Ardent Chateau

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Tuesday Cabiness conducted an unannounced annual visit to the facility. LPA was greeted by the caregiver and LPA stated the reason for their visit. LPA entered the facility and observed (2) additional staff working. House Manager Romeo Dojalte arrived and conducted the inspection with LPA. Administrator, Roilann De Guzman arrived later during the visit. LPA conducted a physical plant tour of the inside and outside. The following was noted: Current census during the visit was (6). Common areas: Living room and dining room were observed to be neat, clean, and organized. Both rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature. Fire extinguisher was fully charged. Required Licensing postings are visibly posted throughout the facility. Kitchen: Kitchen observed to be clean and inaccessible free from pests. Sufficient supplies of seven (7) day nonperishable food and two (2) day perishable foods were observed. Knives and sharps observed to be locked in kitchen drawer. Cleaning solutions and disinfectants observed to be kept in a locked cabinet underneath kitchen sink. Kitchen appliances observed to be working and in proper condition.Bedrooms: The Residents' rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers were observed stored in a storage closet located in the hallway’s passageway. Bathrooms: Bathrooms were checked for cleanliness and proper operation. Appropriate grab bars and non-slip mats were observed and in proper condition. The hot water temperature was measured within regulations at 116.8°F. (LIC809C cont'd) Garage: There is no designated garage, its permitted into an ADU that is used for staff office and break room. Laundry Room: The laundry room is located in a separate room outside of the facility, near the entrance. The laundry room is kept was observed locked and inaccessible. LPA observed cleaning solutions and toxins properly stored within laundry room and inaccessible to residents. Laundry appliances observed to be working and in proper condition. Backyard: The backyard of the facility is equipped with a designated shaded area with outdoor furniture for residents. LPA observed a pool properly fenced and locked. Medications: Medication were observed kept stored in a locked medication cart located near the dining area. First-aid kit observed to be equipped with Licensing required supplies, including manual. Smoke detectors and carbon monoxide observed to be working properly and were tested.. Resident Records: LPA observed resident missing current medical assessments; no pre-admission or re-appraisals or functional capabilities documents observed in files. Staff Records: Staff missing first/aide CPR certificate, initial and medication training. Citations issued, appeal rights, exit interview conducted and a copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Apr 20, 2026

Type of visit: Required - 1 Year

On 3/03/2025 at approximately 10:00 AM, Licensing Program Analyst (LPA), Angelica Segovia conducted an unannounced annual visit to the facility. LPA was greeted by the caregiver and LPA stated the reason for their visit. Administrator, Roilann De Guzman arrived shortly after to assist with today’s visit. LPA asked for the census, Staff/Resident Roster, and liability Insurance. LPA conducted a physical plant tour at approximately 11:00 AM and the following was noted: The facility is a single unit building with six (6) bedrooms and two (2) bathrooms currently occupying five (5) residents. There is no designated staff room inside the facility. The facility has an approved fire clearance for six (6) non-ambulatory residents of which three (3) may be bedridden. The facility has a hospice waiver approved for six (6) residents. The infectious disease screening area is located immediately upon entry. Sign in sheet, hand sanitizer, gloves and masks are available. Common areas: Living room and dining room were observed to be neat, clean, and organized. Both rooms were observed to be properly furnished and in good repair. The facility maintains a comfortable temperature at 73°F. A fire extinguisher is located in the kitchen and dated 09/09/24. Required postings such as See/Say Something, Facility License, and Resident’s Rights are located immediately upon entry. A fireplace was observed to be covered and inaccessible to residents. A working telephone was observed. Kitchen: Kitchen observed to be clean and inaccessible free from pests. Sufficient supplies of seven (7) day nonperishable food and two (2) day perishable foods were observed. Knives and sharps observed to be locked in kitchen drawer. Cleaning solutions and disinfectants observed to be kept in a locked cabinet underneath kitchen sink. Kitchen appliances observed to be working and in proper condition. Bedrooms: The Residents' rooms are adequately furnished with appropriate furniture and lighting system. Hallways/passageways are lighted appropriately. Extra linens/covers were observed stored in a storage closet located in the hallway’s passageway. (continued on LIC 809-C) Bathrooms: Bathrooms were checked for cleanliness and proper operation. Appropriate grab rails and non-slip mats were observed and in proper condition. The hot water temperature was measured within regulations at 111.9°F. Garage: There is no designated garage. Laundry Room: The laundry room is located in a separate room outside of the facility, near the entrance. The laundry room is kept was observed locked and inaccessible. LPA observed cleaning solutions and toxins properly stored within laundry room and inaccessible to residents. Laundry appliances observed to be working and in proper condition. Backyard: The backyard of the facility is equipped with a designated shaded area with outdoor furniture for residents. LPA observed a pool properly fenced and locked. Medications: Medication were observed kept stored in a locked medication cart located near the dining area. First-aid kit observed to be equipped with but not limited to bandages, scissors, digital thermometer, tweezer, and First Aid manual. Smoke detectors and carbon monoxide observed to be working properly and were tested. The Last Fire Drill was conducted on 3/01/25. Resident/Staff Records: LPA conducted a complete file review of resident records. Resident records appeared to be complete and updated. Staff records: LPA conducted a complete file review of staff records. Staff records appeared to be complete and updated. There was no immediate health and safety hazard observed during the day of inspection. Exit interview conducted and a copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Mar 3, 2025

