Fountain Valley Care Home

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Dulce Argosino and discussed the purpose of the visit. The facility has six residents in care. The facility is a one-story home with five resident bedrooms, one staff room, 2 bathrooms, kitchen, living room, dining room and attached 2 car garage. The facility appears clean, safe and sanitary. LPA and AD toured the facility and observed the kitchen to be clean and free of vermin. LPA observed a two day perishable and seven day non perishable food supply on hand. LPA observed the knives to be in a locked cabinet by the kitchen sink. AD tested the appliances and they were found to be operational. LPA observed the staff room to be located by the kitchen and did not have any items that should be unaccessible to residents. LPA observed the fire extinguisher in the dining room to be charged and with a service date of February 6, 2026. All resident bedrooms had the required components and furnishings. LPA observed a supply of clean linens in the hall cupboards. LPA observed the bathrooms to have toilet paper and non slip mats in the shower. The water was tested to be between 109 and 112.2 degrees Fahrenheit. LPA observed the centrally stored medication to be in a locked cabinet located in the living room and made inaccessible. LPA observed the first aid kit to be complete with all the required components. LPA observed the garage to have extra fridge and freezers for facility food. LPA observed more pantry items to be stored in the garage cabinets for resident use. LPA observed the toxins and chemicals to be in a locked cabinet in the garage and made inaccessible. LPA observed the emergency food and water to be stored in the garage. The backyard had no debris or obstructions and had a shaded seating area. AD tested the carbon monoxide detectors and they were found to be operational. Continue on LIC809C LPA reviewed staff files and observed that the staff training did not specify the topics the training's fell under so LPA was unable to determine if the regulatory topics were covered for the specified amount of time required. LPA reviewed resident files and no discrepancies were observed. LPA reviewed the last fire drill was conducted on June 1, 2026. LPA reviewed the emergency disaster planned that had not been reviewed or updated since 2023 by facility staff. LPA reviewed resident medications and no discrepancies were observed. All staff present are background cleared and associated to the facility. LPA provided Legionnaires’ Disease Fact Sheet at the time of the visit. Based on today’s inspection a technical assistance and a deficiency is being noted per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted and a copy of this report along with LIC 809D and appeal rights were left at the facility.the state’s words, verbatim · CDSS document, Jun 16, 2026

The state marks this report as 5 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On May 30, 2025 at 8:00am, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley was greeted and granted entry by the administrator, Dulce Argosino and explained the reason for the visit. Facility is licensed for six non-ambulatory residents, with a hospice waiver for six. Currently there are six residents, of which two are on hospice during today's visit. Administrator certificate expires on March 23, 2027. At 9:35 AM, LPA Bentley, along with the Administrator toured the facility, checked food service, and the first aid kit. The home consists of 5 resident bedrooms, of which one is shared, 1 staff room, 2 full bathrooms, living room, dining room, and kitchen. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 110.6 degrees F. and 114.0 degrees F. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. Kitchen was inspected and found clean and sanitary. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a kitchen cabinet. LPA also observed toxin substances to be secured and locked and inaccessible to clients in the garage. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample seating with shade and the exit gate is self latching and operational. The backyard has a small garden area. CONTINUE TO LIC 809-C Facility provides activities in the form of outdoor activities such as going on walks and exercises. The residents do puzzles such as sudoku, and reading newspapers, books, and magazines. Residents also enjoy watching sports events, news and game shows.. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. The facility’s last fire drill was conducted on March 1, 2025. Emergency food and water supply observed in the garage. First aid kit had all the required elements. Two fire extinguishers are fully charged with a service date of February 5, 2025. A working telephone (714-418-0341) remains available, and the facility has a device that can be used for video teleconference purposes. Liability Insurance is effective June 13, 2024 through June 13, 2025. LPA Bentley conducted an audit of six (6) resident files (R1-R6), three (3) staff files (S1-S3), and conducted two (2) staff interviews, and six (6) resident interviews. Residents’ medication was found locked and secure and a review of the Medication and Medication Administration Record (MAR) was conducted. LPA observed four out of six residents, Residents #1, Resident #2, Resident #3, and Resident #4 (R1-R4) with medication not listed on MAR. During tour, LPA observed two medications unsecured in Resident #3’s (R3) chest of drawers. LPA observed two oxygen tanks sitting on floor in hallway closet, without rack. Based on today’s observations, deficiencies are being cited during this visit as per Title 22 Division 6 Chapter 8 of the California Code of Regulations. An exit interview was conducted with administrator, Dulce Argosino and a copy of this report LIC809, 809-C, LIC809-D, LIC811, and appeal rights provided.the state’s words, verbatim · CDSS document, May 30, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Michael Tea conducted an unannounced visit. The purpose of today’s visit was to conduct the Annual Required inspection. At around 8:50 AM, LPA Tea was greeted and granted entry into the facility by the administrator, Dulce Argosino and explained the reason for the visit. Facility is licensed for 6 non-ambulatory residents, with a hospice waiver for six. Currently there are five residents, of which three are on hospice during today's visit. At 9:02 AM, LPA Tea reviewed five resident files and two staff files. Residents files and staff files contained all required documentation. Administrator certificate expires on March 23, 2025. LPA Tea along with the Administrator toured the facility at 9:42 AM. LPA toured the physical plant, checked food service, and the first aid kit. The home consists of 5 resident bedrooms, which one is shared, 1 staff room, 2 full bathrooms, living room, dining room, and kitchen. LPA observed smoke detectors/carbon monoxide in common areas and bedrooms are operational. Resident bedrooms had the required furniture, bed linens and closet/drawer space to accommodate each resident comfortably. Resident bathrooms were checked. Toilets and water faucets worked properly, grab bars were secure and shower was free of mold/mildew. Water temperature measured between 107.7 F degrees and 110.4 F degrees. Resident bath towels, toiletries and personal hygiene supplies were adequately stocked at time of visit. Common areas were clean and clear of hazards, doorways were free of obstructions. First aid kit had all the required elements including tweezers, thermometer, and scissors. Kitchen was inspected. Perishable and non-perishable food supply was checked and adequately stocked at time of visit. LPA observed sharps locked in a kitchen cabinet. LPA also observed toxin substances to be secured and locked and inaccessible to clients in the garage. Fire extinguishers are fully charged. The facility’s last fire drill was conducted on June 06, 2024. Kitchen appliances are operational during today's visit. LPA toured the outside grounds and there is ample seating with shade and the exit gate is self latching and operational. The backyard has a small garden area. Annual continuation on LIC809-C LPA observed emergency food and water supply in the garage. Facility provides activities in the form of outdoor activities such as going on walks and exercises. The residents do puzzles such as sudoku, and reading newspapers, books, and magazines. Residents also enjoy watching sports events. At 10:14 AM LPA reviewed medication storage and administration. Medications are stored in a locked cabinet. Medications are being administered per physician order. LPA interviewed clients regarding their quality of care and spoke to staff present regarding care provided. Based on the observation made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with administrator, Dulce Argosino and a copy of this report LIC809, 809-C, LIC858, LIC859, was read and provided to the facility.the state’s words, verbatim · CDSS document, Jun 12, 2024