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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 365530210
Report Date: 06/20/2026
Date Signed: 06/20/2026 01:57:58 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 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
04/04/2025 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250404152010
FACILITY NAME:FOREMOST RETIREMENT RESORT INCFACILITY NUMBER:
365530210
ADMINISTRATOR:TURNER, DANICAFACILITY TYPE:
740
ADDRESS:17581 SULTANA STREETTELEPHONE:
(760) 244-5579
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:96CENSUS: 91DATE:
06/20/2026
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Jennifer UrizaTIME COMPLETED:
02:00 PM
ALLEGATION(S):
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9
Staff did not assist resident with care needs in a timely manner.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Paola Guerrero arrived at the facility to deliver investigative findings. LPA met with Facility Administrator Jennifer Uriza and explained the purpose of the visit regarding the allegations stated above.

First allegation: Staff did not assist resident with care needs in a timely manner. Regarding the allegation stated above, LPA conducted an interview with Staff #1 regarding the alleged allegation Staff #1 informed LPA that Resident #1 was being assisted with their toileting needs however, Resident #1 refused staff assistance and became verbally aggressive towards staff. Staff #1 informed LPA that Resident #1 was not left on the toilet for two hours. Staff #1 informed LPA that because R#1 was being non-compliant with staff and refusing staff to assist resident staff gave resident 30 minutes. During review of record LPA discovered that Resident #1 has number of incidents where resident refuses toileting assistance and resident later contacts fire deparment.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2026
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 56-AS-20250404152010
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: FOREMOST RETIREMENT RESORT INC
FACILITY NUMBER: 365530210
VISIT DATE: 06/20/2026
NARRATIVE
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LPA conducted interviews with Resident #2, Resident #3, and Resident #4, over the alleged allegation and all residents denied the allegation and informed LPA that staff has gotten better with providing residents with care needs in a timely manner that currently they have no issues to report. Based on corroborating evidence LPA has determined that the above allegation is Unsubstantiated, meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

An exit interview was conducted where this report (LIC 9099) was discussed, and a copy was provided to Facility Administrator Jennifer Uriza.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 06/20/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/20/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2