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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 331881095
Report Date: 03/20/2023
Date Signed: 03/20/2023 10:01:19 AM


Document Has Been Signed on 03/20/2023 10:01 AM - It Cannot Be Edited

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:MATTHEW MURPHYFACILITY TYPE:
740
ADDRESS:27100 CLINTON KEITH ROADTELEPHONE:
(951) 477-5678
CITY:MURRIETASTATE: CAZIP CODE:
92562
CAPACITY:137CENSUS: 110DATE:
03/20/2023
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:HEALTH & WELLNESS DIRECTOR, JINA BORJA.TIME COMPLETED:
10:00 AM
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On March 20, 2023, Licensing Program Analyst (LPA), Venus Mixson made an unannounced case management visit to the facility. LPA Mixson met with Health & Wellness Director,(HWD) introduced self and explained the purpose of the visit.
LPA Mixson toured the facility with HWD, currently there are 110 residents and 37 employees including caregivers. There are no imminent health and/or safety concerns observed at the time of visit. LPA Mixson observed facility utilities to be on and operating without issue.
There was a sufficient amount of staff present at the facility to provide care. LPA Mixson assessed the available food supply and observed that the supply exceeds the requirement of a two day supply of perishable foods and a seven day supply of non-perishable foods. Medications were found to be in sufficient supply as well. There were no missed doses or dates left blank for the current month.
During the tour LPA Mixson met with and spoke with R1. Information obtained stated that there were no concerns or issues as the previous private care provider was let go the same day of the incident in question. R1 shared the new private care provider M,T, Th, & Friday 8:00am to 8:00pm. R1 shared she was fine and had no concerns.
Based on the information obtained during today's visit, there are no immediate threats to the health, safety, and welfare of the residents in care. No deficiencies were cited during today's visit.

An exit interview was conducted and a copy of this report, along with the LIC 811, was provided to HWD.

SUPERVISOR'S NAME: Jazmond D HarrisTELEPHONE: (951) 248-0318
LICENSING EVALUATOR NAME: Venus MixsonTELEPHONE: (951) 897-7936
LICENSING EVALUATOR SIGNATURE:
DATE: 03/20/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/20/2023
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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