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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 335530171
Report Date: 07/18/2025
Date Signed: 07/18/2025 12:43:25 PM

Unfounded


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
07/16/2025 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20250716101004
FACILITY NAME:WILDOMAR SENIOR ASSISTED LIVINGFACILITY NUMBER:
335530171
ADMINISTRATOR:KAREN ROPERFACILITY TYPE:
740
ADDRESS:32365 SOUTH PASADENA STTELEPHONE:
(323) 902-6000
CITY:WILDOMARSTATE: CAZIP CODE:
92595
CAPACITY:200CENSUS: 122DATE:
07/18/2025
UNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Karen RoperTIME COMPLETED:
01:00 PM
ALLEGATION(S):
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Licensee is not ensuring that the facility elevator is in good repair.
Staff member does not accord dignity to residents in care.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Paola Guerrero conducted an unannounced visit to deliver findings on the allegations listed above. LPA met with Facility Administrator Karen Roper and explained the purpose of the visit. The investigation consisted of interviews, observations, and review of records.

First allegation: Licensee is not ensuring that the facility elevator is in good repair. Regarding allegation LPA conducted a tour of the facility and LPA observed that facilities elevator is fully functioning. LPA went over the allegation with facility administrator and the administrator informed LPA that the elevator has always been working and that they have not had any issues or complaints pertaining to their elevator. LPA informed facility administrator that the elevators in building numbers 1-3 on the independent living side have not been working for the past week. Facility Administrator informed LPA that Wildomar Senior Assisted Living is not affiliated with the independent living side. Administrator further explained that both properties are managed by two different owners.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025
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-20250716101004
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: WILDOMAR SENIOR ASSISTED LIVING
FACILITY NUMBER: 335530171
VISIT DATE: 07/18/2025
NARRATIVE
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LPA walked over to the side building (32325) and spoke to Property Manager Wendi Jennings who informed LPA that (Wildomar Senior Apts), is managed by Positive Investments, INC. and that they are not a licensed facility but rather low-income independent living apartments. In addition, Wendi informed LPA that they are aware about the concerns pertaining to the elevators and that a work order has been initiated.

Second allegation: Staff member does not accord dignity to residents in care. Regarding the allegation listed above LPA conducted an interview with facility administrator LPA went over the allegation with administrator pertaining to the staff listed facility administrated informed LPA that Wildomar Senior Assisted Living does not have any staff member listed under the name provided. Facility Administrator further explained to LPA that Senior Assisted Living and Wildomar Senior Apts are not affiliated with one another and both buildings are managed by different owners along with different staffing. Based on corroborating evidence, LPA found that the allegation[s] are Unfounded.

Unfounded: A find of unfounded means that the allegation is false, could not have happened and/or is without a reasonable basis.

An exit interview was conducted where this report was discussed, and a copy provided to Facility Administrator Karen Roper.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 07/18/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/18/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2