Inspection Reports for
Foremost Retirement Resort

CA, 92345

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 5.3 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

33% worse than California average
California average: 4 deficiencies/year

Deficiencies per year

12 9 6 3 0
2024
2025
2026

Occupancy

Latest occupancy rate 96% occupied

Based on a March 2026 inspection.

This facility has shown a steady increase in demand based on occupancy rates.

Occupancy rate over time

64% 72% 80% 88% 96% 104% Dec 2024 Aug 2025 Oct 2025 Jan 2026 Feb 2026 Mar 2026

Inspection Report

Census: 92 Capacity: 96 Deficiencies: 0 Date: Mar 12, 2026

Visit Reason
An unannounced case management visit was conducted for the purpose of a health and safety check and to conduct interviews with staff and residents.

Findings
No deficiencies were cited during this visit. Observations and interviews were conducted, and the report was discussed with the Maintenance Manager.

Employees mentioned
NameTitleContext
Juan CastroMaintenance ManagerMet with during the inspection and discussed the report.

Inspection Report

Census: 92 Capacity: 96 Deficiencies: 0 Date: Mar 12, 2026

Visit Reason
An unannounced case management visit was conducted for the purpose of a health and safety check and to conduct interviews with staff and residents.

Findings
No deficiencies were cited during the visit. Observations and interviews were conducted, and the report was discussed with the Maintenance Manager.

Employees mentioned
NameTitleContext
Juan CastroMaintenance ManagerMet with during the inspection and discussed the report.

Inspection Report

Census: 85 Capacity: 96 Deficiencies: 0 Date: Feb 24, 2026

Visit Reason
An unannounced case management visit was conducted for the purpose of a health and safety check and to obtain documents.

Findings
No deficiencies were cited during the visit. Observations were made by touring the facility and reviewing records, and the report was discussed with the Maintenance Manager.

Employees mentioned
NameTitleContext
Juan CastroMaintenance ManagerMet with during the visit and recipient of the report discussion.

Inspection Report

Census: 85 Capacity: 96 Deficiencies: 0 Date: Feb 24, 2026

Visit Reason
An unannounced case management visit was conducted for the purpose of a health and safety check and to obtain documents.

Findings
During the visit, observations were made by touring the facility and obtaining facility records. No deficiencies were cited during this visit.

Employees mentioned
NameTitleContext
Juan CastroMaintenance ManagerMet with during the visit and discussed the report.

Inspection Report

Complaint Investigation
Census: 82 Capacity: 96 Deficiencies: 0 Date: Feb 9, 2026

Visit Reason
An unannounced case management visit was conducted for the purpose of a health and safety check and to obtain documents related to complaint 56-AS-20250214161857.

Complaint Details
The visit was related to complaint 56-AS-20250214161857. No deficiencies were found during the investigation.
Findings
During the visit, observations were made by touring the facility and obtaining facility records. No deficiencies were cited during this visit.

Employees mentioned
NameTitleContext
Jennifer UrizaAdministratorMet with during the inspection and discussed the report.
Michelle EcheverriaLicensing Program AnalystConducted the unannounced case management visit.
Nedra BrownLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Complaint Investigation
Census: 82 Capacity: 96 Deficiencies: 0 Date: Feb 9, 2026

Visit Reason
An unannounced case management visit was conducted for the purpose of a health and safety check and to obtain documents related to complaint 56-AS-20250214161857.

Complaint Details
The visit was triggered by complaint 56-AS-20250214161857. No deficiencies were found during the investigation.
Findings
During the visit, observations were made by touring the facility and obtaining facility records. No deficiencies were cited during this visit.

Employees mentioned
NameTitleContext
Jennifer UrizaAdministratorMet with during the inspection and discussed the report.
Michelle EcheverriaLicensing Program AnalystConducted the unannounced case management visit.
Nedra BrownLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Complaint Investigation
Census: 84 Capacity: 96 Deficiencies: 1 Date: Jan 30, 2026

Visit Reason
An unannounced visit was conducted to issue a deficiency discovered during the investigation of complaint 56-AS-20251204161019 regarding improper administration by the previous administrator.

Complaint Details
The visit was triggered by complaint 56-AS-20251204161019. The deficiency was substantiated as the former administrator failed to properly administer the facility and follow regulations.
Findings
The former administrator, Jasmine Weber, failed to properly administer the facility by not following regulations, being unaware of reporting requirements, failing to designate facility responsibility during her absence, and allowing a resident to attack another despite prior knowledge of violent behavior.

