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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 331881095
Report Date: 03/20/2023
Date Signed: 03/20/2023 12:04:13 PM

Unsubstantiated


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
08/08/2022 and conducted by Evaluator Venus Mixson
COMPLAINT CONTROL NUMBER: 18-AS-20220808162629
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
UNANNOUNCEDTIME BEGAN:
08:45 AM
MET WITH:HEALTH & WELLNESS DIRECTOR, JINA BORJATIME COMPLETED:
12:02 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility failed to provide services based on the resident's needs.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On March 20, 2023, Licensing Program Analyst (LPA), Venus Mixson arrived to the facility unannounced in order to deliver the findings on the listed allegations.
LPA Mixson met with Health & Wellness Director, introduced self and stated the purpose of the visit. On 08/08/2022 Community Care Licensing (CCL) received information regarding the listed allegation.
LPA Mixson conducted staff and resident interviews, record reviews, and observations. After LPA's assessment of the information there was not sufficient evidence to determine if the allegations are valid. Therefore, the outcome of the investigation is UNSUBSTANTIATED. A finding of "unsubstantiated" means "although the allegation may have happened or is valid, there is not a preponderance of evidence strand to prove the alleged violations did or did not occur. Therefore, the outcome of the allegations are UNSUBSTANTIATED.
An exit interview was conducted and a copy of this report was provided to Health & Wellness Director, (HWD) JINA BORA.
Unsubstantiated
Estimated Days of Completion:
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.
LIC9099 (FAS) - (06/04)
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