Wildomar Senior Assisted Living

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not treat resident with dignity

Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced visit to initiate and deliver findings regarding the above complaint allegation. LPA introduced herself and disclosed the purpose of the visit to Executive Director Karen Roper. On January 12, 2026, it was alleged that staff did not treat resident with dignity. The Department’s investigation consisted of an unannounced facility visit, records review, and staff, resident, and outside source interviews. According to the allegations received, on January 12, 2026, Client #1 (C1) attempted to enter Staff #1 (S1)’s office to ask a question. S1 responded by yelling and speaking rudely to S1. Interviews with staff, residents, and outside sources did not reveal that S1 yelled nor spoke rudely to C1. [CONTINUED ON LIC9099-C] Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 14, 2026 · control 56-AS-20260112213235

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Neglect/Lack of Supervision resulted in resident's hospitalization Licensee did not ensure resident received wound care Facility staff are not allowing resident to use wheelchair Facility staff are not allowing resident to leave bedroom

Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Executive Director Karen Roper and Assistant Executive Director Theresa Gamez. On October 17, 2025, it was alleged that neglect/lack of supervision resulted in resident’s hospitalization, licensee did not ensure resident received wound care, facility staff are not allowing resident to use wheelchair, and facility staff are not allowing resident to leave bedroom. The Department’s investigation consisted of an unannounced facility visit, records review, and staff, resident, and outside source interviews. According to the allegations received, Resident #1 (R1) was hospitalized due to staff neglect and R1 did not receive wound care on October 15, 2025, as was planned to. It was alleged that R1 was confined to their bedroom and not allowed to leave and that facility staff took away theirthe state’s words, verbatim · CDSS document, Nov 5, 2025 · control 56-AS-20251017143416

Allegation investigated: Licensee overcharged resident. Staff did not ensure that residents were accorded privacy.

Licensing Program Analyst (LPA) Hannah Rodgers conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Executive Director Karen Roper and Assistant Executive Director Theresa Gamez. On October 30, 2025, it was alleged that the licensee overcharged resident, and staff did not ensure that residents were accorded privacy. The Department’s investigation consisted of an unannounced facility visit, records review, and staff and resident interviews. According to the allegations received, Resident #1 (R1) has been overcharged by the facility for the last seven months. It was also alleged that staff members have entered R1’s and Resident #2 (R2)’s bedroom without permission. [CONTINUED ON LIC9099-C] Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 5, 2025 · control 56-AS-20251030143729

Allegation investigated: Facility does not ensure that staff are awake on the premises Facility staff inappropriately speak to residents Facility pipes are in disrepair

Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to initiate a complaint investigation. LPA met with Theresa Gamez, Assistant Executive Director and explained the purpose of the visit. The investigation consisted of LPA pertinent record reviews, observations and interviews with staff and residents. The allegation that facility does not ensure that staff are awake on the premises. Ten (10) residents stated that they have not seen staff asleep on the premises. One (1) resident stated that a few months ago, they seen 2 night staff sleeping on the premises. Four (4) staff interviewed denied sleeping on the premises during work hours. Seven (7) staff interviewed stated that they have not seen a staff sleeping on the premises during work hours. Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 23, 2025 · control 56-AS-20250812162509

Allegation investigated: Staff do not give resident medication as prescribed Staff do not ensure that resident's needs are met Staff did not have resident's medication records available for emergency medical care Staff illegally evicted resident

On 10/03/2025 at 1:30PM Licensing Program Analyst (LPA) Renese Howell-Small conducted an unannounced visit to the facility in order to deliver findings for the above allegations. LPA discussed the purpose of the visit with Executive Director, Karen Roper. The investigation consisted of interviews and record review. In regards to the allegation of staff do not give resident medication as prescribed : LPA interviewed seven (7) staff and (10) residents. Staff stated that they have sufficient training in medication and denied the allegation. Residents stated that they receive their medication(s). LPA reviewed the Medication Administration Record (MAR) for R1 and did not observe any discrepancies. Based upon interviews and record review, this allegation is UNSUBSTANTIATED. In regards to the allegation of staff do not ensure that resident's needs are met: LPA reviewed Resident 1 (R1) Service Plan which confirmed that R1 mainly needed assistance with Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 3, 2025 · control 56-AS-20250617192330

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

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

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 facilitythe state’s words, verbatim · CDSS document, Sep 5, 2025 · control 56-AS-20250723085142

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff do not ensure the facility is kept in sanitary conditions for residents in care Staff do not ensure facility is kept free of mal odors Staff do not ensure residents receive clean linens Staff do not ensure residents are provided with adequate eating utensils Licensee does not ensure staff are adequately trained to perform care for residents Staff do not ensure required posters are placed prominently in the facility

