Inspection Reports for Whispering Winds of Apple Valley
11825 Apple Valley Rd, Apple Valley, CA 92308, CA, 92308
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Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Census: 103
Capacity: 116
Deficiencies: 0
Apr 1, 2025
Visit Reason
An unannounced complaint investigation was conducted in response to allegations received on 07/19/2021 regarding staffing, supervision, cleanliness, training, medication administration, and resident care at Whispering Winds of Apple Valley Assisted Living.
Findings
The investigation found all allegations to be unsubstantiated based on staff and resident interviews, observations, and document reviews. The facility was found to be adequately staffed, clean, properly supervised, with trained staff who administer medications correctly and respond promptly to resident needs.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations occurred.
Report Facts
Capacity: 116
Census: 103
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeffrey Gollihar | Executive Director | Met with during investigation and exit interview |
| Becky Mann | Licensing Program Analyst | Conducted the complaint investigation |
| Nedra Brown | Licensing Program Manager | Named in report as Licensing Program Manager |
Inspection Report
Census: 99
Capacity: 116
Deficiencies: 0
Feb 26, 2025
Visit Reason
A case management visit was conducted to discuss changes in the bedridden status application submitted to the regional office and hospice, including amendments to the Licensee's application and hospice waiver increase request.
Findings
The visit focused on reviewing and assisting with the resubmission of the bedridden status application and hospice waiver increase request, providing relevant regulations to the Executive Director for review and guidance.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeffery Gollinar | Executive Director | Met with Licensing Program Analyst during case management visit and discussed application amendments. |
| Magda Malcore | Licensing Program Analyst | Conducted the case management visit and discussed application and hospice waiver requests. |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager on the report. |
Inspection Report
Annual Inspection
Census: 99
Capacity: 116
Deficiencies: 2
Feb 26, 2025
Visit Reason
Licensing Program Analyst conducted an unannounced required comprehensive annual inspection of the assisted living facility.
Findings
The facility was generally well maintained with adequate care and supervision, but deficiencies were cited related to unsafe storage of laundry detergent and resident medication not being centrally stored and locked.
Severity Breakdown
Type A: 2
Deficiencies (2)
| Description | Severity |
|---|---|
| Laundry detergent was kept unlocked in the upstairs laundry area with no staff present, posing an immediate health, safety or personal rights risk to persons in care. | Type A |
| Resident's prescribed medication was stored in the resident's bedroom refrigerator and not centrally stored, locked and inaccessible to persons in care, posing an immediate health, safety or personal rights risk. | Type A |
Report Facts
Capacity: 116
Census: 99
Plan of Correction Due Date: Feb 27, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeffery Gollinar | Executive Director | Met with Licensing Program Analyst during inspection |
| Karen Clemons | Licensing Program Manager | Named as supervisor and involved in deficiency oversight |
| Magda Malcore | Licensing Program Analyst | Conducted the inspection and signed the report |
Inspection Report
Annual Inspection
Census: 91
Capacity: 116
Deficiencies: 0
Feb 23, 2024
Visit Reason
The visit was an unannounced required comprehensive annual inspection conducted by the Licensing Program Analyst Mary Rico to evaluate the facility's compliance with regulations.
Findings
The facility was found to be operating within its approved capacity, clean, well-maintained, and safe for clients. No deficiencies were cited during the inspection.
Report Facts
Client files reviewed: 10
Client medications reviewed: 10
Staff files reviewed: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Jeffery Gollinar | Administrator | Met with Licensing Program Analyst and accompanied during inspection |
| Mary Rico | Licensing Program Analyst | Conducted the inspection visit |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Census: 69
Capacity: 115
Deficiencies: 0
Apr 6, 2023
Visit Reason
The visit was conducted to inspect the newly added Memory Care Unit at the facility, including review of submitted documentation and fire clearance.
Findings
The Memory Care Unit was found to be in compliance with Title 22 regulations, secured with delayed egress and door alarms, and the facility was cleared for a total capacity of 116 non-ambulatory residents. All furniture and equipment in the unit were reported to be in good repair.
