Fountain Valley Senior Homes 2

Type of visit: Required - 1 Year

On August 21, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Licensee (LI) Uldarico Almiranez was notified via telephone and later arrived to assist with the inspection. LPA observed that Uldarico Almiranez had a valid Administrator certificate which expires on April 10, 2028. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents and has an approved hospice waiver for five residents. The facility is a single story home with six private resident bedrooms, one staff bedroom, two shared bathrooms, a living room, a dining room, a kitchen, and an attached two car garage. LPA, accompanied by the a care giving staff, conducted a tour of the interior portions of the facility. On today's visit, LPA observed six resident in care and three care giving staff present. LPA observed the See Something, Say Something poster, (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected all six resident bedrooms and observed them to be free of hazards. LPA observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed additional linens to be stored in closets. LPA inspected the two shared resident bathrooms and observed them to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured 105 degrees Fahrenheit. LPA observed the one staff bedroom to be free of any hazards. LPA observed the facility has a two day perishable and a seven day non-perishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. CONTINUED ON LIC809-C LPA observed a fire extinguisher to be mounted on the wall near the kitchen and it was observed to be charged and serviced on March 11, 2026. LPA observed the centrally stored medication to be kept in a locked cabinet located in the kitchen. LPA observed the facility has a first aid kit inside the same cabinet and it had all the required components. LPA tested the individual smoke detectors/carbon monoxide detectors which tested operational. LPA observed the facility conducted their most recent emergency disaster drill on July 7, 2026. LPA observed the door leading to the attached two car garage to be kept locked and inaccessible to residents in care. LPA observed the garage to be used for storage and laundry. LPA observed chemicals and toxins to be stored in the garage. LPA also observed the facility has a three day emergency food and water supply stored in the garage. LPA, accompanied by a care giving staff, conducted a tour of the exterior portions of the facility. LPA observed the exterior to be free of any obstruction or hazards. LPA observed a shaded outdoor seating area with furniture for resident use. LPA observed the perimeter gate of the facility can be opened in an evacuation. There are no bodies of water on the premises. LPA reviewed all six resident files. All the required documentation were present and current in the resident file reviewed. LPA reviewed the residents' medication and medication records. LPA reviewed five staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, no deficiencies are being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with an authorized facility representative and a copy of the report was provided at time of visit.the state’s words, verbatim · CDSS document, Aug 21, 2026

Type of visit: Required - 1 Year

On today's date Licensing Program Analyst (LPA) William Vanegas conducted an unannounced visit for the purposes of conducting an annual inspection. Upon arrival LPA was greeted and granted entry to the facility by facility staff. LPA explained the purpose of the visit, and Administrator (AD) Uldarico Almiranez was notified via telephone and arrived shortly after to assist LPA with the inspection. LPA began a tour of the facility and observed the following. AD Uldarico Almiranez has a valid Administrator certificate valid from April 11, 2026 through April 10, 2028. The facility is a one storied home with a total of seven bedrooms six of which are used for residents in care and one of which is used for live in staff. The facility is equipped with three bathrooms two of which are shared, and one of which is used for staff and visitors. The facility is equipped with an attached two car garage, and a large backyard. LPA observed teh kitchen area to be clean and free of any mildew and debris. LPA observed kitchen area to be equipped with an electric stove, a refrigerator, and a microwave. LPA observed a two day supply of perishable food and a seven day supply of non-perishable food on hand. LPA observed a sufficient amount of emergency water on hand for residents in care as well. LPA observed all resident rooms to be clean and free of any hazards or debris. LPA observed all resident rooms to be large enough to walk about freely, and to have all required furnishings including the following: A reading lamp, a bed, clean linens in good repair; meaning no strains or tears, a chest of drawers, and enough storage space to store personal belongings. LPA observed all restrooms to be clean and free of any mildew and debris. LPA observed restrooms to have all required furnishings including a shower chair, slip resistant floor matts, and grab bars. All toilets and faucets appeared to be in good repair and tested operational. Hot water temperature tested between 109.0 and 109.5 degrees Fahrenheit. CONTINUED ON LIC809-C. LPA observed all smoke detectors and carbon monoxide detectors to be in good repair, and tested operational. LPA observed all fire extinguishers to be fully charged and have an updated service tag attached to it. LPA observed first aid kit to have all required items including the following: Scissors, tweezers, adhesive tape, bandages, a thermometer, and a first aid manual. LPA conducted a tour of the outside of the facility and observed the following: The backyard of the facility has an outdoor shaded sitting area, the backyard is large enough to participate in outdoor activities upon resident request. LPA observed the backyard to be free of any hazards, debris, or obstructions blocking exit routes a long the exit routes of the facility. LPA observed side doors to be unlocked and self latching. LPA reviewed six resident files and three staff files. All resident files had all required documents. However three of three staff files did not have an updated CPR certification and a deficiency was issued on today's date, additionally three of three staff did not have updated annual training and a deficiency was issued on today's date. LPA reviewed medications with AD and all medications appeared to be documented correctly. Per LPA's review all medications are being administered per physicians orders. LPA observed the medication cabinet to be unlocked and a deficiency was issued on today's date. Based on observations made during today's inspection deficiencies will be issued per title 22 chapter 6 division 8 of the California Code of Regulations. An exit interview was conducted with AD and a copy of this report and appeal rights were provided to the facility. Additionally a copy of this report will be mailed to the facility.the state’s words, verbatim · CDSS document, May 19, 2026

