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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 01:54:19 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
11/08/2023 and conducted by Evaluator Rosie Quiroz
PUBLIC
COMPLAINT CONTROL NUMBER: 22-AS-20231108161451
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:
11:22 AM
MET WITH:Rhodora Cabrera, Caregiver and Uldarico Almiranez, Licensee/Administrator (Via Telephone)TIME COMPLETED:
11:59 AM
ALLEGATION(S):
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-Staff were inebriated while on duty
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 allegations listed above. The 10-day visit complaint investigation was conducted on 11/15/2023. 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, “Staff were inebriated while on duty,” the investigation revealed the following: LPA Quiroz conducted multiple interviews with residents and staff. Interviews with eight of eight interviewees reported denying ever witnessing staff drinking alcohol on the job. Two of four interviewees consisting of residents reported Resident 1 (R1) has stated they are going to get staff in trouble and would report things that are untrue. Six of eight interviewees reported that R1 can be paranoid, does not follow rules, and tends to forget things and get confused. During the course of the investigation for complaint control # 22AS- 20211012143927 ,interviewees reported (R1) collected alcoholic beverage bottles and placed them in front of staff and would take pictures in an attempt to say staff are drinking on the job. CONT 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-20231108161451
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...Photographs and videos of staff with alcoholic beverage bottles placed in front of the staff were provided to Community Care Licensing and observed by LPA Quiroz; Four of four interviewees consisting of staff indicated R1 would recycle and collect empty alcoholic beverages, place them in-front of them and take videos or photographs. Four of four staff denied drinking alcoholic beverages and or using illicit/illegal drugs while on duty.
During facility inspection visits conducted on 11/15/2023 and 6/17/2024, LPA Quiroz did not observe alcoholic beverages and or illicit/illegal drugs on facility premises and did not observe staff to be under the influence of drugs and or/alcohol.
Therefore, based on the preponderance of evidence gathered through interviews, documentation review and observations conducted by LPA Quiroz, the allegations that the "“Staff were inebriated while on duty,” 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) Almiranez via telephone and a copy of this 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)
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