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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366425834
Report Date: 06/19/2026
Date Signed: 06/19/2026 03:17:12 PM

Substantiated


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
01/24/2025 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250124113203
FACILITY NAME:FOREMOST SENIOR CAMPUSFACILITY NUMBER:
366425834
ADMINISTRATOR:DANICA TURNERFACILITY TYPE:
740
ADDRESS:17581 SULTANA STREETTELEPHONE:
(760) 244-5579
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:0CENSUS: 91DATE:
06/19/2026
UNANNOUNCEDTIME BEGAN:
11:36 AM
MET WITH:Jennifer UrizaTIME COMPLETED:
03:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Unlawful eviction.
Facility staff did not conduct a pre-admission appraisal of the resident
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
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: Unlawful Eviction. Regarding the allegation stated above, LPA conducted a record review pertaining to Resident #1. Upon the review of record LPA discovered that a 3-day eviction notice was on file for Resident #1 however, it is unknown if the notice was issued to Resident #1 or to Resident #1 responsible party. During further review LPA did not find any report that showed that the 3-day eviction notice was provided to Community Care Licensing (CCL), Department for review and approval. According to regulation all evictions must be provided to licensing department for review and approved if the finding is of good cause. A process in which the facility did not do.

Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026
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 5
Control Number 56-AS-20250124113203
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 SENIOR CAMPUS
FACILITY NUMBER: 366425834
VISIT DATE: 06/19/2026
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
Second allegation: Facility staff did not conduct a pre-admission appraisal of the resident. Regarding the allegation stated above, LPA conducted a file review pertaining to Resident #1 upon the review of records LPA discovered that there was no pre-admission appraisal on record for Resident #1. LPA conducted an interview with Staff #1 who informed LPA that all records pertaining to Resident # 1 is all what they have on file for the resident. Based on the evidence gathered during the investigation, the above allegations are Substantiated. A finding that the complaint is Substantiated means that the findings are valid because the preponderance of the evidence standard has been met. Title 22 Regulations, Unlawful eviction 87224 (a)(b), Pre-Admission Appraisal (a)(b)(c), from division 6, chapter, article 6, is, cited on the attached LIC 9099 D.

An exit interview was conducted where this report, appeal rights, and LIC9099-D was discussed, and a copy of the report was provided to Facility Administrator Jennifer Uriza at the conclusion of the visit.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 56-AS-20250124113203
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 SENIOR CAMPUS
FACILITY NUMBER: 366425834
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
06/26/2026
Section Cited
CCR
87224(a)(b)
1
2
3
4
5
6
7
Eviction Procedures....(a) The licensee may evict a resident for one or more of the reasons listed in Section 87224(a)(1) through (5). Thirty (30) days written notice to the resident is required except as otherwise specified in paragraph 5....(b) The licensee may, upon obtaining prior written approval from the licensing agency, evict the resident upon three (3) days written notice to quit. The licensing agency may grant approval for the eviction upon a finding of good cause. Good cause exists if the resident is engaging in behavior which is a threat to the mental and/or physical health or safety of himself or to the mental and/or physical health or safety of others in the facility.

This requirement is not met as evidence by
1
2
3
4
5
6
7
The Licensee has agreed to read over regulation: Eviction Procedures(a)(b) and provide training and provide a statement of understanding to LPA. In addition, the Licensee will refund any amount that is due back to the resident. The Licensee will provide LPA with proof of the payment confirmation by POC date 6/26/26.
8
9
10
11
12
13
14
Based on record review, the licensee did not adhere to eviction procedures issuing Resident #1 a 3-day eviction notice without a grant approval from the agency, which poses an immediate Health, Safety, or Personal Rights risk to persons in care.
8
9
10
11
12
13
14

Type B
06/26/2026
Section Cited
CCR
87457(a)(b)(c)
1
2
3
4
5
6
7
Pre-Admission Appraisal...(a) Prior to admission, the prospective resident and his/her responsible person, if any, shall be interviewed by the licensee or the employee responsible for facility admissions....(b) No person shall be admitted without his/her consent and agreement, or that of his/her responsible person, if any....(c) Prior to admission a determination of the prospective resident's suitability for admission shall be completed and shall include an appraisal of their individual service needs in comparison with the admission criteria specified in Section 87455, Acceptance and Retention Limitations.