Type of visit: Prelicensing

Licensing Program Analyst (LPA) Tuesday Cabiness conducted a PRE-LICENSING visit to the above address 27419 Cherry Creek Drive, Santa Clarita, CA 91354. LPA met with Administrator Roilann De Guzman. The inspection included, fire safety, personal accommodations, building and grounds, furniture/equipment, food service, and medication procedures. Fire Inspection was approved on March 20, 2024 which met fire department requirements for (6) private rooms, with room numbers 1, 5, and 6 to be used for non-ambulatory residents; and room numbers 2, 3, and 4, to be used for bedridden residents. Facility is pending approval for a hospice waiver for (6); and dementia waiver. Facility sketch, emergency disaster plan, complaint procedures, personal rights, emergency exit plan, and other required Licensing posters were visibly observed. COVID signs, visitor book, and hand washing station observed at the front entrance. The physical plant was toured inside and out with Administrator. The facility is a one level home, with (6) private bedrooms with (2) bathrooms. The garage was converted into an ADU, and only to be used for caregivers and not residents. Food supply was inspected and observed, and storage areas, cabinets, pantries, cupboards counters, and refrigerator were clean and appropriate for food preparation. Knives and medication were stored in cabinets located in the kitchen area. Appliances were clean and functional, and utensils, plates, and cups were in good repair. Cleaning supplies, poisons, toxins and chemicals were locked and stored under the kitchen sink. There was enough supply of linens and towels, which were stored in a cabinet located in the hallway. Hygiene products were also available, which were locked and secured. The common areas included the dining, living, bathroom, bedrooms, and ADU/staff office. Doors and passageways were clear and unobstructed. Walls, ceilings, floors, window screens and all other rooms were clean, in good repair, and appropriately furnished. Resident rooms observed to have a mattress with pad, sheets, pillow, bedspread, dresser, closet space, and chair. Bathrooms were clean had functional fixtures, with soap and towels, non-skid mats, grab bars and hand washing signs were posted. The water temperature measured at 119.0 degrees Fahrenheit. The back yard is completely fenced with a gate easily accessible and unlocked. There is a swimming pool that was gated and secured. There were no other visible hazards around the surrounding grounds. Patio furniture with covering available for resident's use. Smoke detectors and carbon monoxide were hardwired and operating correctly. Fire extinguisher is fully charged. Telephone installation was completed. First aid kit inspected. Staff and client files will be stored a locked cabinet, located in the dining room area. COMP III was completed during the visit. Exit interview conducted and copy of report provided to Administrator.the state’s words, verbatim · CDSS document, Apr 22, 2024

Type of visit: Office

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): 0 COMP II Participants: Roilann Cyell De Guzman (Licensee/Administrator) Interview Method: Virtual interview via Microsoft Teams On December 01, 2023, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Dec 1, 2023