Renaissance Village Murrieta

Type of visit: Required - 1 Year

On 1/15/2026, Licensing Program Analyst (LPA) Valerie Flores conducted an unannounced 1-year required visit. LPA met with Area Director of Operations, Jonetta Eads, and explained to Jonetta the purpose of the visit. LPA conducted a tour of the facility alongside Jonetta and observed the following: The facility is a four-story structure that has a designated activity area, fitness room, formal dining room, and more. During the visit, LPA toured randomly selected resident apartment style units. Resident bedrooms were observed to have the required bedding, furniture, seating, and functional lighting. Each resident units had it's own private bathroom. The selected bathrooms were observed to be in operating condition. Shower areas were observed to be equipped with the required grab bars and slip resistant materials. Water temperature was measured and determined to meet within regulation standards. The facility maintained a (2) two-day supply of perishable foods and (7) seven-day supply of non-perishable foods. LPA observed a locked medication room for residents who require assistance with medication management. The facility maintains a fully stocked first-aid kit. LPA observed an outdoor shaded area that was fully furnished. LPA inspected the fire extinguisher and found it to be in compliance and record to be up to date. LPA observed several carbon monoxide alarms throughout the facility. Indoor and outdoor passageways were observed to be free from obstruction. Facility maintained a clean and odor-free environment. Per Jonetta, there are no firearms and/or ammunition on the premises. LPA observed the required postings of the emergency disaster plan, see something say something, LTCO information, and more. (Continue to LIC809C) (Continuation of LIC809) Resident records reviewed conducted included but not limited to signed admission agreements, pre-placement appraisals, needs and service plans, medical assessments, identification and emergency information, and personal rights. Staff records review conducted included but not limited to signed job descriptions, criminal record clearance, SOC341A, valid first-aid/CPR Certification, and relevant training's. During the visit, LPA did not observe any health and safety concerns. An exit interview was conducted and a copy of this report was provided to Jonetta.the state’s words, verbatim · CDSS document, Jan 15, 2026

Allegation investigated: Staff is not administering resident's medication as prescrible. Staff spoke to resident in an inappropriate manner.

