperature controls shall be maintained to automatically regulate the temperature of hot water used by residents to attain a temperature of not less than 105 degree F (41 degrees C) and not more than 120 degree F (49 degrees C). This requirement is not met as evidenced by: Deficient Practice Statement Based on observation, the licensee did not comply with the section cited above in resident restrooms water testing at 122.1 and 125.6 degrees Farenheit which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/23/2025 Plan of Correction Licensee stated they will turn the water heater down and test water in resident restrooms and send proof to LPA by POC due date.

Official classification

Type B

Official code

1569.69(a)(1)

Regulation authority

HSC

What the official deficiency says

(a) Each residential care facility for the elderly licensed under this chapter shall ensure that each employee of the facility who assists residents with the self-administration of medications meets all of the following training requirements: (1) In facilities licensed to provide care for 16 or more persons, the employee shall complete 24 hours of initial training. This training shall consist of 16 hours of hands-on shadowing training, which shall be completed prior to assisting with the self-administration of medications, and 8 hours of other training or instruction, as described in subdivision (f), which shall be completed within the first four weeks of employment. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 of 3 staff not having 16 hours of initial training on file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/12/2025 Plan of Correction Licensee stated they will train staff and send proof to LPA by POC due date.

Official classification

Type B

Official code

87458(c)(1)(A)

Regulation authority

CCR

What the official deficiency says

(c) The medical assessment shall include, but not be limited to: (1) A physical examination of the resident indicating the licensed medical professional's diagnosis or diagnoses and results of an examination for all of the following: (A) Communicable tuberculosis. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above in 1 of 5 residents not having a TB test on file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/12/2025 Plan of Correction Licensee stated they will obtain a TB test and send proof to LPA by POC due date.

Official classification

Type B

Official code

87608(a)(3)

Regulation authority

CCR

What the official deficiency says

(a) Based on the individual's preadmission appraisal, and subsequent changes to that appraisal, the facility shall provide assistance and care for the resident in those activities of daily living which the resident is unable to do for himself/herself. Postural supports may be used under the following conditions: (3) A written order from a physician indicating the need for the postural support shall be maintained in the resident's record. The licensing agency shall be authorized to require other additional documentation if needed to verify the order. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above in 1 resident having half bed rails with no physicians order on file which poses a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/12/2025 Plan of Correction Licensee stated they will obtain the physicians order or remove the bedrails and send proof to LPA by POC due date.

Official classification

Type B

Official code

87465(c)(3)

Regulation authority

CCR

What the official deficiency says

(c) If the resident's physician has stated in writing that the resident is unable to determine his/her own need for nonprescription PRN medication, but can communicate his/her symptoms clearly, facility staff designated by the licensee shall be permitted to assist the resident with self-administration, provided all of the following requirements are met: (3) A record of each dose is maintained in the resident's record. The record shall include the date and time the PRN medication was taken, the dosage taken, and the resident's response. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the Licensee did not comply with the section cited above in 4 medication records out of 4 medication records. Each reviewed record had missing signatures from medication administered to residents. This causes a potential personal rights risk to persons in care.

Official plan of correction

POC Due Date: 08/21/2024 Plan of Correction Administrator stated they will conduct an in-service training focusing on medication administration and medication documentation. AD will send to LPA via email a list of attendees at the training and a summary of the topics covered by the assigned POC due date of 8/21/2024.

Official classification

Type B

Official code

87507(g)(4)(B)

Regulation authority

CCR

What the official deficiency says

87507 Admission Agreements … (g) … (4) … (B) The conditions under which a licensee may increase or change rates shall be specified in the admission agreement, pursuant to Health and Safety Code sections 1569.655 and 1569.657… This requirement was not met as evidenced by: Based on interviews and documents, the licensee did not provide notice of a rate increase based on a change in the level of care of R1 within 2 business days after initially providing services at the new level of care, which poses a potential personal rights risk to persons in care.

Official plan of correction

Licensee stated they will refund or waive any charges for incontinence supplies for R1 incurred prior to February 16, 2024 as well as any late fees and will submit proof to LPA by POC due date.

Deadline recorded: Jun 3, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412(c)(1)(A)(B)

Regulation authority

CCR

What the official deficiency says

Personnel Records (1) training and orientation shall be documented: (A)...at least ten hours of initial training within the first four weeks of employment, and at least four hours of training annually thereafter...(B)For staff who provide direct care to residents with dementia...the licensee shall document ...orientation received as specified in Section 87707(a)(1)...in-service training received as specified in Section 87707(a)(2).This requirement is not met as evidence by: Based on LPA observations and file review S1 and S2 did not complete eight hours of dementia in-service training within their first 12 months of employment.

