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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366425834
Report Date: 06/20/2026
Date Signed: 06/20/2026 12:43:16 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
02/20/2025 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250220112645
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:
06/20/2026
UNANNOUNCEDTIME BEGAN:
09:45 AM
MET WITH:Jennifer UrizaTIME COMPLETED:
12:45 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not ensure that resident does not smoke inside the facility
Staff do not adequately supervise resident
Staff are not properly caring for resident's open wound
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: Staff do not ensure that resident does not smoke inside the facility. Regarding the allegation stated above, LPA conducted a file review pertaining to Resident #1 upon the review of records LPA observed that on multiple occasions Resident #1 was advised about house rules and the prohibiting of smoking inside the facility. During the review of records LPA observed that a 30-day non-compliance eviction notice was issued to Resident #1.

Second allegation: Staff do not adequately supervise resident.
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-20250220112645
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: 06/20/2026
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
Regarding the allegation stated above, LPA conducted a file review pertaining to Resident #1 upon the review of record LPA observed R#1 to have behavioral outburst behaviors in which were redirected by staff or reported to Local Law Enforcement. Throughout record review LPA observed that all incidents pertaining to Resident #1 were reported and documented by staff. In addition, LPA observed that during all incidents staff intervened and redirected the resident. LPA conducted an interview with Staff #1 regarding the alleged allegation and Staff #1 denied the allegation and informed LPA that all incidents involving R#1 supervision was always implemented by staff.

Third allegation: Staff are not properly caring for resident's open wound. Regarding the allegation stated above, LPA conducted a file review pertaining to Resident #1 upon the review of record LPA discovered that on 6/30/2025 Resident #1 developed excoriation to resident’s right hip. In addition, during further review LPA observed that on different occasion Resident #1 refused EMS transport, HomeHealth care, and basic care. LPA conducted an interview with Staff #2 regarding the alleged allegation and Staff #2 denied the allegation and informed LPA that care was being provided to Resident #1 however, resident will refuse. Staff #2 further informed LPA that self-neglect report was initiated due to residents’ refusal to medical treatment. 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