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 1:14 PM, LPA Tea was greeted and granted entry into the facility by Administrator (AD) Rico Almiranez and explained the reason for the visit. The facility is licensed for 6 non-ambulatory residents, of which one may be bedridden, with a hospice waiver for five. Currently there are six residents during today's visit. At 1:28 PM, LPA Tea reviewed six resident files and three staff files. Residents’ files and staff files contained all required documentation. With an exception to one staff missing their health screening and personnel record form that was later obtained and completed during the visit. The staff had previously work at the administrator’s other facility Candleberry Care. Rico’s administrator certificate expires on April 10, 2026. LPA Tea along with the Administrator toured the facility at 2:36 PM. LPA toured the physical plant, checked food service, and the first aid kit. The home consists of 6 resident bedrooms, 1 staff room, 2.5 bathrooms, living room, dining room, courtyard atria and kitchen and attached garage. 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 around 111.3 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 bandages, 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 drawer. LPA also observed toxin substances to be secured and locked and inaccessible to clients in a designated cabinet in the garage. The fire extinguisher in the kitchen is fully charged and last serviced on March 19, 2024. The facility’s last fire drill was conducted on November 11, 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 on the left side of the house is self-latching and operational. Annual Inspection continued on LIC809-C The backyard has a small garden area. LPA observed emergency food and water supply in the garage. Facility offers activities to residents based on their personal preferences. Residents do art and play bingo with the other facility in Fountain Valley. Residents arrange and decorate plants in the outside yard area. On Tuesday they go to the theaters to watch movies. At the time of the visit, residents were watching television and relaxing. LPA reviewed medication storage and administration. Medications are stored in a locked cabinet in the kitchen 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, Rico Almiranez 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, Dec 23, 2024

Allegation investigated: -Resident was verbally abused by staff

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an unannounced visit for the purpose of concluding and delivering findings to address the allegations listed above. The 10 day visit complaint investigation was conducted on 4/19/2023. On today's date, LPA Quiroz arrived to the facility and was greeted by Caregiver 1 (CG1). LPA Quiroz called Licensee/Administrator (L/AD) Uldarico Almiranez and discussed purpose of today's visit via telephone. (L/AD) Almiranez arrived during today's visit. During the course of the investigation the following documents were reviewed but not limited to: Physician reports, identification forms, needs and services plans, LIC 500 (Personnel Report), Resident Roster and anonymous videos provided to the department. Regarding the allegation “Resident was verbally abused by staff," the investigation revealed the following: LPA Quiroz conducted multiple interviews with interviewees consisting of residents, staff and other witnesses. An anonymous video was received by the department on 10/11/2023. (CG1) verified audion voice on video recording indicating "Yes, that was me. I'm so sorry but I was very tired and we were short staffed." This is an amended report*** Substantiated CONTINUED... LPA was able to confirm the violation pertained to Resident 1 (R1) in care. Based on the preponderance of evidence gathered through interviews and today's observations; the allegation “Resident was verbally abused by staff” has been met; Therefore, the allegation listed above is deemed to be SUBSTANTIATED. LPA Quiroz provided consultation on California Code of Regulations (CCR) 80072(a)(1)(2)(3): Personal Rights. The facility is being cited per Title 22, Division 6 of the (CCR). (SEE LIC 9099-D) An exit interview was conducted with facility staff, and a copy of this report, along with LIC9099-D, Appeal Rights, and the LIC 811- Confidential names were provided at exit.the state’s words, verbatim · CDSS document, Feb 27, 2024 · control 22-AS-20230413150926