Report Facts
Memory Care Unit capacity: 18
Facility total capacity: 116
Bedrooms in Memory Care Unit: 18
Bathrooms in Memory Care Unit: 18
Tables in dining area: 5
Chairs per table: 4
Recliners in living room: 4
Oversized stationary chairs in living room: 4
Love seat seating capacity: 2
Pull cords in dining area: 3
Oversized stationary chairs in sunroom: 2
Pull cords in sunroom: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Monya Henry | Executive Director | Met with Licensing Program Analyst during inspection and named in report narrative |
| Rayshaun Nickolas | Licensing Program Analyst | Conducted the inspection visit and authored the report |
| Karen Clemons | Licensing Program Manager | Named as Licensing Program Manager in the report |
Inspection Report
Census: 69
Capacity: 115
Deficiencies: 0
Jan 30, 2023
Visit Reason
The visit was an announced case management inspection conducted in response to the facility's request for a capacity increase and the establishment of a new memory care unit.
Findings
The memory care unit was still under construction and not yet occupied. The facility was observed to be in good repair with adequate seating, furniture, and safety features such as pull cords and handrails. No deficiencies were cited during this visit.
Report Facts
Memory care unit seating capacity: 20
Rooms inspected: 13
Water temperature: 109
Memory care staff: 4
Capacity increase: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Monya Henry | Executive Director | Met with LPAs and provided information about the memory care unit and facility |
| Jessie Kelly | Memory Care Director | Assisted LPAs with facility tour and information about memory care unit |
| Magda Malcore | Licensing Program Analyst | Conducted the inspection visit |
| Rayshaun Nickolas | Licensing Program Analyst | Conducted the inspection visit |
| Karen Clemons | Licensing Program Manager | Named in report header and narrative |
Inspection Report
Annual Inspection
Census: 58
Capacity: 115
Deficiencies: 0
Feb 28, 2022
Visit Reason
An unannounced required annual inspection was conducted with an emphasis on infection control due to the COVID-19 pandemic.
Findings
The facility was found to be in compliance with regulatory requirements, including infection control measures, operational standards, and safety protocols. No deficiencies were cited during the inspection.
Report Facts
Capacity: 115
Census: 58
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Monya Henry | Administrator | Facility administrator interviewed during inspection |
| Stephanie Williams | Licensing Program Analyst | Conducted the inspection |
| Efren Malagon | Licensing Program Manager | Named in the report |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 115
Deficiencies: 0
Apr 16, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 08/11/2020 regarding inadequate food service and non-adherence to the Admissions Agreement at Whispering Winds of Apple Valley Assisted Living.
Findings
The investigation included interviews with staff and residents and a records review. Due to conflicting statements and lack of corroborating evidence, all allegations were determined to be unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was insufficient evidence to prove the alleged violations occurred. Allegations included inadequate food service and improper charges related to Admissions Agreement fees.
Report Facts
Capacity: 115
Census: 66
Service fee amount: 100
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the complaint investigation and interviews |
| Efren Malagon | Licensing Program Manager | Named as Licensing Program Manager on the report |
| Monya Henry | Facility representative met during investigation |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 115
Deficiencies: 0
Apr 16, 2021
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 08/12/2020 regarding staff response times to call buttons, adequacy of food service, and communication of residents' care needs to authorized representatives.
Findings
The investigation included interviews with residents and staff and review of records. All three allegations were determined to be unsubstantiated due to insufficient evidence to meet the preponderance of evidence standard.
Complaint Details
The complaint involved three allegations: 1) staff not responding timely to call buttons, 2) inadequate food service, and 3) failure to communicate residents' care needs to authorized representatives. All allegations were found unsubstantiated after interviews and record reviews.
Report Facts
Capacity: 115
Census: 66
Call button response time: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Stephanie Williams | Licensing Program Analyst | Conducted the complaint investigation |
| Monya Henry | Facility representative met during investigation |
Inspection Report
Capacity: 115
Deficiencies: 0
Nov 16, 2020
Visit Reason
The visit was a case management telephone call conducted due to COVID-19 to verify the removal of an individual named in a Confirmation of Removal letter dated 09/08/2020.
Findings
The Licensing Program Analyst verified that the individual named in the removal letter was not present, employed, or residing at the facility. No deficiencies were cited during this visit.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Monya Henry | Administrator | Administrator who provided information during the case management visit. |
| Kathleen Wiggins | Licensing Program Analyst | Conducted the case management visit and verified removal of individual. |
| Leslie Mendiveles | Licensing Program Manager | Named in the report header. |
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