Most inspections found no deficiencies, with routine annual visits and complaint investigations consistently showing the facility to be clean, well-maintained, and compliant with regulations. Several complaint investigations were unsubstantiated, including allegations about resident dignity, access to belongings, supervision during emergencies, and staff communication. The only substantiated deficiency occurred in March 2023, when the facility failed to provide promised transportation for resident medical appointments, but no fines or enforcement actions were listed in the available reports. The most recent inspection on September 30, 2025, was a complaint investigation that found no deficiencies and unsubstantiated allegations. This pattern suggests the facility has maintained a generally positive compliance record with isolated issues that have improved over time.
The inspection was an unannounced complaint investigation visit triggered by allegations received on 2022-08-22 concerning resident access to belongings, staff attempting to remove a resident under false information, and dignity in staff-resident relationships.
Findings
The investigation included interviews with residents and staff, review of resident rooms, and document requests. The allegations were found to be unsubstantiated due to lack of preponderance of evidence. Residents generally had access to personal belongings, staff treated residents respectfully, and no evidence supported the claims of improper removal or lack of dignity.
Complaint Details
The complaint involved three allegations: 1) Resident does not have access to belongings; 2) Staff are trying to remove resident from facility under false information; 3) Resident is not accorded dignity in relationship with staff. All allegations were investigated and determined to be unsubstantiated.
Report Facts
Capacity: 137Census: 121Number of residents interviewed: 10Number of staff interviewed: 6Number of resident rooms toured: 10
Employees Mentioned
Name
Title
Context
Mary G Flores
Licensing Program Analyst
Conducted the complaint investigation visit
Tony Vasallo
Licensing Program Manager
Named as Licensing Program Manager on report
Karen Lovett
Business Office Director
Met with Licensing Program Analyst during investigation
An unannounced required annual inspection was conducted to evaluate the facility's compliance with licensing requirements.
Findings
The facility was found to be clean, well-maintained, and in compliance with infection control, physical plant, and safety regulations. No deficiencies were cited during the visit.
Report Facts
Number of staff files reviewed: 4Number of resident files reviewed: 5Number of resident medication reviews: 4Emergency drill date: Apr 22, 2025Fire extinguisher expiration date: May 8, 2026Smoke and carbon monoxide detector last test date: Apr 1, 2025Water temperature: 107.4
Employees Mentioned
Name
Title
Context
Kristi Quigely
Administrator
Met with Licensing Program Analyst during inspection
The inspection was an unannounced required annual visit conducted to evaluate the facility's compliance with licensing regulations.
Findings
The facility was found to be clean, well-maintained, and properly equipped with adequate staff supervision. No deficiencies were cited during the visit. Safety equipment and emergency supplies were in place and operational.
Report Facts
Staff files reviewed: 6Client files reviewed: 5Clients medication administration records reviewed: 5Last fire drill date: May 2, 2024Smoke and carbon monoxide detector test date: Feb 15, 2024Hot water temperature: 113.8
Employees Mentioned
Name
Title
Context
Janira Arreola
Licensing Program Analyst
Conducted the inspection and authored the report
Calais Anguiano
Acting Executive Director
Met with Licensing Program Analyst during the inspection and exit interview
The inspection was an unannounced complaint investigation visit triggered by allegations received on 08/28/2023 regarding staff leaving residents unsupervised during a fire alarm incident and failure to ensure a complaint poster was posted at the facility.
Findings
The investigation found the allegation that staff left residents unsupervised to be unsubstantiated based on observations, interviews, and record reviews. The allegation that staff did not ensure a complaint poster was posted was found to be unfounded, with complaint posters observed clearly posted on each floor.
Complaint Details
The complaint investigation was unsubstantiated for the allegation of residents being left unsupervised during a fire alarm incident, and unfounded for the allegation that a complaint poster was not posted. Evidence showed staff were present during the incident and complaint posters were properly displayed.
Report Facts
Capacity: 137Census: 110Staff on duty: 9
Employees Mentioned
Name
Title
Context
Jacqueline Shaw Ross
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Jina Borja
Health and Wellness Director
Met with Licensing Program Analyst during investigation and exit interview
Billy Tames
General Manager/Administrator
Provided information and was interviewed regarding complaint poster and fire alarm incident
Unannounced complaint investigation visit conducted due to allegations including failure to provide resident transportation to medical appointments, resident falls resulting in injuries, lack of proper notice of price increases, and failure to provide a proper bed.