This requirement is not met as evidence by
1
2
3
4
5
6
7
The Licensee has agreed to read over regulation: Pre-Admission Appraisal (a)(b)(c) and provide training and provide a statement of understanding to LPA by POC date 6/26/26.
8
9
10
11
12
13
14
Based on record review, the licensee did not adhere by Pre-Admission Appraisal procedures by insuring that Resident #1 had a signed Pre-Admission Appraisal prior to admission. which poses an immediate Health, Safety, or Personal Rights risk to persons in care.
8
9
10
11
12
13
14
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
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
01/24/2025 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250124113203

FACILITY NAME:FOREMOST SENIOR CAMPUSFACILITY NUMBER:
366425834
ADMINISTRATOR:DANICA TURNERFACILITY TYPE:
740
ADDRESS:17581 SULTANA STREETTELEPHONE:
(760) 244-5579
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:0CENSUS: 91DATE:
06/19/2026
UNANNOUNCEDTIME BEGAN:
11:36 AM
MET WITH:Jennifer UrizaTIME COMPLETED:
03:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff did not intervene in verbal altercation between residents
Facility staff did not provide a safe environment for residents in care
Facility staff dispensed medications which were not prescribed to the resident
Facility staff did not assist the resident with medical appointment
Facility staff did not address a change in the resident's condition
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
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: Facility staff did not intervene in verbal altercation between residents. Regarding the allegation stated above, LPA conducted interview with Staff #1 regarding the alleged allegation. Staff #1 informed LPA that at the time of the incident involving Resident #1 and Resident #2 both residents were at the kitchen arguing when Staff #2 intervened and separated both Resident #1 and Resident #2. Staff #1 informed LPA that both residents contacted local police department to make their report. Staff #1 informed LPA that when Law Enforcement arrived at the facility Resident #1 was later arrested on 11/26/24 for making threatful threats against Resident#2. Staff #1 informed LPA that at the time of the incident there were staff present who separated both residents.

Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 56-AS-20250124113203
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 SENIOR CAMPUS
FACILITY NUMBER: 366425834
VISIT DATE: 06/19/2026
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
Second allegation: Facility staff did not provide a safe environment for residents in care. Regarding the allegation stated above, LPA conducted interviews with R#3, R#4, R#5, and R#6, regarding the alleged allegation and all residents denied the allegation and informed LPA that facility provides them with a safe environment and have no concerns regarding their safety. In addition, R#3-6 informed LPA that they feel safe and that staff provides resident with enough supervision.

Third allegation: Facility staff dispensed medications which were not prescribed to the resident. Regarding the allegation stated above, LPA conducted an interview with Staff #1 regarding the alleged allegation Staff #1 denied the allegation and informed LPA that Resident #1 medication was dispensed according to R1 medication orders. Staff #1 informed LPA that there are no reports reporting of any medication errors concerning Resident #1. Staff #1 provided LPA with Resident #1 MAR record and indicated that all medication listed was properly dispensed to the resident.

Fourth allegation: Facility staff did not assist the resident with medical appointment. Regarding the allegation stated above, LPA conducted an interview with Staff #1 regarding the alleged allegation Staff #1 denied the allegation and informed LPA that all medical evaluations/appointments are conducted in-house. Staff #1 informed LPA that residents are provided with transportation for all other medical matters concerning dental appointments and during medical emergencies. Staff #1 provided LPA with evaluation reports that were conducted on Resident #1.

Fifth allegation: Facility staff did not address a change in the resident's condition. Regarding the allegation stated above, LPA conducted an interview with Staff #1 who informed LPA that Resident #1 was not conserved nor did resident have a responsible party appointed to them. Staff #1 informed LPA that Resident #1 family member was not listed as an emergency contact. Staff #1 informed LPA that any calls made pertaining to Resident #1 were courtesy calls and calls that were requested by resident #1. Staff #1 informed LPA that any change of conditions concerning Resident 1 was addressed directly to the resident and to residents Case Manager. 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: 06/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5