331881095-6-1-2023-18-AS-JDHS-CSDQNQ-20230601121932

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 331881095
Report Date: 03/20/2023
Date Signed: 06/01/2023 09:30:34 AM

Unfounded

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 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
01/10/2023 and conducted by Evaluator Venus Mixson

PUBLIC

COMPLAINT CONTROL NUMBER: 18-AS-20230110143118

FACILITY NAME:	LINDEN AT MURRIETA, THE		FACILITY NUMBER:	331881095
ADMINISTRATOR:	MATTHEW MURPHY		FACILITY TYPE:	740
ADDRESS:	27100 CLINTON KEITH ROAD		TELEPHONE:	(951) 477-5678
CITY:	MURRIETA	STATE: CA	ZIP CODE:	92562
CAPACITY:	137	CENSUS: 110	DATE:	03/20/2023
		UNANNOUNCED	TIME BEGAN:	08:45 AM
MET WITH:	HEALTH & WELLNESS DIRECTOR (HWD), JINA BORJA.		TIME COMPLETED:	12:02 PM

ALLEGATION(S):

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Staff are not allowing resident to leave the facility.

INVESTIGATION FINDINGS:

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On March 20, 2023, Licensing Program Analyst (LPA), Venus Mixson arrived at the facility unannounced to deliver the findings on the listed allegations.
LPA Mixson met with the Health & Wellness Director introduced self, and stated the purpose of the visit. On 01/10/2022 Community Care Licensing (CCL), received information regarding the listed allegation.
LPA Mixson conducted staff and resident interviews, record reviews, and made observations pertaining to the listed allegations. Information obtained from staff and resident interviews demonstrated that the Resident (R1) is a dementia resident in the memory care unit and is not able to leave the memory care unit unassisted. After the LPA's records review of the Physicians' Report, and the Admissions Agreement these documentation corroborated these statements to be accurate information. After LPA Mixson's evaluation of information obtained there was not sufficient evidence to determine if the allegation was valid. Therefore, the outcome of the investigation is UNFOUNDED.
A finding of "Unfounded" means "the allegation is false, could not have happened and/or is without a reasonable basis." Therefore, the outcome of the allegation is deemed UNFOUNDED.
An exit interview was conducted, and a copy of this report was provided to Health & Wellness Director, (HWD) JINA BORA.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Jazmond D Harris	TELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Venus Mixson	TELEPHONE: (951) 897-7936
LICENSING EVALUATOR SIGNATURE:	DATE: 03/31/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/31/2023

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

LIC9099 (FAS) - (06/04)

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