On September 24, 2025, Licensing Program Analyst (LPA) Antonine Richard conducted a complaint visit to the facility to deliver findings on the allegations listed above. LPA met with the Executive Director, Brian Taube, and the purpose of the visit was explained. The investigation consisted of the following: LPA toured the physical plant with the Executive Director Brian Taube (ED). LPA reviewed R1’s service records (Admission Agreement (dated 03/30/2018), Physician’s Report (dated 03/18/2018, to 11/15/2022), Resident assessment (dated 03/30/2018 to 11/15/2022). LPA obtained the facility's Medication Administration Records (dated 08/1/2025 to 09/23/2025).S LPA obtained copies of the residents' and staff rosters. Staff training records. LPA interviewed the Executive Director (ED), four (4) staff (S1-S4), and seven residents #2-8 (R2- R8). Unfortunately, LPA was unable to interview R1 due to R1 Passing in October 2024. Report continues, see LIC9099-C. Unsubstantiated Allegation #1: Staff is not administering resident's medication as prescribed. The complaint alleges that staff are not following the resident’s doctor’s orders in administering the resident's medications. On September 24, 2025, between 10:30 AM and 1:30 PM, the Licensing Program Analyst (LPA) conducted interviews with the Executive Director (ED), who denied the allegation. The ED explained that the facility utilizes a medication administration system called Quick Mar, which the Medication Technicians (Med Techs) follow to ensure proper medication delivery to residents. During the same time frame, the LPA also interviewed four additional staff members #1-4, all of whom similarly denied the allegations. Additionally, a Med Tech (MT) was interviewed, and they also denied the allegations, emphasizing that they are very thorough when it comes to administering residents' medications. If the facility receives medication from the pharmacy without a doctor's orders, the medication technician (MT) will call the pharmacy to request the doctor's orders. It is crucial to have these orders, so the MT knows when the medications were prescribed and how the doctor intends for them to be administered. The MT also mentioned that they do not administer any internal medications; that responsibility falls to hospice staff or nurses. On September 24, 2025, between 10:30 AM and 1:30 PM, the LPA interviewed seven residents (R2-R8). All seven residents reported never experiencing any issues with their medications. They also stated that the MTs are very helpful regarding their medication needs. On the same date, the LPA reviewed the R1 Physician Report (covering the period from March 30, 2018, to November 17, 2022), which indicated that the resident was under hospice care. The LPA also examined the Medication Administration Records for five residents (ranging from August 1, 2025, to September 23, 2025) and found no discrepancies in any of the residents' medications. LPA could not interview R1, as R1 left the facility for a higher level of care in 2023. Unfortunately, R1 passed away in October 2024. Based on LPA Record Reviews and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. Allegation: #2: Staff inappropriately spoke to residents. The complaint alleges that the staff spoke in an inappropriate manner to the residents. On 09/24/2025, between 10:30 am 1 and 30 pm, LPA interviewed the ED, who denied the allegation and stated that the staff here would not speak to any of the residents in an inappropriate manner whatsoever. On 09/24/2025, between 10:30 am and 1:30 pm, LPA interviewed four staff (S1-S4). 4 out of 4 denied the allegation and stated that they would not speak to any of them in any way inappropriately. The LPA interviewed the Medical Technician (MT), who denied the allegations and stated that the staff would not act inappropriately. While the tone of the staff may differ from what residents are accustomed to, it is not intentional. On September 24, 2025, between 10:30 AM and 1:30 PM, the LPA interviewed seven residents (R2-R8). All seven residents denied that the staff spoke to them inappropriately. They described the staff as very nice and friendly. During the same visit, the LPA observed residents during lunchtime, where they interacted with the staff in a friendly manner, sharing laughter. Additionally, the LPA reviewed staff training records on topics such as Abuse and Neglect of Adults and the Elderly (dated October 24, 2025), Respecting Resident Rights, Promoting Dignity, and Encouraging Independence (dated October 26, 2025), Special Care Needs, including Oxygen, Ostomy, Catheter, and Skin Breakdown (dated October 26, 2023), and Understanding Dementia Care and End-of-Life Care Goals (dated September 12, 2022, and August 24, 2022). These records indicate that staff are trained in various aspects of resident care. LPA could not interview R1, as R1 left the facility for a higher level of care in 2023. Unfortunately, R1 passed away in October 2024. Based on LPA Record Reviews, observations, and interviews conducted, the preponderance of evidence standard has not been met. Although the allegation may have happened or is valid, there is no preponderance of evidence to prove that the alleged violation occurred. Therefore, the above allegation has been Unsubstantiated. No deficiencies cited. Exit interview conducted. A copy of this report was provided to Executive Director, Brian Taube.the state’s words, verbatim · CDSS document, Sep 24, 2025 · control 18-AS-20220929110343

Allegation investigated: Due to neglect, staff caused injuries to a resident while in care

