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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 361880646
Report Date: 06/15/2026
Date Signed: 06/15/2026 03:31:11 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
03/11/2026 and conducted by Evaluator Paola Guerrero
PUBLIC
COMPLAINT CONTROL NUMBER: 56-AS-20260311100927
FACILITY NAME:WHISPERING WINDS OF APPLE VALLEY ASSISTED LIVINGFACILITY NUMBER:
361880646
ADMINISTRATOR:JEFFREY GOLLIHARFACILITY TYPE:
740
ADDRESS:11825 APPLE VALLEY ROADTELEPHONE:
(760) 961-1212
CITY:APPLE VALLEYSTATE: CAZIP CODE:
92308
CAPACITY:116CENSUS: 100DATE:
06/15/2026
UNANNOUNCEDTIME BEGAN:
12:45 PM
MET WITH:Jeff GolliharTIME COMPLETED:
03:40 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not provide proper food service to residents in care resulting in an illness
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 Executive Director Jeff Gollihar and explained the purpose of the visit regarding the allegations stated above.

First allegation: Staff did not provide proper food service to residents in care resulting in illness. Regarding the allegation stated above, LPA conducted interview with Staff #1 regarding the alleged allegation Staff #1 informed LPA that on 3/9/2026, the facility reported to Community Care Licensing about an epidemic outbreak in which eight (8) residents were experiencing symptoms such as diarrhea and vomiting. Staff #1 informed LPA that the facility followed their infection control plan and contacted Public Health Communicable Disease Department. Staff #1 informed LPA that this incident did not pertain to the food that was being served at the facility. LPA conducted an interview with Resident #1-3 and all denied the allegation and informed LPA that they have no concerns regarding the food and that they have not gotten sick due to their food service.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026
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-20260311100927
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: WHISPERING WINDS OF APPLE VALLEY ASSISTED LIVING
FACILITY NUMBER: 361880646
VISIT DATE: 06/15/2026
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
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 Executive Director Jeff Gollihar.
SUPERVISORS NAME: Efren Malagon
LICENSING EVALUATOR NAME: Paola Guerrero
LICENSING EVALUATOR SIGNATURE:

DATE: 06/15/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/15/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2