335530171-9-5-2025-56-AS-NBRN-DLTT2G-20250924142040

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 335530171
Report Date: 09/05/2025
Date Signed: 09/05/2025 11:38:36 AM

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
07/23/2025 and conducted by Evaluator Magda Malcore

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20250723085142

FACILITY NAME:	WILDOMAR SENIOR ASSISTED LIVING		FACILITY NUMBER:	335530171
ADMINISTRATOR:	KAREN ROPER		FACILITY TYPE:	740
ADDRESS:	32365 SOUTH PASADENA ST		TELEPHONE:	(323) 902-6000
CITY:	WILDOMAR	STATE: CA	ZIP CODE:	92595
CAPACITY:	200	CENSUS: 120	DATE:	09/05/2025
		UNANNOUNCED	TIME BEGAN:	09:35 AM
MET WITH:	Karen Roper		TIME COMPLETED:	11:45 AM

ALLEGATION(S):

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Staff did not safeguard resident's personal property
Staff refused resident their medication
Resident was not allowed to leave the facility with family

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced complaint visit to the facility. LPA met with Administrative Assistant, Theresa Gamez, and informed the purpose of the visit.

Regarding the allegation, staff did not safeguard resident’s personal property, Resident #1 (R1) is no longer at the facility and was not interviewed. Administrator Rooper and four (4) staff interviewed deny not safeguarding resident’s personal belongings. Five (5) out of six (6) residents interviewed deny that staff have not safeguarded their personal belongings.

Regarding the allegation, staff refused resident their medication, R1 is no longer at the facility and was not interviewed. The Administrator and four (4) staff interviewed deny that they refused to give residents their medications. Six (6) residents interviewed deny that staff refused to give them their medications.

Regarding the allegation, resident was not allowed to leave the facility with family, R1 is no longer at the facility and was not interviewed. **Continued on LIC9099-C***

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 56-AS-20250723085142

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: 09/05/2025

NARRATIVE

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Interview with the Administrator reveal R1 was admitted to the facility as an emergency placement by Adult protective services (APS); however, the Administrator and four (4) staff interviewed deny not allowing residents to leave the facility with family. Six (6) residents interviewed deny that staff refused to allow them to leave the facility with family.

Based on record review, interviews with Administrator, staff and residents, the allegations are Unsubstantiated. An Unsubstantiated finding means 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 with where this report was discussed and a copy provided with appeal rights to Administrative Assistant Gamez at the conclusion on the visit.

SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:	DATE: 09/05/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/05/2025

LIC9099 (FAS) - (06/04)

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