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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306005478
Report Date: 03/18/2026
Date Signed: 03/18/2026 11:29:34 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 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
11/01/2023 and conducted by Evaluator Hanna Gough
COMPLAINT CONTROL NUMBER: 22-AS-20231101155257
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: 5DATE:
03/18/2026
UNANNOUNCEDTIME BEGAN:
11:10 AM
MET WITH:Uldarico AlmiranezTIME COMPLETED:
11:29 AM
ALLEGATION(S):
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Facility failed to communicate with resident's conservator regarding resident's finances.
Facility forged signature on resident's check.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Hanna Gough made an unannounced visit to the facility to conduct an investigation into the above mentioned complaint allegations. LPA was greeted and granted entry by staff. LPA met with Administrator (AD) Uldarico Almiranez and discussed the purpose of the visit.

The investigation into the allegations of facility failed to communicate with resident's conservator regarding resident's finances and facility forged signature on resident's check revealed the following:
It was alleged that facility staff did not inform Resident #1 (R1) responsible party in regards of a check that R1 received and that facility staff forged R1s signature on the check. LPA reviewed a physicians report for R1 dated October 7, 2022, stating that R1 was diagnosed with Mild Cognitive Impairment and can manage their own cash resources. LPA reviewed an incomplete social security form for R1 dated May 24, 2021, stating that R1 does not have a conservator and that R1 is responsible for their social security benefits.
Continue on 9099C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026
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-20231101155257
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
ORANGE COUNTY RO, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
FACILITY NAME: SAINT BENEDICT CARE LLC
FACILITY NUMBER: 306005478
VISIT DATE: 03/18/2026
NARRATIVE
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Interviews with R1 revealed that they do not have any evidence to share with LPA and that they sent the Department everything they already had obtained. LPA reviewed the evidence that was previously sent to the Department and found alleged forged signatures. LPA was unable to determine what the alleged forged signatures were for and if they were in fact not R1s signatures. LPA did not observe conservator papers for R1.

Interviews with W1 revealed that they did not know much about the complaint and referred to R1 for evidence and details of the allegations.

Interviews with AD revealed that they did not forge the signatures and R1 was handling their own money and social security benefits.

Based on information gathered and interviews conducted the Department is unable to ascertain if the above mentioned complaint allegations occurred as reported. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove or refute the alleged violation occurred: therefore, the allegations are deemed UNSUBSTANTIATED.

An exit interview was conducted and a copy of this report was left at the facility.

SUPERVISORS NAME: Armando J Lucero
LICENSING EVALUATOR NAME: Hanna Gough
LICENSING EVALUATOR SIGNATURE:

DATE: 03/18/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/18/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2