From the deficiency page — Deficiency type: Type B · Section cited: CCR 80072(a)(1)(2)(3) · Plan of correction due date: Mar 1, 2024

80072(a)(1)(2)(3) each client shall have personal rights which include, but are not limited to, the following:(1)To be accorded dignity in his/her personal relationships with staff and other persons. (2) To be accorded safe...This requirement is not being met as evidenced by:CONTINUED BELOW... CONT(3)To be free from corporal or unusual punishment, infliction of pain, humiliation, intimidation, ridicule, coercion, threat, mental abuse, or other actions of a punitive nature, including but not limited to: interference with the daily living functions, including CONT... An anonymous video was received by the department on 10/11/2023. (CG1) verified audion on video recording indicating "Yes, that was me. I'm so sorry but I was very tired and we were short staffed."LPA was able to confirm the violation pertained to Resident 1 (R1) in care. CONTINUED...the state’s words, verbatim · CDSS document, Feb 27, 2024

Plan of correction: (L/AD) agreed to conduct personal rights training to staff and provide proof & updated LIC 500. (L/AD) will submit sign in sheet for training and updated LIC 500 by POC due date of 3/1/24. (L/AD) advised LPA the facilty has hired 1:1 staff for R1 to be able to meet R1s needs according to N&S plan. CONT...eating, sleeping, or toileting; or withholding of shelter, clothing, medication or aids to physical functioning. This poses a potential health and safety risk to residents in care.

Allegation investigated: -Residents are being verbally abused while in care

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an unannounced visit for the purpose of concluding and delivering findings to address the allegations listed above. The 10 day visit complaint investigation was conducted on 6/27/2022. On today's date, LPA Quiroz arrived to the facility and was greeted by Caregiver.... and met with Caregiver.... LPA Quiroz called Licensee/Administrator (L/AD) Uldarico Almiranez and discussed purpose of today's visit via telephone. During the course of the investigation the following documentes were reviewed but not limited to: Physician reports, identification forms, needs and services plans, LIC 500 (Personnel Report) and Resident Roster. Regarding the allegation “Residents are being verbally abused while in care," the investigation revealed the following: LPA Quiroz conducted multiple interviews with interviewees consisting of residents, staff and other witnesses. Interviews conducted with Eleven of thirteen Interviewees revealed that although staff are busy attending to resident's call lights/buttons that staff employed at Fountain Valley Senior Homes 2 are respectful to residents in care, visitors, professional staff CONTINUED...***This is an amended report*** Unsubstantiated CONTINUED...who conduct medical visits to residents residing at the facility. An anonymous video was received by the department. In the video, LPA is unable to visually see the individuals speaking and therefore unable to confirm who is present, location and time the video took place. In the video a female voice can be heard shouting at an another individual complaining about being woken up to provide assistance. Although the tone and manner of speech proved to be inappropriate, LPA was unable to confirm if the violation pertained to any residents in care. Therefore based on the preponderance of evidence gathered through interviews, documentation review and observations conducted by LPA Quiroz, the allegation that "Residents are being verbally abused while in care" was found to be UNSUBSTANTIATED, meaning 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. No deficiencies cited during today's visit. An exit interview was conducted with facility representative and a copy of this report was provided. ***THIS IS AN AMENDED REPORT***the state’s words, verbatim · CDSS document, Feb 27, 2024 · control 22-AS-20220621095243

Type of visit: Case Management - Other

This unannounced Case Management – Other inspection visit is being conducted by Licensing Program Analyst (LPA) Rosie Quiroz for the purpose of delivering amended findings for Complaint Control #22-AS-20220621095243 and Complaint control #22-AS-20230413150926 based on anonymous videos as evidence provided to the department. LPA Quiroz was greeted by Caregiver 1 (CG1). LPA Quiroz called Licensee/Administrator (L/AD) Uldarico Almiranez and explained the purpose of the inspection visit. (L/AD) Almiranez arrived during today's visit. During today's inspection visit, LPA Quiroz along with Caregiver toured the interior and exterior of facility premises. LPA Quiroz reviewed the previously delivered findings and the amended findings/reports with (L/AD) Almiranez. An exit interview was conducted and copy of this report and the amended reports were provided to (L/AD) Almiranez at exit.the state’s words, verbatim · CDSS document, Feb 27, 2024