Findings
The investigation substantiated the allegation that the facility did not provide resident transportation to medical appointments as promised, resulting in the resident having to pay for private transportation. Other allegations including resident falls, lack of proper notice of price increases, and failure to provide a proper bed were unsubstantiated based on record review and interviews.
Complaint Details
Complaint investigation was substantiated for failure to provide transportation to medical appointments. Other allegations including resident falls resulting in injuries, lack of proper notice of price increases, and failure to provide a proper bed were unsubstantiated.
Severity Breakdown
Type B: 1
Deficiencies (1)
Description
Severity
Failure to have a written transportation procedure and failure to provide transportation for resident dialysis appointments outside of Murrieta, causing resident to use private transportation.
An unannounced complaint investigation visit was conducted in response to allegations received on 2022-12-16 regarding facility staff not following a resident's admission agreement and not providing dignity to a resident.
Findings
After interviews, record reviews, and observations, there was not a preponderance of evidence to substantiate the allegations. The investigation concluded with a finding of unsubstantiated.
Complaint Details
The complaint investigation was unsubstantiated, meaning there was insufficient evidence to prove the alleged violations occurred.
Report Facts
Facility capacity: 137Census: 110
Employees Mentioned
Name
Title
Context
Venus Mixson
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Jina Bora
Health & Wellness Director
Met with the Licensing Program Analyst during the investigation
The visit was an unannounced complaint investigation triggered by a complaint received on 2022-08-08 alleging that the facility failed to provide services based on the resident's needs.
Findings
After conducting staff and resident interviews, record reviews, and observations, the Licensing Program Analyst found insufficient evidence to substantiate the allegations. The outcome of the investigation was unsubstantiated.
Complaint Details
The complaint alleged that the facility failed to provide services based on the resident's needs. The investigation outcome was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violations did or did not occur.
Report Facts
Capacity: 137Census: 110
Employees Mentioned
Name
Title
Context
Venus Mixson
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Jina Borja
Health & Wellness Director
Met with the Licensing Program Analyst during the investigation
The visit was an unannounced complaint investigation conducted in response to allegations received on 2022-12-09 regarding mistreatment and other concerns at the facility.
Findings
After conducting staff and resident interviews, record reviews, and observations, there was insufficient evidence to substantiate the allegations. The outcome of the investigation is unsubstantiated.
Complaint Details
The complaint included allegations that a resident was being yelled at while in care, staff denied a resident from disinfecting the facility, and staff mistreated a resident while in care. The investigation found these allegations unsubstantiated.
Report Facts
Capacity: 137Census: 110
Employees Mentioned
Name
Title
Context
Venus Mixson
Licensing Program Analyst
Conducted the complaint investigation and assessment
Jina Borja
Health & Wellness Director
Met with the Licensing Program Analyst during the investigation
The visit was an unannounced complaint investigation conducted in response to a complaint received on 01/10/2023 alleging that staff were not allowing a resident to leave the facility.
Findings
The investigation included staff and resident interviews, record reviews, and observations. It was found that the resident is a dementia patient in the memory care unit and cannot leave unassisted. Documentation corroborated this, and there was insufficient evidence to validate the allegation. The complaint was deemed unfounded.
Complaint Details
The complaint alleged that staff were not allowing a resident to leave the facility. The investigation found no sufficient evidence to support the allegation, resulting in an unfounded determination.
Report Facts
Capacity: 137Census: 110
Employees Mentioned
Name
Title
Context
Venus Mixson
Licensing Program Analyst
Conducted the complaint investigation
Jina Borja
Health & Wellness Director
Met with the Licensing Program Analyst during the investigation
An unannounced case management visit was conducted to assess the health, safety, and welfare of residents and the facility's compliance with regulations.
Findings
No imminent health or safety concerns were observed. The facility had sufficient staff and food supplies, medications were adequately managed, and no deficiencies were cited during the visit.
Report Facts
Employees present: 37
Employees Mentioned
Name
Title
Context
Venus Mixson
Licensing Program Analyst
Conducted the unannounced case management visit
Jina Borja
Health & Wellness Director
Met with Licensing Program Analyst during the visit
An unannounced complaint investigation was conducted in response to allegations received on 08/08/2022 regarding resident access to belongings, removal attempts under false information, and dignity in staff relationships.
Findings
After staff and resident interviews, record reviews, and observations, there was insufficient evidence to substantiate the allegations. The investigation outcome was unsubstantiated.