Official plan of correction

Licensee to provide up to date training transcripts for S1 and S2 by POC due date.

Deadline recorded: Mar 18, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87412(c)(1)(A)(B)

Regulation authority

CCR

What the official deficiency says

Personnel Records (1) training and orientation shall be documented: (A)...at least ten hours of initial training within the first four weeks of employment, and at least four hours of training annually thereafter...(B)For staff who provide direct care to residents with dementia...the licensee shall document ...orientation received as specified in Section 87707(a)(1)...in-service training received as specified in Section 87707(a)(2).This requirement is not met as evidence by: Based on LPA observations and file review S1 and S2 did not complete eight hours of dementia in-service training within their first 12 months of employment.

Official plan of correction

Facility to provide up to date training transcripts for S1 and S2 by POC due date.

Deadline recorded: Feb 1, 2024. A deadline is not proof that correction was completed.

Official classification

Type B

Official code

87735(e)(1)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (e) " All individuals subject to a criminal record review...(b) shall prior to working, residing or volunteering in a licensed facility: (1) Obtain a California clearance or a criminal record exemption as required by the Department... " This requirement is not met as evidenced by: Based on observations, interviews, and record review, S5 was working in the facility without being associated according to regulation guidelines. This poses a potential safety threat to residents in care.

Official plan of correction

Licensee to review regulation section 87355 Criminal Record Clearance and submit a signed statement of understanding and acknowledgement of the regulation requirements. POC can be sent to LPA via email and is due by Tuesday, December 12, 2023 at 1:00PM

Deadline recorded: Dec 13, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87464(f)(1)

Regulation authority

CCR

What the official deficiency says

(f) Basic services shall at a minimum include: (1) Care and supervision as defined in Section 87101(c)(3) and Health and Safety Code section 1569.2(c). This requirement was not met as evidence by resident was noted as a fall risk and resident was left in wheelchair due to pain for over 24 hours. This poses an immediate risk to health and safety to persons in care.

Official plan of correction

Licensee to

Deadline recorded: Dec 1, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87355(e)(1)

Regulation authority

CCR

What the official deficiency says

87355 Criminal Record Clearance (3)All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (1)Obtain a California clearance or a criminal record exemption as required by the Department. This requirement is not met as evidende by: Based on observation and AD admission staff began working at the facility prior to having a Background Clearance.

Official plan of correction

AD asked S1 to leave the facility premises. LPA observed as S1 left the facility. AD will not allow staff to began working until they have been background clear.

Deadline recorded: Jul 11, 2023. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87465(j)

Regulation authority

CCR

What the official deficiency says

In all facilities licensed for sixteen (16) persons or more, one or more employees shall be designated as having primary responsibility for assuring that each resident receives needed first aid and needed emergency medical services...staff. This requirement was not met as evidenced by: based on observation, interview and record review the licensee did not provide first aid to R3 when R3's injury was noted. This poses an immediate risk to the health and safety of residents in care.

Official plan of correction

Licensee to ensure each resident receives needed first aid pursuant to regulation. Licensee to conduct staff training and submit written proof to LPA by POC due date. Licensee to submit a written statement to LPA indicating they have read this section of regulation and how exactly they intend to adhere to it by POC due date.

Deadline recorded: Sep 28, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87406(g)

Regulation authority

CCR

What the official deficiency says

Administrator Certfication Requirements: 87406 (g) (g) Certificates issued under this section shall be renewed every two (2) years provided the certificate holder has complied with all renewal requirements. This requirement was not met as evidenced by... Based on interview and review of Administrator Certificate for Administrator Melinda Flores, certificate #6033680740 expired on 1/8/2019. AD Flores verfied via telephone at 12:06pm indicating " I can't afford the $400 late renewal fee so haven't renewed it. " This poses an immediate risk to residents in care.

Official plan of correction

Administrator Melinda Flores will provide Community Care Licensing with a copy of Licensee's Jenny Troung Administrator certificate by 8/25/2022 and associate current Administrator to facility.

Deadline recorded: Aug 25, 2022. A deadline is not proof that correction was completed.

Official classification

Type A

Official code

87468.1(a)(11)

Regulation authority

CCR

What the official deficiency says

Residents in all residential care facilities... shall have all of the following personal rights: To have their visitors...., permitted to visit privately during reasonable hours and without prior notice... This req is not being met as evidenced by: Based on interview conducted, facility failed to ensure facility residents were allowed visitation. Public health and department guidelines allow for visitation at the facility. This poses an immediate health and safety risk for residents in care.

Official plan of correction

Licensee to read PIN 22-07-ASC and forward a written statement of understanding to LPA by POC due date.

Deadline recorded: Mar 3, 2022. A deadline is not proof that correction was completed.