Licensing Program Analyst, Yolanda Delgado arrived unannounced to the facility and met with Brian Taube in order to deliver the findings for the complaint allegation listed above. During the course of the investigation, staff interviews were conducted along with record reviews. On February 22, 2023, the Department received a complaint alleging neglect by staff caused injuries to a resident while in care. It was reported that Executive Director (ED), Brian Taube allowed Resident #1 (R1) to sit on their walker chair while the ED pushed R1. It was reported that while ED was pushing R1, to transport R1 from the doctor’s office to the vehicle, the walker hit a crack on the tiled floor. R1 then fell backwards off the walker. R1 complained of pain and the ED contacted 911. R1 was transported to the emergency room. (Continued on Page 2) Substantiated (Continued from Page 1) Medical records were obtained. The review of the Consultation dated 11/12/2022 revealed the chief complaint of R1 using the walker as a wheelchair and fell, with complaint of pain in the occipital region and lumbar area. The Assessment/Plan section of the consultation revealed “Right-sided L1-3 transverse process fractures following a fall out of the wheelchair.” Staff interviews were conducted. The staff reported the ED was doing transportation on the day of the fall. R1 was taken to a medical appointment. The staff revealed speaking to the ED after the incident. The staff reported the ED informed them when the ED arrived to pick up R1, R1 refused to walk and demanded to be pushed on the walker. The wheel of the walker hit the concrete, the walker tilted and R1 fell onto the concrete. When R1 complained of pain, the ED called 911. The staff further revealed that the walkers are not meant to be sat on and that this is common knowledge at the facility. A second staff interviewed, revealed R1 could walk with a walker, and it had a seat in the middle. This second staff also stated residents and staff were not allowed to use the walker as a wheelchair. ED admitted that R1 was pushed on their walker and due to the walker hitting an obstruction on the floor, R1 fell off walker and onto the floor. The ED reported R1 sat down on the walker, facing him, and he started to push R1 on the walker. The walker hit something that he assumed was the union between two tiles and R1 fell backwards onto the floor. R1 complained of pain and the ED called 911. The ED described the walker as having a seat in the middle with a back rest. When asked if this was a dual function walker that could also be used as a wheelchair, the ED replied he did not like to use it as a wheelchair. The ED reported he discouraged other residents from using it as a wheelchair. However, he denied ever telling caregivers to monitor or remind residents to not use the walker for that purpose. The ED also denied knowing about any policies that talked about the proper use of the walker. The ED reported that he was now aware that the walkers were not safe to be used as wheelchairs. Based on review of a website called unicarehealth.com the seat walker cannot be used as a wheelchair. The product is designed to give the resident a rest as they fatigue or become unsteady. The website goes on to explain the structure of the frame and wheels provide only a small wheel base which can tip easily if the walker hits a curb or bump in an uneven pavement or path. When the resident is in a seated position and being pushed backwards, the seat has little support for the resident in this instance causing them to fall in a backwards direction with little or no opportunity to facilitate any action to save themselves from the fall. (Continued on Page 3) (Continued from Page 2) Based on interviews, record reviews and review of website for proper use of a similar product, the allegation that due to staff neglect, staff caused injuries to resident while in care is Substantiated. This poses a health and safety/personal risk to residents in care and the facility will be cited on Title 22 Regulations. An immediate civil penalty of $500 is being assessed. In accordance with H&S Code Section 1569.49(e), the determination of additional civil penalties for a violation that resulted in a serious injury to the resident, is pending and under review by the Department. An exit interview was conducted where this report, 9099D, and LIC421 along with appeal information was discussed and provided.the state’s words, verbatim · CDSS document, Feb 5, 2025 · control 18-AS-20230222163013

From the deficiency page — Deficiency type: Type B · Section cited: HSC 1569.49(e) · Plan of correction due date: Feb 12, 2025

1569.49 Civil penalties; regulations setting forth appeal procedures for deficiencies. (e) For a violation that the department determines resulted in the death of a resident, the civil penalty shall be fifteen thousand dollars ($15,000). This requirement was not being met as evidenced by: staff neglect, staff caused serious injuries to resident while in care This poses an immediate health and safety risk to residents in care.the state’s words, verbatim · CDSS document, Feb 5, 2025

Plan of correction: Licensee stated staff have been retrained on the proper use of walkers. Licensee will ensure all staff will transport residents safely and properly. Licensee will email copies of training records to LPA by POC due date.

