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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 366425834
Report Date: 08/14/2026
Date Signed: 08/14/2026 02:49:57 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
09/03/2024 and conducted by Evaluator Mary Rico
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20240903132304
FACILITY NAME:FOREMOST SENIOR CAMPUSFACILITY NUMBER:
366425834
ADMINISTRATOR:NIRUPAMA VANGALAFACILITY TYPE:
740
ADDRESS:17581 SULTANA STREETTELEPHONE:
(760) 244-5579
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY:0CENSUS: 89DATE:
08/14/2026
UNANNOUNCEDTIME BEGAN:
09:15 AM
MET WITH:Administrator - Jennifer UrizaTIME COMPLETED:
02:30 PM
ALLEGATION(S):
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9
Staff member is engaging in inappropriate interactions with resident in care.
Staff purposely limit the food intake of residents in care.
INVESTIGATION FINDINGS:
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On 8/14/2026, Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to investigate and deliver findings on the allegations listed above. LPA met with Administrator Jennifer Uriza and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews, and facility tour.

For the allegation, Staff members are engaging inappropriate interactions with resident in care. During interviews with staff, five out of the five staff stated that no staff is engaging inappropriate behavior with a resident. During resident interviews, six out of the six residents stated that they are not having inappropriate interaction with residents.

For the allegation, Staff purposely limit the food intake of residents in care. During staff interviews, five out of the five staff stated residents do not limit residents’ food. During resident interviews, six out of the six residents stated that staff are not limiting their food intake. During facility tour, LPA observed residents are allowed to request for additional food. The facility had not signs of limitation.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2026
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-20240903132304
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: 08/14/2026
NARRATIVE
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Based on the evidence found during the investigation, the two (2) allegations listed above is deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations.

An exit interview was conducted, and this report (LIC9099) was discussed and provided to Administrator Jennifer Uriza.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Mary Rico
LICENSING EVALUATOR SIGNATURE:

DATE: 08/14/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/14/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2