Allegation investigated: -Facility staff is not able to meet resident's needs

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an unannounced visit for the purpose of concluding and delivering findings to address the allegation listed above. The 10-day visit complaint investigation was conducted by LPA Quiroz on 10/12/2023. On today's date, LPA Quiroz arrived to the facility and was greeted by Caregiver Joselyn Arcelo and met with Caregiver Crispina Gayados and Rome Peleno. LPA Quiroz called Licensee/Administrator (L/AD) Uldarico Almiranez and discussed purpose of today's visit via telephone. During the course of the investigation the following documents were reviewed but not limited to: Physician reports, identification forms, needs and services plans, LIC 500 (Personnel Report) and Resident Roster. Regarding the allegation “Facility staff is not able to meet resident's needs," the investigation revealed the following: LPA Quiroz conducted multiple interviews with interviewees consisting of residents, staff and other witnesses. Interviews conducted with twelve of thirteen Interviewees denied the allegation. Resident 1 (R1) indicated “No not true. Not true. The staff here are wonderful and take very good care of me and everyone else.” CONTINUED... Unfounded CONTINUED... (R1)s responsible party indicated "(R1) will often call 911 themselves prior to addressing concerns with staff." Interview conducted with (R1) revealed (R1) reported on unknown date calling 911 without notifying staff indicating "I know I should have told staff first but I called myself." LPA Quiroz reviewed Special Incident Report dated 7/20/2023 indicating (R1) calling 911 on or about 10:30pm, (R1) was picked up by paramedics on or about 10:40pm and returned to the facility on 7/21/2023 or about 12:15am with no new orders and/or new diagnose. Seven of seven staff interviewed indicated facility has sufficient amount of staff working in the facility indicating (R1) to have their own assigned caregiver and rehabilitation worker to facilitate being able to meet all resident’s needs and requests timely as requested by all residents in care. Based on the evidence gathered through interviews conducted, facility observations and a review of pertinent documentation, the allegation: " Facility staff is not able to meet resident's needs” is deemed Unfounded, meaning that the allegations is false, could not have happened and/or is without a reasonable basis; Therefore complaint allegation is dismissed. An exit interview was conducted with Licensee/Administrator Uldarico Almiranez via telephone and with Caregiver Rome Peleno at the facility. A copy of this report along with LIC 811- Confidential Names list were provided to Facility at exit.the state’s words, verbatim · CDSS document, Nov 2, 2023 · control 22-AS-20231010115905

Allegation investigated: -Resident's medication is not being administered as prescribed -Resident is not being assisted in a timely manner -Facility failed to provide a safe enviornment

