<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 336426330
Report Date: 08/05/2026
Date Signed: 08/05/2026 03:13:23 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE 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
08/02/2026 and conducted by Evaluator Ivashia Wright
COMPLAINT CONTROL NUMBER: 18-AS-20260802235258
FACILITY NAME:VISTA MONTANA SENIOR LIVINGFACILITY NUMBER:
336426330
ADMINISTRATOR:MARIA FORKRUDFACILITY TYPE:
740
ADDRESS:155 N. GIRARD ST.TELEPHONE:
(951) 658-2274
CITY:HEMETSTATE: CAZIP CODE:
92544
CAPACITY:120CENSUS: 85DATE:
08/05/2026
UNANNOUNCEDTIME BEGAN:
12:40 PM
MET WITH:Maria Forkrud, AdministratorTIME COMPLETED:
03:25 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff does not provide adequate food service.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Ivashia Wright conducted an unannoced visit to the facility in order to initiate a complaint investigation. LPA met with Maria Forkrud, Administrator, and advised of the listed allegations. LPA conducted a tour of the interior/exterior areas of the facility, conducted interviews, and requested copies of pertinent documentation.

Regarding the allegation that Staff does not provide adequate food service, it was reported that staff are serving uncooked food. LPA Wright toured the dining hall, food supply and observed the kitchen was clean and well kept. The food quality appeared adequate, free of contaminants, and stored appropriately. Interview with the Administrator, Maria Forkrud stated residents have the option of having the food on the menu prepared to their preference. It was advised that residents sitting in the dining hall could make changes to their meal options on the spot and request alternatives.
Cont LIC 9099C

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Ivashia Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2026
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 18-AS-20260802235258
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: VISTA MONTANA SENIOR LIVING
FACILITY NUMBER: 336426330
VISIT DATE: 08/05/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Information obtained from interviews with additional staff corroborated the information obtained from Administration. Additional interviews with staff revealed that the kitchen only prepares meat well done. Interviews with residents revealed that the kitchen has never served any meat items raw and alternatives are offered when requested.

Based on staff interviews, resident interviews and facility records the allegation that Staff does not provide adequate food service is deemed unsubstantiated. This means that although the allegations may have happened or are valid, the preponderance of evidence requirement has not been met to prove that the alleged violations did or did not occur.

An exit interview was conducted and a copy of this report, LIC 9099C, were reviewed and provided to Maria Forkrud.

SUPERVISORS NAME: Jazmond D Harris
LICENSING EVALUATOR NAME: Ivashia Wright
LICENSING EVALUATOR SIGNATURE:

DATE: 08/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2