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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881095
Report Date: 04/22/2021
Date Signed: 04/22/2021 04:22:51 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME:LINDEN AT MURRIETA, THEFACILITY NUMBER:
331881095
ADMINISTRATOR:SWEARINGEN, MICHELLEFACILITY TYPE:
740
ADDRESS:27100 CLINTON KEITH ROADTELEPHONE:
(951) 477-5678
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:137CENSUS: 0DATE:
04/22/2021
TYPE OF VISIT:PrelicensingUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Michelle SwearingenTIME COMPLETED:
01:15 PM
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Licensing Program Analyst (LPA) Stephanie Williams conducted a Pre-Licensing Inspection via video-conferencing application due to the COVID-19 pandemic. LPA identified herself and conducted the tele-visit with Administrator, Michelle Swearingen.

The pending initial application is for a Residential Care Facility for the Elderly (RCFE). The property has been granted a fire clearance for a maximum capacity of 137 residents, of which 37 may be bedridden, by Murrieta Fire & Rescue on 3/3/2021. There is a memory care unit within the facility, which was the only area approved for delayed egress and secured perimeter within the property.

LPA inspected a sample of resident bedrooms; bedrooms have the required furnishings such as sufficient storage space and lighting. LPA inspected a sample of resident restrooms; restrooms appliances were operating in safe and sanitary conditions and were equipped with non-skid flooring and grab bars. All restrooms were also equipped with signal systems. LPA inspected the kitchen and found all equipment to be clean with sufficient food storage space. LPA inspected storage areas and observed that dangerous objects, cleaning supplies, and toxins were locked and inaccessible to residents. LPA inspected the common areas; there were several large activity areas and a dining area for residents. LPA observed required postings including Resident's Personal Rights, the Department's complaint poster, the Ombudsman's poster, Residents Council Rights, and the facility's emergency/disaster plan. LPA inspected a medication and chart room where there was a locked and centralized storage area for medications and first aid supplies. Administrator confirmed that fire alarms, fire extinguishers, and carbon monoxide detectors were serviced during fire clearance inspection. LPA inspected several outdoor areas; there was a shaded seating area for residents. LPA observed that all passageways and stairways were unobstructed. LPA did not observe any potential hazards within the facility at the time of visit. The property appears to be in good repair and safe for resident use.
SUPERVISOR'S NAME: Efren MalagonTELEPHONE: (951) 248-0337
LICENSING EVALUATOR NAME: Stephanie WilliamsTELEPHONE: (951) 248-0317
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507
FACILITY NAME: LINDEN AT MURRIETA, THE
FACILITY NUMBER: 331881095
VISIT DATE: 04/22/2021
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The Pre-Licensing Inspection is complete and the facility has no deficiencies. COMP III was completed at the conclusion of the inspection. Applicant has satisfied all requirements in accordance with Title 22, California Code of Regulations.

An exit interview was conducted where this report was discussed and a copy was provided to Swearingen via email.

SUPERVISOR'S NAME: Efren MalagonTELEPHONE: (951) 248-0337
LICENSING EVALUATOR NAME: Stephanie WilliamsTELEPHONE: (951) 248-0317
LICENSING EVALUATOR SIGNATURE:

DATE: 04/22/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/22/2021
LIC809 (FAS) - (06/04)
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