Deficiencies (1)
Administrator did not comply with regulations by failing to properly administer the facility, posing a potential health, safety, and personal rights risk to persons in care.
Report Facts
Capacity: 96 Census: 84

Employees mentioned
NameTitleContext
Jasmine WeberPrevious AdministratorNamed in deficiency for improper administration
Jennifer UrizaAdministratorMet during inspection and received report
Michelle EcheverriaLicensing Program AnalystConducted the inspection and authored the report
Nedra BrownLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report

Complaint Investigation
Census: 84 Capacity: 96 Deficiencies: 1 Date: Jan 30, 2026

Visit Reason
An unannounced visit was conducted to issue a deficiency discovered during the investigation of complaint 56-AS-20251204161019 regarding improper administration of the facility by the previous administrator.

Complaint Details
The visit was triggered by complaint 56-AS-20251204161019. The deficiency was substantiated as the former administrator failed to properly administer the facility.
Findings
The former administrator, Jasmine Weber, failed to properly administer the facility by not following regulations, being unaware of reporting requirements, failing to designate facility responsibility during her absence, and allowing a resident to attack another resident despite prior reports of violent behavior.

Deficiencies (1)
Administrator did not comply with regulations by failing to properly administer the facility, posing a potential health, safety, and personal rights risk to persons in care.
Report Facts
Capacity: 96 Census: 84 Deficiencies cited: 1

Employees mentioned
NameTitleContext
Jasmine WeberPrevious AdministratorNamed in deficiency for improper administration of the facility
Jennifer UrizaAdministratorMet during inspection and received report and appeal rights
Michelle EcheverriaLicensing Program AnalystConducted the inspection and authored the report
Nedra BrownLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report

Annual Inspection
Census: 83 Capacity: 96 Deficiencies: 10 Date: Jan 29, 2026

Visit Reason
The visit was an unannounced required comprehensive annual inspection of the Residential Care Facility for Elderly (RCFE) to assess compliance with licensing requirements.

Findings
Multiple deficiencies were identified including maintenance issues (broken tile, window screen, patio gate door, missing smoke and sprinkler inspection report), lack of slip-resistant mats in showers, insufficient linens, missing hygiene items, non-working signal systems, incomplete personnel records, absence of administrator during normal working hours, missing personal rights postings, and medication administration documentation errors.

Deficiencies (10)
Broken tile on resident's sink wall, broken window screen, broken patio gate door, and missing smoke and sprinkler annual inspection clearance report.
Lack of slip-resistant mats in all residents' showers.
Facility did not have sufficient quantity of linens to permit changing at least once per week for all residents.
Toilet paper and hand soap missing in many residents' bathrooms.
Signal systems not working in each wing.
Administrator not present during normal working hours.
Personnel files incomplete, missing CPR training, TB testing, and personnel record.
Personal rights and complaint information not posted in accessible areas.
Residents not aware of menu options, activities schedule, and phone usage due to lack of posted notices.
Resident's Medication Administration Records (MARS) incomplete; missing staff initials after medication administration; PRN medication inventory not matching MARS and physician's orders.
Report Facts
Capacity: 96 Census: 83 Hospice waiver approval: 48 Resident bedrooms: 12 Bathrooms: 12 Perishables food days: 2 Non-perishables food days: 7

Employees mentioned
NameTitleContext
Jennifer UrizaAdministratorNamed in relation to deficiencies and exit interview
Michelle EcheverriaLicensing Program AnalystConducted inspection and signed report
Nedra BrownLicensing Program ManagerNamed as Licensing Program Manager on report
Juan CastroMaintenance StaffMet during inspection and informed administrator of visit

Inspection Report

Census: 83 Capacity: 96 Deficiencies: 1 Date: Dec 2, 2025

Visit Reason
Licensing Program Analyst Michelle Echeverria conducted an unannounced visit to deliver a deficiency discovered during records review related to the facility exceeding the allowed percentage of residents under age 60.

Findings
The facility was found not following its plan of operations by having 30 out of 83 residents under the age of 60, exceeding the allowed 20% occupancy for residents under 60, posing a potential health and safety risk.

Deficiencies (1)
Facility did not comply with plan of operations by exceeding 20% occupancy of residents under age 60, posing a potential health, safety, and personal rights risk.
Report Facts
Residents under age 60: 30 Census: 83 Total capacity: 96

Employees mentioned
NameTitleContext
Michelle EcheverriaLicensing Program AnalystConducted the unannounced visit and delivered deficiency
Jasmine WeberAdministratorMet with Licensing Program Analyst during inspection and discussed findings
Maneesh SinghalLicensee, MDMet with Licensing Program Analyst during inspection
Jennifer UrizaBusiness ManagerMet with Licensing Program Analyst during inspection

Inspection Report

Complaint Investigation
Census: 81 Capacity: 96 Deficiencies: 2 Date: Oct 27, 2025

Visit Reason
The inspection was conducted to conclude and deliver findings for the investigation of complaint number 56-AS-20251022101839 regarding staff criminal background clearance issues.

