Care Providers at Arden

Type of visit: Required - 1 Year

On 9/2/26 at 9:15am Licensing Program Analysts (LPAs) Kevin Gould and Mabel Cummings arrived at Care Providers at Arden for the purpose of conducting a required 1 year annual inspection. LPA met with Administrator, Mary Jane Apuya and together conducted a tour of the home. LPAs and Administrator evaluated the physical plant to ensure the health and safety of the residents in care. Areas inspected are including but not limited to the kitchen, resident bedrooms; resident bathrooms, living and dining room and outdoor areas. LPA observed the facility to be free of odor, clean and in good repair. LPA observed that all rooms are equipped with the required furniture and sufficient lighting throughout the facility. LPA observed the cleaning supplies stored under the kitchen sink, LPA observed the locks were no longer functional and are in need of replacement. LPA also observed cleaning supplies and other chemicals unsecured in a kitchen storage area. LPA measured the water temperature, temperature measured at 113 degrees F which meets the 105-120 degree Fahrenheit regulation. LPA observed sufficient seven day non-perishable and two day perishable food supplies. Fire extinguishers and smoke detectors are current and in compliance with fire safety. LPA notes the facility had the required carbon monoxide detectors. First aid kit was checked and is complete. LPA observed centrally stored medications secure from residents. LPA observed one staff member still in training who has not completed their health clearance and TB test. LPA observed a hot water dispenser that requires signage that water exceed 125 degrees F. Per California Code of Regulations, Title 22 the following deficiencies are cited during today's inspection. An exit interview was conducted, and a copy of this report and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Sep 2, 2026

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87309(a) · Plan of correction due date: Sep 11, 2026

Storage Space and Access: Except as specified in subsection (b), the licensee shall ensure that disinfectants, cleaning solutions, poisonous substances, knives, matches, tools, sharp objects, and other similar items which could pose a danger to residents are in locked storage and are not left unattended if outside the locked storage. This requirement was not met as evidenced by LPA observations of cleaning supplies stored in unlocked cabinet under the sink and other accessible areas in the kitchen which poses a potential health, safety and personal rights risk to residents in care.the state’s words, verbatim · CDSS document, Sep 2, 2026

Plan of correction: Licensee has agreed to replace locks under the sink and provide an updated training to staff members on requirements of securing cleaning supplies and disinfectants. POC due date is 9/11/26

Type of visit: Required - 1 Year

On 09/23/2025, Licensing Program Analyst (LPA) Pang Lee arrived at the facility to conduct an unannounced annual inspection. LPA Lee met with care staff Miranda Agaphia and explained the purpose of the visit. LPA Lee informed care staff Agaphia to let the facility designated administrator (FDA) Mary Jane Apuya to informed that CCLD was present in the facility. Care staff Agaphia assisted with today’s visit. Administrator certificate # is 7001464740 and will expires on 11/01/2026. The current census is 3 with 2 facility staff. This facility is a single story building licensed to serve six (6) ambulatory and non-ambulatory residents. LPA Lee inspected the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms, resident bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA Lee observed the facility to be free of odor, clean and in good repair. LPA Lee observed bedrooms to be properly furnished with appropriate bedding and lighting. There are no bodies of water present. LPA Lee toured the kitchen and observed sufficient seven-day non-perishable and two-day perishable food supplies. Hot water temperature was measured at 116.4 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Grab bars and non-slip mat were observed to be stable and in good repair at this time. Smoke and carbon monoxide detectors are in compliance with fire safety. CONTINUED LIC 809-C The fire extinguisher is in the dining room and was last serviced on 02/26/2025. The last fire drill was conducted on 09/02/2025. LPA Lee observed the facility has a has a public telephone in the common area desk and the facility has the required posters posted. The facility thermostat was observed at 77 degrees Fahrenheit. LPA Lee observed toxins located in one of the hallway closet and kept locked and inaccessible to residents. LPA Lee observed sharp knives kept locked in the kitchen cabinet and inaccessible to residents. LPA Lee checked medication storage and found medication to be locked away and inaccessible to residents. LPA reviewed 3 out of 3 resident medications on hand the Centrally Store Medication Destruction Record and it was complete. The first aid kit was checked and contained the required components. LPA Lee requested resident and staff files for review. LPA Lee reviewed 3 out of 3 resident files and they were complete. LPA Lee reviewed 2 staff files, and it was complete. The following documents will be email to LPA by 10/03/2025 at the end of day 5:00 PM: (1) LIC 308 Designation of Administrative Responsibility (2) Copy of Administrator Certificate (4) LIC 610 Current Emergency Disaster Plan (5) Proof of Current Liability Insurance (6) LIC 500 Current Personnel Report (7) LIC 309 Administrator Organization As a result of this annual visit, the facility is in compliance with Title 22 Regulation. An exit interview was conducted with care staff Agaphia and a copy of these LIC 809 reports were provided to the facility.the state’s words, verbatim · CDSS document, Sep 23, 2025

Allegation investigated: Staff are not administering medications to residents as prescribed. Staff are not providing adequate food service to resident.

