Fountain Valley Senior Homes

Allegation investigated: Licensee does not ensure that staff have fingerprint clearance

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to investigate a complaint received in the Regional Office. LPA was greeted and granted entry by staff at 8:15am. LPA spoke with Licensee (LE) Uldarico Almiranez and explained the purpose of the visit. Upon entry, LPA observed three of six residents eating breakfast. Currently there are six residents in care. Three of four staff members reside in the facility and the fourth staff member leaves after their shift. It was alleged that Licensee does not ensure that staff have fingerprint clearance. LPA reviewed and obtained copies of the Register of Facility Residents (LIC 9020), Facilities Staff Work Schedule (LIC 507), and four of four staff files. Records obtained include: California Department of Social Services (CDSS) Background Clearance Letters, Personnel Records (LIC 501), Health Screening (LIC 503), Criminal Record Statement (LIC 508) and First Aid, Cardiopulmonary Resuscitation Certifications. (Continued on LIC 9099-C) Unfounded (Continued from LIC 9099) LPA record review shows four of four staff members are background cleared and CDSS Background Clearance letters are on file. LPA also confirmed that the Guardian roster shows four of four staff are cleared and associated to the facility. LPA interviewed four of four staff members, including the Licensee (LE), and all confirmed they have been background cleared. During the visit LPA interviewed three of three residents to ask if there were any issues with staff members or care being provided. Three of three residents stated they had no problems with staff and that they are satisfied with the care being provided. Based on LPA's records review, interviews and observations the allegation that Licensee does not ensure that staff have fingerprint clearance is Unfounded. The allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted with House Manager Romualdo "Rom" Peleno and a copy of this report and LIC 811 was provided to the facility.the state’s words, verbatim · CDSS document, Aug 27, 2026 · control 22-AS-20260823100752

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 residents, of which five can be non-ambulatory and one can be bedridden. The facility also 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 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 between 109.5 and 112.4 degrees Fahrenheit. LPA observed additional linens to be stored in a bathroom. LPA also observed chemicals and toxins to be stored in a locked cabinet in a bathroom. 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. CONTINUED ON LIC809-C LPA observed kitchen appliances to be clean and operational. LPA observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPA observed a fire extinguisher to be mounted on the wall in 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 20, 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 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 portion 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 to be self latching and 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. LPA observed that three out of the five staff did not complete the required twenty hours of annual training in the year of 2025. LPA observed that Staff #1 (S1) completed 9.25 hours, Staff #2 (S2) completed 19 hours, and Staff #3 (S3) completed 15.75 hours, in the year of 2025. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, a deficiency is being cited on the attached LIC809-D page. An exit interview was conducted with an authorized facility representative. A copy of the report and appeal rights were provided at time of visit.the state’s words, verbatim · CDSS document, Aug 21, 2026

Allegation investigated: Staff do not prevent resident from engaging in inappropriate behavior. The Administrator is not on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility. Facility does not have sufficient amount of staff to meet the resident's needs.

