Whispering Winds Of Apple Valley Assisted Living

Allegation investigated: Staff did not provide proper food service to residents in care resulting in an illness

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 hathe state’s words, verbatim · CDSS document, Jun 15, 2026 · control 56-AS-20260311100927

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 residents received their medication in a timely manner Staff are not meeting residents bathing needs Staff released resident records without appropriate consent

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to conclude the investigation on the above allegations. LPA identified self and met with Health & Wellness Director, Iliana Silva. The investigation consisted of interviews with pertinent parties, LPA observation, and document review. Regarding allegation#1, staff did not ensure residents received their medication in a timely manner, interviews with five (5) staff and five (5) residents reveal that staff are ensuring residents receive their medication in a timely manner. Regarding allegation#2, staff are not meeting residents bathing needs, interviews with five (5) staff and five (5) residents, reveal that staff are meeting resident's bathing needs. Regarding allegation#3, staff released resident records without appropriate consent, interviews with five (5) staff and five (5) residents, reveal not enough evidence to corroborate that staff released resident records without appropriate consent. *the state’s words, verbatim · CDSS document, May 21, 2026 · control 56-AS-20260430081726

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 inform authorized representative of new medication. Resident has unexplained bruises do to lack of supervision. Staff did not notify authorized representative of change in residents condition.

Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to deliver findings on above allegation. LPA Singh met with Executive Director-Jeffrey Gollihar, facility representative, and was granted entry into the facility. The investigation conducted by LPA Singh consisted of interviews and records review. First Allegation: Staff did not inform authorized representative of new medication. LPA Singh reviewed records and according to facility documentation facility staff did inform authorized representative of new medication. Five(5) out of Five(5) residents stated that staff do notify any changes or meeting takes place at the facility regarding the residents change of medication or any matter related to the residents well being. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 11, 2026 · control 56-AS-20241107100718

Allegation investigated: Staff did not dispense medication to resident as prescribed. Staff did not address a change in resident’s condition in a timely manner. Staff did not notify resident’s responsible party of a meeting regarding a change in resident’s condition. Staff did not maintain a completed care plan for resident.

Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to deliver findings on above allegation. LPA Singh met with Executive Director-Jefferey Gollihar, facility representative, and was granted entry into the facility. The investigation conducted by LPA Singh consisted of interviews and records review. First Allegation:-Staff did not dispense medication to resident as prescribed. Resident#1 was under Hospice care and medication was prescribed by their physician and been updated accordingly. LPA Singh reviewed records, interviewed nurse director who stated all staff follow the hospice care plan if residents are on hospice or by the physician order. Staff contact responsible party to notify any changes in medication. Five (5) out of Five(5) residents stated they have been given medications according to prescriptions. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 11, 2026 · control 56-AS-20240424141448

Allegation investigated: Staff allowed resident to enter a contract without resident's representative consent. Staff transferred resident to memory care without resident's representative consent.

Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to deliver findings on above allegation. LPA Singh met with Executive Director-Jefferey Gollihar, facility representative, and was granted entry into the facility. The investigation conducted by LPA Singh consisted of interviews and records review. First Allegation:Staff allowed resident to enter a contract without resident's representative consent. LPA Singh reviewed records and R#1 can legally enter into any financial agreements when they signed the original documets on 04/11/2024,and later R#1s Responsible party-family, who is the Durable Power of Attorney (DPOA) and Successor Trustee of R#1s trust, had to sign an affidavit to change the trustee due to R#1's mental incompetence on 11/19/2024. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 11, 2026 · control 56-AS-20241204154507

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: Facility administrator is not present in the facility an adequate amount of hours. Lack of supervision resulting in residents wandering from the facility. Facility is understaffed. Facility is dirty. Staff are not properly trained. Staff did not administer resident medications according to physician orders. Staff do not respond to resident(s) call buttons. Residents needs are not being met.

Licensing Program Analyst (LPA) Becky Mann conducted an unannounced visit to the facility to initiate a complaint investigation. LPA Mann met with Jeffrey Gollihar, Executive Director and explained the purpose of today's visit. The investigation consisted of LPAs observations, pertinent document reviews, and interviews with staff and residents. The allegation of facility administrator is not present in the facility an adequate amount of hours. All staff interviewed stated that facility administrator is present in the facility all the time and sometimes on the weekends. All residents interviewed stated that facility administrator is present and is there to assist when needed. The allegation of lack of supervision resulting in residents wandering from the facility. All staff interviewed denied there being a lack of supervision at the facility and no resident has wandered from the facility. All residents interviewed stated there is no lack of supervision at the facility. Unsubstantiatedthe state’s words, verbatim · CDSS document, Apr 1, 2025 · control 18-AS-20210719132953

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 ensure residents bathroom was cleaned properly. Staff did not ensure resident's water container was cleaned.

Licensing Program Analyst (LPA) Magda Malcore conducted an unannounced visit to the facility to initiate a complaint investigation on the above allegations. LPA met with Executive Director, Jeff Gollihar and explained the purpose of the visit. Regarding the allegation, staff did not ensure resident's bathroom was cleaned properly, LPA inspected six (6) resident bathrooms and observed bathroom showers and toilets were cleaned. Interviews with staff and residents reveal staff are ensuring bathrooms are maintained clean. Regarding the allegation, staff did not ensure resident's water container was cleaned, interviews with staff and residents reveal not enough evidence that staff did not ensure resident's drinking water container was cleaned. Based on LPA observations and interviews with pertinent parties, the above allegations are Unsubstantiated. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 13, 2024 · control 56-AS-20241107100718

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