Complaint Details
The visit was complaint-related, investigating complaint number 56-AS-20251022101839. The complaint was substantiated with findings of staff lacking required criminal background clearance.
Findings
The Licensing Program Analyst found that two new staff did not have criminal background clearance and one new staff was not associated with the facility, posing immediate and potential health and safety risks to residents.

Deficiencies (2)
Two staff did not have criminal background clearance, posing an immediate health, safety, and personal rights risk to persons in care.
One staff did not have a criminal background clearance transfer request, posing a potential health, safety, and personal rights risk to persons in care.
Report Facts
Deficiencies cited: 2 Capacity: 96 Census: 81

Employees mentioned
NameTitleContext
Jennifer UrizaBusiness ManagerMet with Licensing Program Analyst during inspection and discussed findings.
Michelle EcheverriaLicensing Program AnalystConducted the inspection and authored the report.
Nedra BrownLicensing Program ManagerNamed in the report as Licensing Program Manager.

Inspection Report

Complaint Investigation
Census: 76 Capacity: 96 Deficiencies: 0 Date: Aug 27, 2025

Visit Reason
The visit was a Case Management Visit conducted in response to a Special Incident Report (SIR) submitted on 2025-08-22 regarding an alleged sexual abuse incident between residents.

Complaint Details
The complaint involved an incident on 2025-08-20 where resident R1 attempted to sexually abuse resident R2 without consent. The allegation was substantiated by the arrest of R1 by law enforcement.
Findings
During the visit, the Licensing Program Analyst met with the administrator, conducted interviews and record reviews, and confirmed that the alleged perpetrator was arrested and taken into custody. The facility has initiated a plan to prevent future occurrences. No deficiencies were cited during the visit.

Report Facts
Capacity: 96 Census: 76

Employees mentioned
NameTitleContext
Michelle EcheverriaLicensing Program AnalystConducted the case management visit and interviews
Jasmine WeberAdministratorMet with Licensing Program Analyst to discuss the incident

Inspection Report

Complaint Investigation
Census: 80 Capacity: 96 Deficiencies: 1 Date: Aug 5, 2025

Visit Reason
An unannounced visit was conducted to initiate an investigation of complaint number 56-AS-20250728103529 regarding the facility's failure to report two death reports and other incidents.

Complaint Details
Investigation initiated due to complaint number 56-AS-20250728103529. The complaint was substantiated by findings that the administrator failed to report deaths and incidents.
Findings
The administrator did not report two death reports and other incidents that occurred recently, posing a potential health, safety, and personal rights risk to residents in care.

Deficiencies (1)
Failure to submit written reports to the licensing agency and responsible persons within seven days regarding deaths and incidents as required by reporting regulations.
Report Facts
Deficiencies cited: 1 Capacity: 96 Census: 80

Employees mentioned
NameTitleContext
Danica TurnerAdministratorNamed in relation to failure to report deaths and incidents
Michelle EcheverriaLicensing Program AnalystConducted the inspection and signed the report
Eldin SerranoLicensing Program AnalystConducted the inspection
Jennifer UrizaBusiness ManagerReceived exit interview and report discussion
Nedra BrownLicensing Program ManagerNamed as Licensing Program Manager overseeing the inspection

Inspection Report

Original Licensing
Census: 71 Capacity: 96 Deficiencies: 0 Date: Jan 29, 2025

Visit Reason
An announced pre-licensing inspection was conducted due to a pending application for a Residential Care Facility for the Elderly (RCFE) change of ownership.

Findings
The facility was inspected and found to be in compliance with no corrections required. The physical plant, food service, safety features, and resident accommodations met regulatory standards.

Report Facts
Non-ambulatory residents capacity: 76 Bedridden residents capacity: 20 Non-perishable food supply days: 7 Perishable food supply days: 2

Employees mentioned
NameTitleContext
Danica TurnerAdministratorMet with Licensing Program Analyst and Manager during inspection
Karen ClemonsLicensing Program ManagerConducted the pre-licensing inspection
Magda MalcoreLicensing Program AnalystConducted the pre-licensing inspection

Inspection Report

Census: 82 Capacity: 96 Deficiencies: 0 Date: Dec 3, 2024

Visit Reason
The visit was conducted as an office evaluation related to a Change of Ownership application for a Residential Care Facility for the Elderly.

Findings
The applicant and administrator participated in a COMP II telephone interview to verify identification and confirm understanding of California Code Title 22 regulations, including facility operation, admission policies, staffing, health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness.

Employees mentioned
NameTitleContext
Danica TurnerAdministratorApplicant/administrator participating in COMP II and met during inspection.
Rashita AggarwalParticipant in COMP II and met during inspection.
Joshua MillerLicensing Program ManagerNamed in report as Licensing Program Manager.
Bethany HunterLicensing Program AnalystNamed in report as Licensing Program Analyst.

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