Inspection Reports for Ivy Park at Murrieta

27100 Clinton Keith Rd Murrieta, CA 92562, CA, 92562

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Inspection Report Summary

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.

Deficiencies per Year

4 3 2 1 0
2021
2022
2023
2024
2025
Moderate

Census Over Time

0 40 80 120 160 Apr '21 May '22 Mar '23 Mar '23 May '24 Sep '25
Census Capacity
Inspection Report Complaint Investigation Census: 121 Capacity: 137 Deficiencies: 0 Sep 30, 2025
Visit Reason
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: 137 Census: 121 Number of residents interviewed: 10 Number of staff interviewed: 6 Number of resident rooms toured: 10
Employees Mentioned
NameTitleContext
Mary G FloresLicensing Program AnalystConducted the complaint investigation visit
Tony VasalloLicensing Program ManagerNamed as Licensing Program Manager on report
Karen LovettBusiness Office DirectorMet with Licensing Program Analyst during investigation
Krystal JenkinsExecutive DirectorParticipated in exit interview
Inspection Report Annual Inspection Census: 125 Capacity: 137 Deficiencies: 0 May 22, 2025
Visit Reason
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: 4 Number of resident files reviewed: 5 Number of resident medication reviews: 4 Emergency drill date: Apr 22, 2025 Fire extinguisher expiration date: May 8, 2026 Smoke and carbon monoxide detector last test date: Apr 1, 2025 Water temperature: 107.4
Employees Mentioned
NameTitleContext
Kristi QuigelyAdministratorMet with Licensing Program Analyst during inspection
Abdoulaye ZerboLicensing Program AnalystConducted the inspection visit
Jina L. BorjaAdministrator/DirectorFacility administrator listed in report header
Inspection Report Annual Inspection Census: 109 Capacity: 137 Deficiencies: 0 May 15, 2024
Visit Reason
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: 6 Client files reviewed: 5 Clients medication administration records reviewed: 5 Last fire drill date: May 2, 2024 Smoke and carbon monoxide detector test date: Feb 15, 2024 Hot water temperature: 113.8
Employees Mentioned
NameTitleContext
Janira ArreolaLicensing Program AnalystConducted the inspection and authored the report
Calais AnguianoActing Executive DirectorMet with Licensing Program Analyst during the inspection and exit interview
Jina L. BorjaAdministrator/DirectorFacility Administrator named in the report
Inspection Report Complaint Investigation Census: 110 Capacity: 137 Deficiencies: 0 Dec 29, 2023
Visit Reason
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: 137 Census: 110 Staff on duty: 9
Employees Mentioned
NameTitleContext
Jacqueline Shaw RossLicensing Program AnalystConducted the complaint investigation and delivered findings
Jina BorjaHealth and Wellness DirectorMet with Licensing Program Analyst during investigation and exit interview
Billy TamesGeneral Manager/AdministratorProvided information and was interviewed regarding complaint poster and fire alarm incident
Matthew MurphyAdministratorNamed as facility administrator
Inspection Report Complaint Investigation Census: 110 Capacity: 137 Deficiencies: 1 Mar 21, 2023
Visit Reason
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)
DescriptionSeverity
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.Type B
Report Facts
Capacity: 137 Census: 110 Fine/Credit Amount: 504 POC Due Date: Apr 4, 2023 Price Increase Notice Period: 60 New Monthly Rent: 3125
Employees Mentioned
NameTitleContext
Javina GeorgeLicensing Program AnalystConducted the complaint investigation and authored the report
Joel EsquivelLicensing Program ManagerOversaw the complaint investigation
Matthew MurphyPrevious AdministratorProvided information regarding transportation and credit issued
Billy TamesCurrent AdministratorProvided statements regarding transportation policies
Karen LovettBusiness Office ManagerMet with Licensing Program Analyst during investigation and received report
Michelle DeFierraMemory Care DirectorInvolved in discussion about resident's bed provision
Inspection Report Complaint Investigation Census: 110 Capacity: 137 Deficiencies: 0 Mar 20, 2023
Visit Reason
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: 137 Census: 110
Employees Mentioned
NameTitleContext
Venus MixsonLicensing Program AnalystConducted the complaint investigation and delivered findings
Jina BoraHealth & Wellness DirectorMet with the Licensing Program Analyst during the investigation
Matthew MurphyAdministratorFacility administrator named in the report header
Inspection Report Complaint Investigation Census: 110 Capacity: 137 Deficiencies: 0 Mar 20, 2023
Visit Reason
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: 137 Census: 110
