361880646-6-15-2026-56-AS-KCLS-DVDUQA-20260625154649

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 361880646
Report Date: 06/15/2026
Date Signed: 06/15/2026 03:32:06 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
04/15/2026 and conducted by Evaluator Paola Guerrero

PUBLIC

COMPLAINT CONTROL NUMBER: 56-AS-20260415121729

FACILITY NAME:	WHISPERING WINDS OF APPLE VALLEY ASSISTED LIVING		FACILITY NUMBER:	361880646
ADMINISTRATOR:	JEFFREY GOLLIHAR		FACILITY TYPE:	740
ADDRESS:	11825 APPLE VALLEY ROAD		TELEPHONE:	(760) 961-1212
CITY:	APPLE VALLEY	STATE: CA	ZIP CODE:	92308
CAPACITY:	116	CENSUS: 100	DATE:	06/15/2026
		UNANNOUNCED	TIME BEGAN:	12:52 PM
MET WITH:	Jeff Gollihar		TIME COMPLETED:	03:40 PM

ALLEGATION(S):

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Staff member consumed alcohol during work hours, impairing their ability to provide adequate care and supervision, which presents a risk to residents in care
Staff mismanaged residents’ medications

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Paola Guerrero arrived at the facility to deliver investigative findings. LPA met with Executive Director Jeff Golliharand explained the purpose of the visit regarding the allegations stated above.

First allegation: Staff member consumed alcohol during work hours, impairing their ability to provide adequate care and supervision, which presents a risk to residents in care. Regarding the allegation stated above, LPA conducted interviews with Staff #2 Staff #3 and Staff #4, regarding the alleged allegation. S#2-4 denied the allegation and informed LPA that they have not witnessed Staff #1 to consume alcohol or to be under the influence of alcohol or under the influence of any substance in which has impaired S#1 ability to work. LPA conducted an interview with Staff #1 regarding the alleged allegation and Staff #1 denied the allegation and informed LPA that there has not been a moment or time when they have arrived to work under the influence of alcohol nor have, they consumed alcohol while at work.

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)

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Control Number 56-AS-20260415121729

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

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Second allegation: Staff mismanaged residents’ medications. Regarding the allegation stated above, LPA conducted interviews with Staff #2 and Staff #3 regarding the alleged allegation and Staff #2 and Staff #3 denied the allegation and informed LPA that they work close to Staff #1 and they have not witness Staff #1 take medication from med-carts nor have they witness Staff #1 take medication that is set to be destroyed. Staff #4 informed LPA that there have never been any reports or incidents of discontinued medication that has gone missing or medication that has been taken by staff. In addition, Staff #2 and Staff #3 informed LPA that they have not witnessed S#1 to take or accept any form of gift[s] from any company or family members. 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)

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