Complaint Details
The complaint involved allegations that a resident did not have access to belongings, staff were trying to remove the resident under false information, and the resident was not accorded dignity in relationships with staff. The investigation found these allegations unsubstantiated.
Report Facts
Facility capacity: 137Census: 109
Employees Mentioned
Name
Title
Context
Venus Mixson
Licensing Program Analyst
Conducted the complaint investigation and delivered findings
Jina Borja
Health & Wellness Director
Met with Licensing Program Analyst during investigation
An unannounced complaint investigation was conducted in response to an allegation that the facility was retaliating against a resident.
Findings
The investigation found insufficient evidence to corroborate the allegation of retaliation against the resident. The complaint was determined to be unfounded and dismissed.
Complaint Details
The complaint alleged that the facility was retaliating against a resident. The resident was diagnosed with a traumatic brain injury and had recent mental health changes involving threats of harm, requiring law enforcement assistance. The resident was paranoid and admitted to having a lawsuit unrelated to the facility. The complaint was found to be unfounded.
Report Facts
Capacity: 137Census: 103
Employees Mentioned
Name
Title
Context
Javina George
Licensing Program Analyst
Conducted the complaint investigation and unannounced visit
Michelle De Leon Ferreira
Memory Care Manager
Met with the Licensing Program Analyst during the investigation
An unannounced annual inspection was conducted to evaluate the facility's compliance with infection control practices and other regulatory requirements.
Findings
No deficiencies were cited during the inspection. The facility demonstrated adequate infection control measures, including hand hygiene supplies and staff wearing appropriate face coverings. However, required COVID-19 postings were initially missing but were re-posted before the inspector left.
Employees Mentioned
Name
Title
Context
Michelle De Leon Ferriera
Memory Care Manager
Met with Licensing Program Analyst during inspection and received a copy of the report.
An unannounced complaint investigation was conducted in response to multiple allegations including discrimination, visitation restrictions, inadequate food services, inappropriate staff communication, and safeguarding of residents' personal belongings.
Findings
All allegations were investigated through interviews, observations, and record reviews, and were found to be unsubstantiated due to insufficient evidence to corroborate any of the complaints.
Complaint Details
The complaint investigation addressed nine allegations including discrimination against residents, visitation restrictions, inadequate food services, inappropriate communication by staff, and failure to safeguard residents' personal belongings. All allegations were found to be unsubstantiated.
Report Facts
Capacity: 137Census: 108
Employees Mentioned
Name
Title
Context
Javina George
Licensing Program Analyst
Conducted the complaint investigation and unannounced visit
Joel Esquivel
Licensing Program Manager
Named as Licensing Program Manager on the report
Michelle De Leon Ferreira
Memory Care Manager
Met with Licensing Program Analyst during the investigation and participated in exit interview
Inspection Report Original LicensingCapacity: 137Deficiencies: 0Apr 22, 2021
Visit Reason
The inspection was a pre-licensing visit conducted via video conferencing to evaluate the facility's readiness for initial licensing as a Residential Care Facility for the Elderly (RCFE).
Findings
The facility was found to be in good repair and safe for resident use with no deficiencies noted. All required areas including resident bedrooms, restrooms, kitchen, storage, common areas, and safety equipment were inspected and met regulatory requirements.
Report Facts
Maximum capacity: 137Bedridden capacity: 37
Employees Mentioned
Name
Title
Context
Michelle Swearingen
Administrator
Facility Administrator present during the pre-licensing inspection
Stephanie Williams
Licensing Program Analyst
Conducted the pre-licensing inspection
Efren Malagon
Licensing Program Manager
Named in the report as Licensing Program Manager
Inspection Report Original LicensingCapacity: 137Deficiencies: 0Apr 1, 2021
Visit Reason
The visit was an office evaluation conducted via telephone to complete Component II of the licensing process for the facility.
Findings
The applicant and administrator successfully completed Component II of the licensing process, confirming understanding of facility operation, staff qualifications, program policies, and other regulatory requirements. No deficiencies or issues were noted.
Report Facts
Capacity: 137
Employees Mentioned
Name
Title
Context
Michelle Swearingen
Administrator
Participant in Component II licensing process
Meghna Davidson
Applicant
Participant in Component II licensing process
Julia Kim
Licensing Program Manager
Named in report header
Thai Doan
Licensing Program Analyst
Named in report header and signed report
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