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegations. LPA Prieto met Executive Director Roper and discussed the elements of the complaint. Allegation #1 - The facility is a 2 story, 4 wing facility. LPA toured facility hallways, library, common areas, med tech room, linen and storage rooms, laundry room, dinning area, kitchen and common bathrooms. LPA also toured the facility grounds. LPA found these areas to be clean and sanitary. Allegation #2 - The facility is a 2 story, 4 wing facility. LPA toured facility hallways, library, common areas, med tech room, linen and storage rooms, laundry room, dinning area, kitchen and common bathrooms. LPA also toured the facility grounds. LPA found these areas to be from odors. Unsubstantiatedthe state’s words, verbatim · CDSS document, Aug 1, 2025 · control 56-AS-20250728122130

Allegation investigated: Licensee is not ensuring that the facility elevator is in good repair. Staff member does not accord dignity to residents in care.

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 sidethe state’s words, verbatim · CDSS document, Jul 18, 2025 · control 56-AS-20250716101004

Allegation investigated: Facility has mold Facility allows drugs on premises

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit for the delievering findings of allegations listed above. LPA met with Business Office Manager Maggie Prado and explained today's visit. Investigation consisted of resident and staff interviews. For the allegation, facility has mold. LPA Hernandez conducted (2) staff interviews. 2 out of the 2 staff indicated the facility has never had mold. Staff #2 stated the facility is cleaned everyday and has a housekeeping schedule. LPA Hernandez conducted (6) resident interviews. 6 out of the 6 indicated they have not observed mold at the facility and the facility is kept clean. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jul 10, 2025 · control 56-AS-20250403160500

Allegation investigated: Facility staff did not assist resident with medications as needed

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: Facility staff did not assist resident with medications as needed. Regarding the allegation stated above. LPA conducted an interview with Facility Administrator who informed LPA that Resident #1 was discharged from a Skilled Nursing Facility and was admitted at Wildomar Senior Assisted Living on 5/23/2025. Administrator further explained that R#1 arrived at the facility with only four (4) pain medication (Hydrocodone-Acetaminophen 10-325), and that a refill order was placed however, medication was delayed due to a documentation error by R#1 primary physician. Administrator informed LPA that R#1 was transported to local hospital due to severe pain on 5/28/2025. Unsubstantiatethe state’s words, verbatim · CDSS document, Jun 4, 2025 · control 56-AS-20250528164240

Allegation investigated: Licensee is not providing resident's records to their representative as necessary.

On 05/28/2025 at 09:00 AM, Licensing Program Analyst (LPA), Melody Brown, met with Executive Director (ED) Karen Roper at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) San Bernardino (SB) Regional Office to deliver complaint investigation findings for the above allegation. LPA Brown explained the purpose of the requested Office Visit to ED Roper. The investigation was conducted by LPA Melody Brown. The investigation consisted of file review and interviews with relevant parties. The allegation indicates that Licensee is not providing resident's records to their representative as necessary. LPA Brown obtained evidence to corroborate the allegation. During the facility visit in 02/13/2025, Staff #1 (S1) reported to LPA Brown that S1 did not receive a records request from Resident #1 (R1) representative. Records review indicated that R1 records request was sent to the facility in 01/16/2025 via email with R1 Authorized Representative authorization and R1 records werethe state’s words, verbatim · CDSS document, May 28, 2025 · control 56-AS-20250210145138

Allegation investigated: Staff did not prevent resident from developing a pressure injury. Staff did not ensure resident’s room was free from odors. Staff did not ensure that a resident is using clean linen at all times. Staff did not adequately assist resident with care needs.

On 05/28/2025 at 09:00 AM, Licensing Program Analyst (LPA), Melody Brown, met with Executive Director (ED) Karen Roper at Community Care Licensing Division (CCLD) Adult and Senior Care (ASC) San Bernardino (SB) Regional Office to deliver complaint investigation findings for the above allegations. LPA Brown explained the purpose of the requested Office Visit to ED Roper. After introducing and identifying self, LPA Brown discussed the findings to ED Roper. The investigation was conducted by LPA Melody Brown. The investigation consisted of file review, observation and interviews with relevant parties. The first allegation indicates that staff did not prevent residents from developing a pressure injury. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Interviews with four (4) of four (4) residents indicated that staff at the facility are checking on them five (5) times a day to determine if they needed a change, they needed assistance or to rotate ththe state’s words, verbatim · CDSS document, May 28, 2025 · control 56-AS-20250519145753

Allegation investigated: Licensee is not providing resident's records to their representative as necessary.

