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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005478
Report Date: 06/17/2024
Date Signed: 06/17/2024 02:02:15 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/17/2023 and conducted by Evaluator Rosie Quiroz
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20230317093401
FACILITY NAME:SAINT BENEDICT CARE LLCFACILITY NUMBER:
306005478
ADMINISTRATOR:ALMIRANEZ, ULDARICOFACILITY TYPE:
740
ADDRESS:8925 CANARY AVENUETELEPHONE:
(949) 290-6006
CITY:FOUNTAIN VALLEYSTATE: CAZIP CODE:
92708
CAPACITY:6CENSUS: 6DATE:
06/17/2024
UNANNOUNCEDTIME BEGAN:
12:46 PM
MET WITH:Rhodora Cabrera, Caregiver and Uldarico Almiranez,Licensee/Administrator (Via telephone) TIME COMPLETED:
02:05 PM
ALLEGATION(S):
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-Client was being emotionally abused while in care
INVESTIGATION FINDINGS:
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 On today's date, Licensing Program Analyst (LPA) Rosie Quiroz conducted an unannounced visit for the purpose of delivering findings to address the allegation listed above for a complaint initiated on 03/17/2023. The 10-day visit complaint investigation visit was conducted by LPA Quiroz on 03/27/2023. On today's date, LPA Quiroz arrived to the facility and was greeted by Caregiver Rhodora Cabrera. LPA Quiroz called Licensee/Administrator (L/AD) Uldarico Almiranez and discussed purpose of today's visit.
Regarding the allegation, “Client was being emotionally abused while in care,” the investigation revealed the following: LPA Quiroz conducted multiple interviews consisting of residents, staff and witnesses. Interviews conducted with ten of eleven interviewees reported denying ever witnessing staff emotionally abusing Resident 1 (R1) or any other residents in care. During the course of the investigation, six of eleven interviewees consisting of residents, staff and witness reported Resident 1 (R1) would be the one to be verbally abusive to staff and other residents in care. Two of five residents in care indicated (R1) would share that (R1) would fabricate stories to get staff in trouble reporting “R1 was trouble and just wanted to get staff in trouble.” CONTINUED ON LIC 9099-C PAGE...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Rosie Quiroz
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 22-AS-20230317093401
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: SAINT BENEDICT CARE LLC
FACILITY NUMBER: 306005478
VISIT DATE: 06/17/2024
NARRATIVE
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CONTINUED...The physician report for R1 dated 10/7/2022 page 4, section 14. Mental condition indicates "Yes" under confused/disoriented with mild cognitive impairment.

Therefore, based on the preponderance of evidence gathered through interviews, documentation review and observations conducted by LPA Quiroz, the allegations that the “Client was being emotionally abused while in care”is deemed 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.
This agency has investigated this complaint. No deficiencies cited during today's visit.

An exit interview was conducted with Caregiver Rhodora Cabrera and with (L/AD) Uldarico Almiranez via telephone, and a copy of report and LIC 811-Confidential Names were provided at exit.
SUPERVISORS NAME: Alisa Ortiz
LICENSING EVALUATOR NAME: Rosie Quiroz
LICENSING EVALUATOR SIGNATURE:

DATE: 06/17/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/17/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2