335530171-6-24-2026-56-AS-NBRN-DWHSFW-20260731135101

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 335530171
Report Date: 04/08/2026
Date Signed: 06/24/2026 12:36:27 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/16/2026 and conducted by Evaluator Hannah Rodgers

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20260116121012

FACILITY NAME:	WILDOMAR SENIOR ASSISTED LIVING		FACILITY NUMBER:	335530171
ADMINISTRATOR:	KAREN ROPER		FACILITY TYPE:	740
ADDRESS:	32365 SOUTH PASADENA ST		TELEPHONE:	(323) 902-6000
CITY:	WILDOMAR	STATE: CA	ZIP CODE:	92595
CAPACITY:	200	CENSUS: 114	DATE:	04/08/2026
		UNANNOUNCED	TIME BEGAN:	02:10 PM
MET WITH:	Assistant Executive Director Theresa Gamez		TIME COMPLETED:	02:45 PM

ALLEGATION(S):

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Staff threatened residents.
Staff forced residents to eat in their bedroom.
Staff did not provide adequate food service to residents.
Staff are not providing a safe environment for residents in care.
Staff did not respond to residents’ call button in a timely manner.
Staff did not meet residents’ incontinent needs.
Staff did not allow residents to participate in activities.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Assistant Executive Director Theresa Gamez .

On January 16, 2026, it was alleged staff threatened residents, staff forced residents to eat in their bedroom, staff did not provide adequate food service to residents, staff did not provide a safe environment for residents in care, staff did not respond to residents’ call button in a timely manner, staff did not meet residents’ incontinence needs, and staff did not allow residents to participate in activities.

The Department’s investigation consisted of an unannounced facility visit, records review, and staff, resident, and outside source interviews.
[Continued on LIC9099-C]

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2026

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 56-AS-20260116121012

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: WILDOMAR SENIOR ASSISTED LIVING	FACILITY NUMBER: 335530171
	VISIT DATE: 04/08/2026

NARRATIVE

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According to the allegations received Resident #1 (R1) was threatened with being evicted from the facility by staff, R1 was forced to eat their meals in their room after complaining about the quality of the food because the food at the facility was under cooked or over cooked and the portion sizes have decreased. It was alleged that R1 was harassed by Resident #2 (R2), staff did not interfere, and the facility was unsafe environment for the residents. It was also alleged that staff do not respond to residents’ call buttons and residents’ who require assistance with incontinence management were limited to only six (6) incontinence briefs a day. It was also alleged that R1 was not allowed to participate in activities.

Interviews with staff and residents did not reveal that staff threatened residents. Interviews with staff and residents provided conflicting statements as to whether R1 was required to eat in their bedroom. Review of the facility’s menu and interviews with staff and residents did not reveal that the food service was inadequate. Interviews with staff and residents did not reveal that staff did not respond to residents’ call button in a timely manner, staff did not meet residents’ incontinence needs, nor did it reveal that staff did not allow residents to participate in activities.

Based on interviews and record review, the investigation did not yield a preponderance of evidence to conclude staff threatened residents, staff forced residents to eat in their bedroom, staff did not provide adequate food service to residents, staff did not provide a safe environment for residents in care, staff did not respond to residents’ call button in a timely manner, staff did not meet residents’ incontinence needs, and staff did not allow residents to participate in activities. Based on the foregoing, the allegations are unsubstantiated. This finding means that although the allegations may have happened or may be valid, there is not a preponderance of the evidence to prove that the alleged violations occurred. An exit interview was conducted with Assistant Executive Director Theresa Gamez and a copy of this report was provided.

SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:	DATE: 04/08/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/08/2026

LIC9099 (FAS) - (06/04)

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