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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 365530210
Report Date: 01/29/2025
Date Signed: 01/29/2025 12:07:35 PM

Document Has Been Signed on 01/29/2025 12:07 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SAN BERNARDINO, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:FOREMOST RETIREMENT RESORT INCFACILITY NUMBER:
365530210
ADMINISTRATOR/
DIRECTOR:		TURNER, DANICAFACILITY TYPE:
740
ADDRESS:17581 SULTANA STREETTELEPHONE:
(760) 244-5579
CITY:HESPERIASTATE: CAZIP CODE:
92345
CAPACITY: 96CENSUS: 71DATE:
01/29/2025
TYPE OF VISIT:PrelicensingANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:25 AM
MET WITH:Danica TurnerTIME VISIT/
INSPECTION COMPLETED:
12:05 PM
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Licensing Program Analyst (LPA) Magda Malcore and Licensing Program Manager (LPM) Karen Clemons conducted an announced pre-licensing inspection of the facility. LPA & LPM met with Administrator, Danica Turner and discussed the purpose of the visit.

The pending application is for a Residential Care Facility for the Elderly (RCFE) - change of ownership. A fire clearance was granted on 11/20/2024 for a total capacity of 96 residents (76 non-ambulatory and 20 bedridden). There are currently (71) residents in care. The facility consist of three (3) assisted living wings and one (1) dementia care wing. LPA & LPM observed and inspected the following:

Physical Plant: The facility is equipped with an Administrator’s office, reception area, visitors bathrooms and a locked medication storage room. Indoor and outdoor passageways were observed free of obstructions. The facility has no swimming pools or similar bodies of water. Window screens were in good repair. The temperature in the facility was observed to be 73 degrees F. Resident bedrooms were equipped with beds, mattresses, bedding, nightstands, chairs, dressers, lighting, and a private bathroom. Resident bathrooms were odorless and equipped with grab bars, non-skid strips, and operating bathroom equipment. The hot water temperature in resident bathrooms measured 111 degrees F. The facility has posted in a common area: emergency disaster plan, theft and loss policy, Licensing Complaint poster, Ombudsman poster, Resident Personal Rights, and Resident Council Rights, facility menus, and activities. The facility has sufficient indoor and outdoor activity space for residents and visitors. The facility's outdoor activity space is enclosed with a latching gate. The facility has operating fire/carbon monoxide alarms, telephone service, laundry equipment and call button signal system. The facility has sufficient bed linen, towels and personal hygiene supplies for residents. Sharps, disinfectants, and cleaning solutions were kept locked. No firearms are stored at the facility.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE: DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/29/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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 RETIREMENT RESORT INC
FACILITY NUMBER: 365530210
VISIT DATE: 01/29/2025
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 Food Service: The dining room is located near the kitchen and observed clean, odorless with sufficient tables for residents. The kitchen was observed clean and odorless with sufficient storage space for food. The refrigerator and freezer were operating properly. The facility was observed to have a seven (7) day supply of non-perishable foods and two (2) day supply of perishable foods for residents.

The prelicensing inspection is complete with no corrections required. Comp III was completed during today’s visit.

An exit interview was conducted where this report was discussed and a copy provided to the Administrator and applicant at the conclusion of the visit.
SUPERVISORS NAME: Karen Clemons
LICENSING EVALUATOR NAME: Magda Malcore
LICENSING EVALUATOR SIGNATURE:

DATE: 01/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2025
LIC809 (FAS) - (06/04)
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