Licensing Program Analyst (LPA) Rose Ruppert made an unannounced visit to investigate a complaint received in the Regional Office. LPA was greeted and granted entry by Staff at 12:30pm. LPA met with Administrator (AD) Uldarico "Rico" Almiranez and explained the purpose of the visit. LPA obtained the current Facilities Staff Work Schedule and Register of Facility Clients/Residents. LPA obtained and reviewed documents for Resident #1 (R1) which include: Death Report dated 9/23/2025, Identification and Emergency Information, Physician's Report dated 4/29/2025 and Skilled Nursing Transfer Discharge Report dated 4/20/2025. LPA also obtained and reviewed documents for Resident #2 (R2) which include: Unusual Incident Report dated 5/2/2024, Assessment dated 1/30/2024 and an Intake Assessment dated 2/27/2024. LPA interviewed three of three staff who worked at the facility in 2024. LPA also interviewed one of three residents who resided in the facility in 2024. (Continued on LIC 9099-C) Unsubstantiated (Continued from LIC 9099) Resident #2 (R2) was admitted to the facility on 3/03/2024. Per Physician's Report dated 2/27/2024 R2 was diagnosed with chronic schizophrenia. R2 also suffered a traumatic brain injury (TBI) and was agitated with wandering behavior per assessment tool dated 1/30/2024. R2 was sent out to the hospital on 5/02/2024 via paramedics and never returned to the facility. R2 required a higher level of care and resided in the facility for two months. It was alleged that Staff do not prevent resident from engaging in inappropriate behavior. At night, R2 would shout and bang on walls throughout the home There are four live-in caregivers who reside in the facility and a designated night staff person was awake. Three of three staff denied the allegation; stating they were trained to re-direct LPA interviewed one of three residents since the other two residents, who had first hand knowledge of the incidents, are deceased or no longer reside in the facility. One resident interviewed stated that R2's behaviors were always at night and R2 would shout and spit and pound on resident walls. R2 stated they, nor the other residents residing in the facility at this time, could sleep and spoke to the Administrator (AD) about this. The resident stated staff did try to help R2 and that R2 only lived at the facility for two months. LPA investigated the allegation that the Administrator is not on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility. Three of three staff interviewed stated that the AD visits daily, five days per week. Three of three staff shared that the AD is available to come to the facility if needed and manages three other homes. Upon interview of AD, AD shared that a former resident, Resident #1 (R1) had shared with AD that they wanted the AD to be at the facility for more hours and to address the nightly behaviors of R2. AD stated that they had been working on the problem with R2 when R2 was sent out. R2 did not have family involvement. R2 was then transferred to a higher level of care. One resident interviewed stated that the AD is present at the facility in the mornings and that they shared with AD the issues regarding R2. Currently the resident has no issues. It was also alleged that the Facility does not have sufficient amount of staff to meet the resident's needs. Three of three staff denied this allegation since there are four live-in staff and six residents. During the time R2 resided at the facility, three of three staff shared there was an additional night staff person to assist. The resident interviewed also stated there are plenty of staff and that staff always addressed their needs. (Continued on LIC 9099-C1) (Continued from LIC 9099-C) During the Department's initial visit on 4/15/2024, interviews with three of three residents confirmed that Resident #2 (R2) had behaviors that were affecting residents' sleep. Three of three staff interviewed at that time stated there was an awake night person for the six residents. Resident interviews stated the behaviors of R2 kept the residents and staff awake at night but there was always enough staff in the facility. Based on LPA's record review and interviews, the allegations that: Staff do not prevent resident from engaging in inappropriate behavior, The Administrator is not on the premises a sufficient number of hours to permit adequate attention to the management and administration of the facility and Facility does not have sufficient amount of staff to meet the resident's needs are Unsubstantiated. The allegations may have happened or are valid, but there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Uldarico "Rico" Almiranez, Administrator (AD) and a copy of this report and LIC 811 was provided to the facility.the state’s words, verbatim · CDSS document, May 12, 2026 · control 22-AS-20240408103754