Employees Mentioned
NameTitleContext
Venus MixsonLicensing Program AnalystConducted the complaint investigation and delivered findings
Jina BorjaHealth & Wellness DirectorMet with the Licensing Program Analyst during the investigation
Inspection Report Complaint Investigation Census: 110 Capacity: 137 Deficiencies: 0 Mar 20, 2023
Visit Reason
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: 137 Census: 110
Employees Mentioned
NameTitleContext
Venus MixsonLicensing Program AnalystConducted the complaint investigation and assessment
Jina BorjaHealth & Wellness DirectorMet with the Licensing Program Analyst during the investigation
Matthew MurphyAdministratorFacility administrator named in the report
Jazmond D HarrisLicensing Program ManagerNamed as Licensing Program Manager on the report
Inspection Report Complaint Investigation Census: 110 Capacity: 137 Deficiencies: 0 Mar 20, 2023
Visit Reason
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: 137 Census: 110
Employees Mentioned
NameTitleContext
Venus MixsonLicensing Program AnalystConducted the complaint investigation
Jina BorjaHealth & Wellness DirectorMet with the Licensing Program Analyst during the investigation
Matthew MurphyAdministratorFacility administrator named in the report
Jazmond D HarrisLicensing Program ManagerNamed in the report
Inspection Report Census: 110 Capacity: 137 Deficiencies: 0 Mar 20, 2023
Visit Reason
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
NameTitleContext
Venus MixsonLicensing Program AnalystConducted the unannounced case management visit
Jina BorjaHealth & Wellness DirectorMet with Licensing Program Analyst during the visit
Inspection Report Complaint Investigation Census: 109 Capacity: 137 Deficiencies: 0 Mar 16, 2023
Visit Reason
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: 137 Census: 109
Employees Mentioned
NameTitleContext
Venus MixsonLicensing Program AnalystConducted the complaint investigation and delivered findings
Jina BorjaHealth & Wellness DirectorMet with Licensing Program Analyst during investigation
Matthew MurphyAdministratorFacility administrator named in report header
Jazmond D HarrisLicensing Program ManagerNamed in report as Licensing Program Manager
Inspection Report Complaint Investigation Census: 103 Capacity: 137 Deficiencies: 0 May 26, 2022
Visit Reason
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: 137 Census: 103
Employees Mentioned
NameTitleContext
Javina GeorgeLicensing Program AnalystConducted the complaint investigation and unannounced visit
Michelle De Leon FerreiraMemory Care ManagerMet with the Licensing Program Analyst during the investigation
Joel EsquivelLicensing Program ManagerNamed in the report as Licensing Program Manager
Inspection Report Annual Inspection Census: 108 Capacity: 137 Deficiencies: 0 May 11, 2022
Visit Reason
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
NameTitleContext
Michelle De Leon FerrieraMemory Care ManagerMet with Licensing Program Analyst during inspection and received a copy of the report.
Javina GeorgeLicensing Program AnalystConducted the unannounced annual inspection.
Joel EsquivelLicensing Program ManagerNamed in the report as Licensing Program Manager.
Inspection Report Complaint Investigation Census: 108 Capacity: 137 Deficiencies: 0 May 11, 2022
Visit Reason
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: 137 Census: 108
Employees Mentioned
NameTitleContext
Javina GeorgeLicensing Program AnalystConducted the complaint investigation and unannounced visit
Joel EsquivelLicensing Program ManagerNamed as Licensing Program Manager on the report
Michelle De Leon FerreiraMemory Care ManagerMet with Licensing Program Analyst during the investigation and participated in exit interview
Inspection Report Original Licensing Capacity: 137 Deficiencies: 0 Apr 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: 137 Bedridden capacity: 37
Employees Mentioned
NameTitleContext
Michelle SwearingenAdministratorFacility Administrator present during the pre-licensing inspection
Stephanie WilliamsLicensing Program AnalystConducted the pre-licensing inspection
Efren MalagonLicensing Program ManagerNamed in the report as Licensing Program Manager
Inspection Report Original Licensing Capacity: 137 Deficiencies: 0 Apr 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
NameTitleContext
Michelle SwearingenAdministratorParticipant in Component II licensing process
Meghna DavidsonApplicantParticipant in Component II licensing process
Julia KimLicensing Program ManagerNamed in report header
Thai DoanLicensing Program AnalystNamed in report header and signed report

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