331800083-9-15-2023-18-AS-RSTS-CW8R4B-20231002124113

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331800083
Report Date: 09/15/2023
Date Signed: 09/15/2023 03:20:38 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/11/2020 and conducted by Evaluator Tricia Danielson

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20200811150418

FACILITY NAME:	RENAISSANCE VILLAGE MURRIETA		FACILITY NUMBER:	331800083
ADMINISTRATOR:	BRIAN TAUBE		FACILITY TYPE:	740
ADDRESS:	24271 JACKSON AVENUE		TELEPHONE:	(951) 319-8243
CITY:	MURRIETA	STATE: CA	ZIP CODE:	92562
CAPACITY:	166	CENSUS: 85	DATE:	09/15/2023
		UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Brian Taube, Executive Director		TIME COMPLETED:	03:25 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff are not meeting the needs of residents
Residents rooms are not being cleaned
Residents are not being offered activities

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Licensing Program Analyst (LPA) Tricia Danielson arrived unannounced to the facility to continue an investigation into the allegations listed above. LPA met with Executive Director Brian Taube and explained the purpose of today's visit.
Regarding the allegation "Staff are not meeting the needs of the residents", it was alleged that in August 2020, residents were not being assisted with hygiene and grooming. Seven (7) of eight (8) residents interviewed and whom resided at the facility during the period in question, reported they received all the assistance they needed with personal hygiene, grooming, bathing, and toileting. Two (2) of two (2) staff interviewed and whom were reported to have direct knowledge concerning the allegation, reported they did not receive nor did they hear of complaints from residents about not receiving assistance with hygiene and grooming during the period in question.
Regarding the allegation "Resident rooms are not being cleaned", it was alleged that in August 2020, resident rooms were not being cleaned. Seven (7) of eight (8) residents interviewed and whom resided at the facility during the period in question, reported their rooms were in fact cleaned by staff during that time period. (CONTINUED ON LIC9099-C)

Unsubstantiated

Estimated Days of Completion: 30

SUPERVISOR'S NAME: Rikesha Stamps	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Tricia Danielson	TELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 2

Control Number 18-AS-20200811150418

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: RENAISSANCE VILLAGE MURRIETA	FACILITY NUMBER: 331800083
	VISIT DATE: 09/15/2023

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

(CONTINUED FROM LIC9099)
Two (2) of two (2) staff interviewed and whom were reported to have direct knowledge concerning the allegation, reported there was never a period of time when resident rooms were not cleaned. They also reported they had not received nor heard of complaints from residents about their rooms not being cleaned during the period in question.
Regarding the allegation "Residents are not being offered activities", it was alleged that residents were not receiving "robust" activities due to COVID around the time period of August 2020. Seven (7) of eight (8) residents interviewed, and whom resided at the facility during the period in question, reported although group activities had been postponed due to COVID during the time period in question, they were offered individual activities such as puzzles, word games, suduko puzzles, crossword puzzles, and drawings to color/paint to be done in their rooms.
Although the allegations may have happened or are valid, there is no preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are unsubstantiated. An exit interview was conducted and a copy of this report was provided.

SUPERVISOR'S NAME: Rikesha Stamps	TELEPHONE: (951) 212-0616
LICENSING EVALUATOR NAME: Tricia Danielson	TELEPHONE: (951) 565-7254
LICENSING EVALUATOR SIGNATURE:	DATE: 09/15/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/15/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 2