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit for the delievering findings of allegation listed above. LPA met with Administrator Karen Roper and explained today's visit. Investigation consisted of request of documentation. For the allegation, Licensee is not providing resident's records to their representative as necessary. LPA Hernandez spoke with Administrator Karen Ruper who stated facility did not receive request from authorized reprensentative until a later date then one stated. LPA Hernandez observed resident's representative request of doucmentation letter which stated request of resident documentation was requested via fax with date 02/07/2025. Administrator Karen stated documentation will be sent over to legal team and resident representative today 05/05/2025. Substantiatedthe state’s words, verbatim · CDSS document, May 5, 2025 · control 56-AS-20250430111009

Allegation investigated: Staff do not keep the facility clean & sanitary Facility dining room has been closed for an extended period of time Staff prohibit resident from making phone calls Staff isolate residents in their rooms Staff do not assist resident with medical appointments Staff did not obtain medical assistance for resident in a timely manner

Licensing Program Analyst (LPA) Raquel Hernandez conducted an unannounced visit for the delievering findings of allegations listed above. LPA met with Administrator Karen Roper and explained today's visit. Investigation consisted of staff and resident interviews along with request of documentation. For the allegation, Staff do not keep the facility clean & sanitary LPA Hernandez conducted (8) resident interviews. 8 out of the 8 stated the facility is kept clean and sanitary everyday. Addtionally, LPA Hernandez observed Housekeeping schedule. LPA Hernandez conducted (8) staff interviews. 8 out of the 8 staff stated the facility is kept clean and sanitized everyday. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 29, 2025 · control 56-AS-20250110161617

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not ensure light was fixed properly in resident bathroom. Staff did not ensure the aluminum threshold ramp was fixed/replaced to meet the residents needs.

On 03/13/2025 at 01:15 PM, Licensing Program Analyst (LPA) Melody Brown arrived unannounced at the facility commence and deliver the findings of a complaint investigation. LPA was greeted and granted entrance by a staff and met with Executive Director (ED) Karen Roper. LPA Brown explained the purpose of the visit with ED Roper. The investigation consisted of observation and interviews with relevant parties. First allegation: Staff did not ensure light was fixed properly in a resident bathroom.The investigation was conducted by LPA Melody Brown which consisted of observation and interviews with relevant parties. The first allegation indicates staff did not ensure light was fixed properly in a resident bathroom. During the investigation, LPA Brown was able to obtain sufficient evidence to corroborate the allegation. LPA Brown interviewed Resident # 1 (R1) and R1 indicated that the light in R1's bathroom at the center of the ceiling will not turn on and the busted one (1) bulb on top of Rthe state’s words, verbatim · CDSS document, Mar 13, 2025 · control 56-AS-20250311092303

Allegation investigated: Licensee is charging resident in excess of the rate allowed for Basic Services for SSI recipient.

On 02/13/2025 at 01:15 PM, Licensing Program Analyst (LPA) Melody Brown arrived unannounced at the facility to deliver findings for the allegation listed above. LPA Brown was greeted and granted entry by a staff and Executive Director (ED) Karen Roper was contacted and informed of the visit. LPA Brown explained the purpose of the visit to ED Roper. The investigation consisted of interviews and a review of pertinent documentation. The investigation was conducted by LPA Melody Brown. The investigation consisted of observation and interviews with relevant parties. The allegation indicates that Licensee is charging resident in excess of the rate allowed for Basic Services for SSI recipient. During the investigation, LPA Brown did not find evidence to corroborate the allegation. Interview with Resident #1 (R1) indicated that R1 is receiving Social Security Benefits as R1 indicated that R1 was working before as a part-time office staff and worked long enough and paid Social Security taxes. Pthe state’s words, verbatim · CDSS document, Feb 13, 2025 · control 56-AS-20241217130651

Allegation investigated: Staff did not ensure resident’s call pendant was in good repair. Staff did not assist residents with care needs in a timely manner. Licensee did not maintain facility in good repair.

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to investigate and deliver findings on the allegations listed above. LPA met with Administrator Karen Roper and explained the purpose of the visit. The investigation consisted of staff interviews, resident interviews, and record review. For the allegation, Staff did not ensure resident’s call pendant was in good repair. During residents’ interviews, 9 out of the 10 residents stated their pendants are working. 1 out of the 10 residents was unable to collaborate on the allegation listed above. During staff interviews 6 out of the 6 staff stated resident’s pendants are working. During facility tour, LPA Rico tested residents’ pendants, all pendants observed to be working. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 26, 2024 · control 56-AS-20241224140916

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.