336413282-10-3-2025-18-AS-RORN-DM8V6A-20251007160913

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 336413282
Report Date: 09/30/2025
Date Signed: 10/03/2025 02:49:21 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 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
01/21/2022 and conducted by Evaluator Sparkle Day

COMPLAINT CONTROL NUMBER: 18-AS-20220121114610

FACILITY NAME:	TEMPLE COURT SENIOR CARE		FACILITY NUMBER:	336413282
ADMINISTRATOR:	ESTA HOBBS		FACILITY TYPE:	740
ADDRESS:	40009 TEMPLE CT.		TELEPHONE:	(951) 461-4750
CITY:	MURRIETA	STATE: CA	ZIP CODE:	92563
CAPACITY:	0	CENSUS:	DATE:	09/30/2025
		UNANNOUNCED	TIME BEGAN:	10:14 AM
MET WITH:			TIME COMPLETED:	10:15 AM

ALLEGATION(S):

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Resident's diapering needs not being met while in care.
Unqualified staff are administering medications to residents in care.
Residents with higher level of care needs are being retained at the facility.
Resident was constrained to their bed while in care.

INVESTIGATION FINDINGS:

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On 1/24/2022 Licensing Program Analyst (LPA) Yolanda Delgado made an unannounced investigation visit to the facility to ascertain information regarding the above-mentioned allegation(s) and for the purpose of rendering the findings. LPA met with Administrator Esta Hobbs who assisted with the visit.

The investigation consisted of the following:
Allegation #1: Residents diapering needs not being met while in care
It is alleged that residents in care diapers are not being changed timely.
On1/24/2022 LPA Delgado interviewed 1 staff,requested and obtained copies of pertinent documents and toured the facility. There were no deficiencies and no civil penalties that were cited per Title 22 Division 6, of the California Code or Regulations at that time.
On 10/1/2025 LPA Sparkle Day began the investigation follow up.LPA Day attempted to contact Reporting party and Facility to obtain further information. This facility closed on 5/23/25 .No residents are available for interview. No further information available.Due to facility closing we were unable to locate all parties involved in the complaint. Therefore we were unable to complete a full investigation.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Sparkle Day
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2025

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 3

Control Number 18-AS-20220121114610

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: TEMPLE COURT SENIOR CARE	FACILITY NUMBER: 336413282
	VISIT DATE: 09/30/2025

NARRATIVE

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Based upon this investigation, LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Allegation #2 : Unqualified staff are administering medications to residents in care.

It is alleged that the facility has staff passing medications to residents that are not qualified to do so

On 1/24/2022 LPA Delgado interviewed 1 staff, requested and obtained copies of pertinent documents and toured the facility .There were no deficiencies and no civil penalties that were cited per Title 22 Division 6, of the California Code or Regulations at that time.

On 10/1/2025 LPA Sparkle Day began the investigation follow up. LPA Day attempted to contact Reporting party and Facility to obtain further information. This facility closed on 5/23/25 .No residents are available for interview. No further information available. Due to facility closing we were unable to locate all parties involved in the complaint. Therefore we were unable to complete a full investigation.

Allegation #3 : Residents with higher level of care needs are being retained at the facility.

It is alleged that the facility retained residents that needs exceeds what the facility could provide.

It is alleged that the facility has staff passing medications to residents that are not qualified to do so
On 1/24/2022 LPA Delgado interviewed 1 staff, requested and obtained copies of pertinent documents and toured the facility. There were no deficiencies and no civil penalties that were cited per Title 22 Division 6, of the California Code or Regulations at that time.

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Sparkle Day
LICENSING EVALUATOR SIGNATURE:	DATE: 10/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 18-AS-20220121114610

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
RIVERSIDE ASC, 1650 SPRUCE ST STE 200 MS29-27
RIVERSIDE, CA 92507

FACILITY NAME: TEMPLE COURT SENIOR CARE	FACILITY NUMBER: 336413282
	VISIT DATE: 09/30/2025

NARRATIVE

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Allegation #4: Resident was constrained to their bed while in care
It is alleged that a resident was tied to her bed often
On 1/24/2022 LPA Delgado interviewed 1 staff ,requested and obtained copies of pertinent documents and toured the facility. There were no deficiencies and no civil penalties that were cited per Title 22 Division 6, of the California Code or Regulations at that time.
On 10/1/2025 LPA Sparkle Day began the investigation follow up. LPA Day attempted to contact Reporting party and Facility to obtain further information. This facility closed on 5/23/25 .No residents are available for interview. No further information available. Due to facility closing we were unable to locate all parties involved in the complaint. Therefore we were unable to complete a full investigation.

Based upon this investigation, LPA finds that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is UNSUBSTANTIATED.

A copy of this report will be mailed to last known address provided: 40009 Temple CT. Murrieta, CA 92563

SUPERVISORS NAME: Janae Hammond
LICENSING EVALUATOR NAME: Sparkle Day
LICENSING EVALUATOR SIGNATURE:	DATE: 10/02/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/02/2025

LIC9099 (FAS) - (06/04)

Page: 3 of 3