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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881095
Report Date: 12/29/2023
Date Signed: 12/29/2023 09:56:52 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE AC/SC, 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
08/28/2023 and conducted by Evaluator Jacqueline Shaw Ross
COMPLAINT CONTROL NUMBER: 18-AS-20230828114041
FACILITY NAME:LINDEN AT MURRIETA, THEFACILITY NUMBER:
331881095
ADMINISTRATOR:MATTHEW MURPHYFACILITY TYPE:
740
ADDRESS:27100 CLINTON KEITH ROADTELEPHONE:
(951) 477-5678
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:137CENSUS: 110DATE:
12/29/2023
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Jina Borja , Health and Wellness DirectorTIME COMPLETED:
10:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff left residents unsupervised.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Jacqueline Shaw Ross made an unannounced visit to deliver findings for the allegations noted above. LPA met with Jina Borja, Health and Wellness Director, and explained the purpose of the visit and the elements of the allegations. The investigation consisted of observations, interviews, and records review.

On 08/28/2023, Community Care Licensing received an allegation that staff left residents unsupervised during a fire alarm incident. On Friday, 08/25/2023 at approximately, 7:40 pm, a fire alarm was set off in the Assisted Living area by a resident in Memory care located adjacent within in proximity. During the incident, it was reported residents came out of their rooms and looked for staff for assistance, but no staff was around. Of the interviews conducted with residents, the general consensus from residents indicate staff were on the premises. Residents were instructed to returned to their rooms until the fire alarm was disconnected. Of the interviews conducted with staff, along with a review of staff work schedules and time sheets, there were nine staff on duty who were present and available to help all residents during the incident. LPA was also informed by General Manager, Billy Tames that managers were immediately notified by lead staff on duty, and management arrived at the facility within minutes to further assist as managers are on-call for emergencies.

Based on observation, interviews, and record review, the allegation that staff left residents unsupervised is UNSUBSTANTIATED, meaning that although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur.

An exit interview was conducted, and a copy of this report was provided to Jina Borja , Health and Wellness Director.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Jazmond D HarrisTELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Jacqueline Shaw RossTELEPHONE: 951-248-0314
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2023
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
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE AC/SC, 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
08/28/2023 and conducted by Evaluator Jacqueline Shaw Ross
COMPLAINT CONTROL NUMBER: 18-AS-20230828114041

FACILITY NAME:LINDEN AT MURRIETA, THEFACILITY NUMBER:
331881095
ADMINISTRATOR:MATTHEW MURPHYFACILITY TYPE:
740
ADDRESS:27100 CLINTON KEITH ROADTELEPHONE:
(951) 477-5678
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:137CENSUS: 110DATE:
12/29/2023
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:Jina Borja , Health and Wellness DirectorTIME COMPLETED:
10:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff is not ensuring that a complaint poster is posted at the facility.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA), Jacqueline Shaw Ross made an unannounced visit to deliver findings for the allegation noted above. LPA met with Jina Borja, Health and Wellness Director, and explained the purpose of the visit and the elements of the allegations. The investigation consisted of observation and interview with Administrator, Billy Tames.

On 08/28/2023, Community Care Licensing received an allegation that staff is not ensuring that a complaint poster is posted at the facility. During a tour of the facility with the facility General Manager/Administrator Billy Tames, LPA observed Licensing Complaint posters located on each floor in the common areas of the facility. LPA observed that the Licensing Complaint posters were in plain sight for all residents to see. LPA observed the posters to be laminated and framed. Information obtained from interview with Administrator stated that the information regarding complaint investigations have always been posted throughout the facility.

Based on observation, interview and record review this allegation is UNFOUNDED. Findings that are unfounded mean that the allegation is false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted where this report was reviewed and provided to Jina Borja , Health and Wellness Director.

Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Jazmond D HarrisTELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Jacqueline Shaw RossTELEPHONE: 951-248-0314
LICENSING EVALUATOR SIGNATURE:

DATE: 12/29/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/29/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2