Brookdale Murrieta

On 3/3/2026, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced visit to the facility for the purpose launching the complaint investigation into the allegation listed above. LPA met with Executive Director Cindy Garcia and explained the purpose of the visit. Information received alleged staff did not prevent Resident #2 (R2) from inappropriately touching Resident #1 (R1). Interviews conducted with facility staff report that R1 had a history of making false allegations against other residents in care. Staff reported that on 10/25/2025, R1 alleged an unknown staff member enter into R1’s room and sexually assaulted R1. It was reported that Executive Director (ED) contacted the local police department, and an investigation was conducted pertaining to the incident. Interviews with staff and R1’s responsible person reported that R1 had a surveillance camera in R1’s room which was monitored by R1’s responsible person. (Continue to LIC9099C) UnsubstantiatedRead the full finding— CDSS inspection report, March 3, 2026 · control 18-AS-20260223172841

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced subsequent complaint investigation visit. LPA met with Celia Saldivar and explained the reason for the visit. The investigation consisted of the following: On 7/5/23 LPA Mixson conducted an unannounced initial complaint investigation visit, interviewed 4 residents and 5 staff, and requested pertaining documents. On 10/27/25 LPA Flores contacted administrator and requested copies of physician’s report, service plan, admission agreement, medication list, notes, incident reports for resident #1(R1). On 10/29/25 LPA Flores conducted interviews over the phone with 5 staff. On 10/30/25 LPA conducted interviews with 3 residents over the phone. On 11/3/25 LPA Flores interviewed 3 additional residents and conducted a tour of the facility during another complaint investigation. On 11/4/25 LPA delivered findings for the above allegations. (CONTINUED ON LIC 9099C) UnsubstantiatedRead the full finding— CDSS inspection report, November 4, 2025 · control 18-AS-20230629115702

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced subsequent complaint visit regarding the above allegations. LPA met with Cindy Garcia and explained the reason of the visit. The investigation consisted of the following: On 12/1/23 LPA Shaw Ross conducted an initial complaint investigation visit, interviewed 4 staff, 1 resident, and requested the pertaining documents. On 10/27/25 LPA Flores contacted administrator and requested copies of physician’s report, service plan, admission agreement, notes, incident reports for resident #1(R1). On 10/29/25 LPA Flores conducted interviews over the phone with 5 staff. On 10/30/25 LPA Flores interviewed 3 residents over the phone. On 11/3/25 LPA Flores conducted a facility tour and observed 6 randomly chosen resident bedrooms, interviewed 3 additional residents and delivered findings for the above allegations. The investigation revealed the following: Regarding allegation: Staff did not ensure that resident was bathed. It is allRead the full finding— CDSS inspection report, November 3, 2025 · control 18-AS-20231128085956

Licensing Program Analyst (LPA), Jacqueline Shaw Ross made an unannounced visit to deliver findings for the allegations noted above. LPA met with Celia Saldivar, Business Office Coordinator and explained the purpose of the visit and the elements of the allegations. The investigation consisted of observations, interviews, and records review. On 08/02/2023, Community Care Licensing received an allegation that staff are overcharging resident in care and staff do not provide resident with an itemized list of charges. R1 and his wife (R2) share a unit at the facility together. It was alleged that R1 noticed what appeared to be a double charge on their bank statement of Personal Service charges for May 2023. Per interview with R1, stated they did not understand the charges and expressed that staff in the facility seemed unwilling to explain charges to him. LPA interviewed both R1 and R2, as well as reviewed their bank statement. Cont'd on LIC9099C.... UnfoundedRead the full finding— CDSS inspection report, December 1, 2023 · control 18-AS-20230802133907

On July 05, 2023, Licensing Program Analyst (LPA), Venus Mixson arrived to the facility unannounced to conduct additional staff and resident interviews, and deliver findings to concluded the investigation. LPA Mixson met with the Administrator introduced herself and stated the purpose of the visit. LPA Mixson toured the facility and made observations pertaining to the listed allegation. Present currently at the facility were 45 staff and 62 residents. There were no deficiencies and/or civil penalties cited per Title 22, Division 6, of the California Code or Regulations during this visit. The listed allegation was investigated, and based on staff and resident interviews, record reviews and observations, there was not a preponderance of the evidence strand to demonstrate the listed allegation did or did not occur. On 12/05/2022, Community Care Licensing (CCL), received information stating that the facility staff failed to respond to a residents' call button in a timely manner. InformatioRead the full finding— CDSS inspection report, July 5, 2023 · control 18-AS-20221205121619

Licensing Program Analysts (LPAs) Tricia Danielson and Cheryl Goodrich arrived unannounced to the facility to conclude an investigation into the allegations listed above. LPA met with Health and Wellness Director Hanofi Adogiawerie and explained the purpose of the visit. Regarding the allegation "Staff neglect resulted in resident becoming malnourished and dehydrated" and "Facility failed to follow residents plan of care", it was alleged Resident #1 (R1) was not provided assistance with eating their meals, as agreed upon when admitted to the facility. A review of the admission agreement, R1 was admitted on 03/16/2021. It was further alleged that R1 was not woken up when meals were delivered to their room. Although it was alleged that R1 was dehydrated, it was also simultaneously reported by the Complainant that on several occasions, empty water bottles were found in R1’s room. A review of R1’s physician report dated 01/27/2021, revealed R1 was able to feed self. A review of R1’s PersonRead the full finding— CDSS inspection report, June 12, 2023 · control 18-AS-20210607133843

Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to commence a complaint investigation pertaining to the allegation(s) listed above. LPA was greeted and entry by Hanofi Edogiawerie Health and Wellness Director. LPA met with Executive Director Cindy Garcia and explained the purpose of the visit. The allegation(s) noted above were investigated. The investigation consisted of observations, interviews and record review. Regarding the allegation of facility did not notify resident's family of resident's fall(s). Resident #1 (R1) was admitted to the facility on September 21, 2015. R1 was noted to have a motor impairment as they have weakness and neuropathy. As a result, R1 used a wheelchair, walker and required a two-person assist. On October 11, 2021 R1 did sustain a fall where they reportedly rolled out of their bed, that was stated to not have been reported, by the previous administrator Queen Ayers. Queen was not aware of the incident until having tRead the full finding— CDSS inspection report, April 10, 2023 · control 18-AS-20220223120053