Type of visit: Required - 1 Year

On today's date Licensing Program Analyst (LPA) William Vanegas made an unannounced visit for the purposes of conducting an annual inspection. Upon arrival LPA was greeted and granted entry to the facility by Care giving staff. Administrator (AD) Uldarico Almiranez was present at the facility and was able to assist LPA with the annual 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 utilized for residents in care and one of which is utilized for live in staff members. The facility is equipped with an attached two car garage, and two bathrooms that are both shared. LPA observed the kitchen area to be clean and free of any mildew and debris. LPA observed for there to be a dishwasher, microwave, gas stove, and refrigerator in the kitchen area. All appeared to be in good repair and tested operational. LPA observed a two supply of perishable food and a seven day supply of non-perishable food. LPA observed all resident rooms to be large enough to walk about freely and be free of any hazards, and obstructions. LPA observed bedrooms to have all required furnishings including a bed, a lamp, a chair, enough storage space to store personal belongings, and clean linens in good repair; meaning no strains or tears. LPA observed all resident restrooms to be clean and free of any mildew and debris. LPA observed all faucets and toilets to be operational. LPA observed restrooms to have all required furnishings including grab bars, slip resistant floor matts, and a shower chair. Hot water temperature tested between 110.3 and 112.1 degrees Fahrenheit. CONTINUED ON LIC809-C LPA observed all fire extinguishers to be fully charged and up to date. LPA observed all smoke detectors to be in good repair and tested operational. LPA observed first aid kit to have all required items including adhesive tape, scissors, tweezers, bandages, a thermometer, and a first aid manual. LPA conducted a tour outside of the facility and observed the following. The backyard is large enough to participate in outdoor activities upon resident request. There were no obstructions observed to be around the outside of the facility, and there were no obstructions observed to be along the side exits of the facility. Side gates were observed to be self latching and unlocked. LPA reviewed six resident files and three staff files. All files (Resident and Staff) had all required documents and staff training was up to date and documented correctly. LPA reviewed medications with AD and per LPA review all medications are being administered per physicians orders and are being documented by facility staff correctly. No discrepancies were noted in the Medication Administration Record. Based on observations made during today's inspection no 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 copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, May 12, 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 8:00 AM, LPA Tea was greeted and granted entry into the facility by caregiver Romualdo Peleno and explained the reason for the visit. Administrator (AD) Rico Almiranez arrived shortly to assist with the visit. 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 8:25 AM, LPA Tea reviewed six resident files and three staff files. Residents’ files and staff files contained all required documentation. With the exception with one resident who has dementia in which the staff is currently having problems with the VA hospital to obtain a current medical assessment. AD Rico’s administrator certificate expires on April 10, 2026. LPA Tea along with the Administrator toured the facility at 9:39 AM. LPA toured the physical plant, checked food service, and the first aid kit. The facility is a one story home that has of 6 resident bedrooms, 1 staff room, 2 full bathrooms, living room, dining room, 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 between 111.3 F degrees and 112.2 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 the kitchen underneath the sink and a designated cabinet. The fire extinguisher in the kitchen is fully charged and last serviced on March 19, 2024. Annual Inspection continued on LIC809-C The facility’s last fire drill was conducted on November 21, 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. The backyard has a small garden area. There is a BBQ grill that a resident uses every other week to entertain and dine residents. LPA observed emergency food in the pantry by the kitchen and emergency water supply in the garage. Facility offers activities to residents based on personal preferences. Residents play bingo and do art. They go on outings on occasions like to watch movies. At the time of the visit, residents were watching television, having breakfast and enjoying Christmas music. At 10:00 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, Rico Almiranez and a copy of this report LIC809, 809-C, LIC858, LIC859, and LIC9102TV was read and provided to the facility.the state’s words, verbatim · CDSS document, Dec 23, 2024

The state marks this report as 3 pages; the online copy we transcribed has 2. You can request the full file from the county licensing office.

Type of visit: Case Management - Deficiencies

On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted a subsequent unannounced visit after delivering findings for complaint control # 22-AS-20240408103754. LPA Quiroz was greeted by Caregiver 1 (CG1) and discussed purpose of today's visit. Licensee/Administrator (L/AD) Uldarico Almiranez arrived during today's visit. On or about 10:21am while conducting interviews with Resident 1, LPA Quiroz observed trash and food crumbs underneath and on recliner couches in living room area, this was verified with CG1 and L/AD Almiranez. CG1 indicated "We'll take note of that and be careful with making sure to clean well." On or about 11:30am while LPA Quiroz reviewed resident files in dining-room area, LPA Quiroz observed broken case on lower part of dishwasher and tape on top of dishwasher; this was verified with CG1 and L/AD Almiranez who indicated being aware of case being loose and will have it repaired. During today's inspection visit, while conducting tour of the facility and conducting interviews for complaint control #22-AS-20240408103754, the following deficiency was observed and is being cited via this case management deficiency. 87303(a)-Maintenance and Operation The facility is being cited per Title 22, Division 6 of the California Code of Regulations. An exit interview was conducted with CG1, and a copy of this report, 809-D Page, Appeal Rights was provided at exit.the state’s words, verbatim · CDSS document, Apr 15, 2024

From the deficiency page — Deficiency type: Type B · Section cited: CCR 87303(a) · Plan of correction due date: Apr 19, 2024

Maintenance and Operation-87303(a): (a) The facility shall be clean, safe, sanitary and in good repair at all times...This requirement is not met as evidenced by, during today's inspection tour LPA Quiroz observed trash/crumbs underneath and on recliner couches. LPA Quiroz observed loose case on lower part of dishwasher and tape on top areas of dishwasher in kitchen area. This was verified by CG1 and L/AD Almiranez. L'AD Almiranez indicated "I will call and have it repaired." This poses a potential risk to residents in care.the state’s words, verbatim · CDSS document, Apr 15, 2024

Plan of correction: L/AD agreed staff wil clean couches and living room area and provide inservice training to facility staff on CCR 87303 and submit proof of training by POC due date of 4/19/2024. L/AD will repair dishwasher in kitchen area and submit proof by POC due date of 4/19/2024.