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an unannounced visit for the purpose of concluding and delivering findings to address the allegations listed above. The 10 day visit complaint investigation was conducted on 6/27/2022. On today's date, LPA Quiroz arrived to the facility and was greeted by Caregiver Joselyn Arcelo and met with Caregiver Crispina Gayados and Rome Peleno. LPA Quiroz called Licensee/Administrator (L/AD) Uldarico Almiranez and discussed purpose of today's visit via telephone. During the course of the investigation the following documentes were reviewed but not limited to: Physician reports, identification forms, needs and services plans, LIC 500 (Personnel Report), Resident Roster and Medication Training Records. Regarding the allegation, "Resident's medication is not being administered as prescribed," the investigation revealed the following: Twelve of thirteen interviewees consisting of residents, staff and other witnesses indicated medications are being administered as prescribed. Twelve of thirteen interviewees indicated Caregiver 1 (C1) is the assigned staff member CONTINUED...***This is an amended report*** Unsubstantiated CONTINUED...assigned to administer medications to the residents in care. During facility inspection visits conducted on 6/27/2022, 10/12/2023 and 10/13/2023, LPA Quiroz observed (C1) to be holding the key to the medication closet area and observed (C1) to administer medications to residents in care. LPA Quiroz reviewed medication training records which revealed (C1) has received medication training. Regarding the allegation, "Resident is not being assisted in a timely manner," the investigation revealed the following: Twelve of thirteen interviewees consisting of staff, residents and other witnesses indicated staff respond to call light buttons in a timely manner. L/AD Almiranez indicated that the needs in this facility were demanding; therefore L/AD Almiranez hired a designated caregiver and two rehabilitation workers for Resident 1 (R1) and Resident (R2) to allow facility staff sufficient amount of staff to meet all the residents in care needs. Regarding the allegation, "Facility failed to provide a safe environment," the investigation revealed the following: Twelve of thirteen interviewees consisting of staff, residents and other witnesses indicated feeling safe and not fearing for their safety. L/AD Almiranez indicated "I have assigned staff who work well with specific residents. Certain residents have preferences in staff and the assignments are working well for everyone." Based on the evidence gathered through interviews conducted, facility observations and a review of pertinent documentation, the allegations:"Resident's medication is not being administered as prescribed," "Resident is not being assisted in a timely manner," and "Facility failed to provide a safe environment" are deemed Unfounded, meaning that the allegations were false, could not have happened and/or are without a reasonable basis; Therefore complaint allegations are dismissed. An exit interview was conducted with Licensee/Administrator Uldarico Almiranez via telephone and with Caregiver Rome Peleno at the facility. A copy of this report along with LIC 811- Confidential Names list were provided to Facility at exit. ***This is an amended report***the state’s words, verbatim · CDSS document, Nov 2, 2023 · control 22-AS-20220621095243

Allegation investigated: -Residents have unsupervised access to cleaning supplies

On today’s date, Licensing Program Analyst (LPA) Rosie Quiroz made an unannounced visit to the facility to conduct a 10 day visit to address the allegation listed above. LPA Quiroz was granted entry by Caregiver Aida Villanueva. Ombudsman Linda Bock and Caregiver Dolores Martillano arrived during today's visit. LPA Quiroz called and spoke to L/AD Almiranez during today's visit and discussed purpose of today's visit. On or about 11:47am, LPA Quiroz along with Caregiver Villanueva commenced the tour of interior and exterior of the facility. Regarding the allegation, "Residents have unsupervised access to cleaning supplies," the investigation revealed the following: Dring today's inspection visit, on or about 12:18pm, while touring kitchen area along with Caregiver Villanueva and Ombudsman Linda Bock, LPA Quiroz observed unlocker drawer underneath the kitchen sink were Caregiver Villanueva verified disinfectants were stored. LPA Quiroz provided consultation on the following Calfornia Code of Regulation (CCR): Buildings and Grounds: 80087(g)Disinfectants, cleaning solutions, poisons, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients.CONTINUED ON NEXT PAGE... Substantiated CONTINUED...LPA Quiroz and Ombudsman Linda Bock observed Caregiver Villanueva lock and secure disinfectants indicating "Oh, the staff forgot to lock it in the morning." Based on the preponderance of evidence gathered through interviews and today's observations;the allegation “Residents have unsupervised access to cleaning supplies” has been met; Therefore, the allegation listed above is deemed to be SUBSTANTIATED. The facility is being cited per Title 22, Division 6 of the California Code of Regulations. (SEE LIC 9099-D) An exit interview was conducted with Caregiver Dolores Martillano, and a copy of this report, along with LIC9099-D, Appeal Rights, and the LIC 811-Confidential names were provided at exit.the state’s words, verbatim · CDSS document, Oct 13, 2023 · control 22-AS-20231012154427

From the deficiency page — Deficiency type: Type B · Section cited: CCR 80087(g) · Plan of correction due date: Oct 18, 2023

Buildings and Grounds: 80087(g)Disinfectants, cleaning solutions, poisons, firearms and other items that could pose a danger if readily available to clients shall be stored where inaccessible to clients.This requirement was not met as evidenced by: on or about 12:18pm, while touring kitchen area along with Caregiver Villanueva and Ombudsman Linda Bock, LPA Quiroz observed unlocker drawer underneath the kitchen sink were Caregiver Villanueva verified disinfectants were stored. CONTINUED...the state’s words, verbatim · CDSS document, Oct 13, 2023

Plan of correction: L/AD Almiranez will provide staff identified on LIC 500 (Personnel Report) training on CCR80087(g) and submit proof of training by 10/18/2023. This poses a potential risk to clients in care.