On 10/15/2024 at 10:22 AM, Licensing Program Analyst (LPA) Pang Lee arrived unannounced to this facility to conduct a complaint visit. LPA met with care staff Anny Viernes and explained the purpose of the visit. The purpose of this visit is to deliver complaint findings for the allegations above. The current census is 4. A brief interview with conducted with care staff Anny. Allegations were made regarding staff not administering medications to residents as prescribed. The investigation involved reviewing records, conducting observations, and interviewing staff and residents. LPA Lee alongside with administrator Mary Apuya audit and reviewed 4 out 4 resident’s Centrally Stored medication Destruction Record along with the resident’s medication and no deficiencies were found during the review. Based on the interviews and statements obtained during the investigation process, LPA Lee was unable to corroborate the allegation. 4 out of 4 residents reported no concerns regarding medication administration and stated that they are receiving medications from facility staff. Moreover, 2 out of 2 staff members interviewed denied the allegations. Continued LIC 9099-C Unsubstantiated Allegations were made that staff do not provide adequate food service to residents in care. This investigation included observations and interviews with staff and residents. It was learned that the facility purchased 2 days perishable food every two weeks. During facility visits on 09/24/2024, LPA Lee observed that adequate food service was provided during breakfast. During today’s visit, it was observed resident was provided adequate food to residents in care during breakfast. Additionally, LPA Lee noted that the facility had a sufficient supply of food, including two days' worth of perishable items and seven days' worth of non-perishable items on 09/24/2024 and during today’s visit. Based on the interviews conducted during the investigation, LPA Lee could not corroborate the allegations. 4 out of 4 residents interviewed expressed no concerns regarding the adequacy of food provided. Furthermore, all 2 out of 2 staff members denied the allegations. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s)occurred. Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 6, no deficiencies were cited. A copy of this report was provided to care staff Anny Viernes. Exit interview.the state’s words, verbatim · CDSS document, Oct 15, 2024 · control 27-AS-20240920165941

Type of visit: Required - 1 Year

On 09/05/2024 at 12:27 PM, Licensing Program Analyst (LPA) Pang Lee arrived at the facility to conduct an unannounced annual inspection. LPA Lee met with administrator Mary Jane Apuya. LPA Lee explained the purpose of the visit. Administrator assisted with today’s visit. Administrator certificate # is 6005483740 and will expire on 11/01/2024. The current census is 4 with 2 facility staff. This facility is a single story building licensed to serve six (6) ambulatory and non-ambulatory residents. LPA Lee inspected the physical plant including but not limited to the common area, kitchen, dining area, resident bedrooms, resident bathrooms, laundry room and outside courtyards of the facility to ensure compliance with Title 22 regulations. LPA Lee observed the facility to be free of odor, clean and in good repair. LPA Lee observed bedrooms to be properly furnished with appropriate bedding and lighting. There are no bodies of water present. LPA Lee toured the kitchen and observed sufficient seven day non-perishable and two day perishable food supplies. LPA Lee observed knifes made inaccessible to residents in care. Hot water temperature was measured at 105.1 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Grab bars and non-slip mat were observed to be stable and in good repair at this time. Smoke and carbon monoxide detectors are in compliance with fire safety. The fire extinguisher is located in dining room and was last serviced on 02/22/2024. The last fire drill was conducted on 06/29/2024. LPA Lee observed the facility has a has a public telephone in the common area. Facility thermostat observed at 77 degrees Fahrenheit. LPA Lee observed toxins located in the laundry and inaccessible to residents. LPA Lee checked medication storage and found medication to be locked away and inaccessible to residents. LPA Lee reviewed Centrally Stored Medication Destruction Record and it was complete. The first aid kit was checked and contained all of the required components. Continued LIC 809-C LPA Lee requested resident and staff files for review. LPA Lee reviewed 4 out of 4 resident files and 3 staff files and they were all complete. LPA Lee reviewed staff criminal record clearances and a review of staff records indicates that all facility staff or other individuals who require caregiver background checks are fingerprint cleared and associated to the facility. The following documents were provided to LPA Lee during today’s visit: (1) LIC 308 Designation of Administrative Responsibility (2) LIC 500 Personnel Report (3) Copy of Administrator Certificate The following documents will be email to LPA Lee (pang.lee@dss.ca.gov) by 09/09/2024 by 5:00 PM by end of day: (1) LIC 610D Emergency Disaster Plan (2) Proof of Current Liability Insurance As a result of this annual visit, the facility is in compliance with Title 22 Regulation. An exit interview was conducted, and a copy of these LIC 809 reports were provided to the facility.the state’s words, verbatim · CDSS document, Sep 5, 2024