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Kathleen Banrasavong arrived unannounced to conduct an annual inspection. Upon arrival LPA was greeted by facility staff and granted entry. LPA began inspection with introduction and visit purpose. Upon arrival LPA learned that ninety-five (95) residents live at this facility. The Executive Director, Brian Taube was advised of the annual and conducted and completed the facility tour, along with the Assistant Executive Director, Juan Vergara. Client Records/Incident Reports/Clients Rights Information: LPA reviewed client records. Ten (10) records were reviewed. LPA reviewed for identification and emergency information, admission agreement, medical assessment, and TB test results, needs and service plans, placement, functional assessment, centrally stored medication/destruction records, safeguard for personal property/valuables, and personal rights notification. Personnel Records/Training/ Staffing/ Administration: LPA reviewed employee records. Ten (10) records were reviewed. LPA reviewed employee records for first aid certification, criminal record clearance or an exemption, health screening and TB test results, employee rights, training verification, and current administrative organization. Brian Taube, Administrator’s certificate expiration date is 10/06/2025. Food Service: Food prep areas are clean and organized. Food supply meets the requirement of one (1) week supply of nonperishable and two (2) day supply of perishables. The facility has food supplies delivered twice a week. Emergency food and water supply is present. There is a location for sharps in the kitchen. Physical Plant and Safety of Environment/Operational Requirements: LPA toured the facility inside and outside. This facility is a three-story building. The Memory Care Unit is located in separate buildings. LPA observed the facility to be clean and in good repair. The facility is maintained at 75 degrees for the client’s comfort. Lighting is sufficient for safety. Water temperature measured 108.0 degrees F. Laundry is done in the designated laundry rooms throughout the facility. There is a locked location for storing laundry soap, cleaning supplies and chemicals in the housekeeper’s closet. All outdoor and indoor passageways are free of obstruction. Emergency lighting is available. There is a telephone working at this location. The LIC 610, emergency disaster plan is maintained. There are no firearms at this facility. There are zero (0) fireplaces at this facility. There are zero (0) pools at the facility. There is a secured perimeter surrounding the facility. LPA observed emergency supplies and several first aid kits, throughout the facility. During today's visit LPA tested the pull cord alert system located in room #105. LPA checked and verified the resident’s pull cord was functional and operational. The LPA did not test pull cords in the Memory Care Units due to the buildings not having any pull cords. LPA observed adequate staffing in the memory care units. Infection Control: The LPA observed the hand washing stations in the facility restrooms and kitchen had hand hygiene supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. LPA reviewed the facility's infection control plan which met department requirements. LPA reviewed staff records and found that staff had infection control training. Medications/Health Related Services/Incidental Medical Services: The medications are centrally stored. There is a locked cabinet allocated for medication storage. Centrally stored medication and destruction logs are maintained separately. LPA reviewed medication logs and observed that they were dispensed accurately. LPA made observation throughout the inspection process to assess if the facility remains in conformity with the State Fire Marshall regulations. LPA observed dual smoke detectors and carbon monoxide detectors throughout the facility. There were several fire extinguishers throughout the facility, date charged was 07/05/2024. The latest fire inspection was conducted on 11/19/2024. Pursuant to Title 22 of The California Code of Regulations Division 6, there are zero (0) deficiencies observed. An exit interview was conducted, this LIC 809 was reviewed with, and a copy of this report was provided to Executive Director, Brian Taube.the state’s words, verbatim · CDSS document, Jan 16, 2025

Allegation investigated: Staff did not provide a proper rate increase notice to the resident or the residents' representative. Staff did not follow proper Pre-Admission Appraisal procedures.

Licensing Program Analyst (LPA) Jacqueline Shaw Ross conducted a visit to the facility and met with Juan Vergara, Business Office Manager. The purpose of the visit was to deliver findings for the above allegations. The investigation consisted of interviews with staff, clients, additional witnesses, and record review. On 10/31/2023, Community Care Licensing received a complaint alleging the facility did not provide a proper rate increase notice to resident and did not follow proper pre-admission appraisal procedures. It was reported that Resident #1 or responsible party did not receive documentation regarding the rate increase. Information obtained from an interview with Executive Directors and Resident/Representative indicate the Admissions Agreement was read and reviewed prior to their signing and Resident/Representative was aware that there would be rate increases; however, it did not indicate the dates the increases would occur. Information obtained from interviews with Executive Directors Brian Kaupe and Janae Orona indicated they were not notified by upper management of the upcoming increase in level of care fees until after resident/representatives signed the agreement. Interview with additional witness indicate they were not informed of the upcoming increase in fees until after their signing of the Admissions Agreement. Record review revealed the Admission's Agreement was signed by the Resident's Responsible Party on 10/2/2023. Unfounded Record review also revealed a letter of increase in level of care fees was mailed to RP on 10/9/23 indicating the increase would take effect on 1/1/2024. Resident’s Responsible Party acknowledged receipt of the letter. Interview with Executive Directors report the increase was unintentional and representatives attempted to rectify the issue by delaying the increase of level of care by one year. It was advised that the increase for Resident would begin on 1/1/2025. Record review revealed this letter was mailed to all residents 60 days prior to the effective date of increase per program admissions agreement. Resident #1’s Responsible Party declined the offer and removed Resident #1 from the facility prior to the increase in fees. Based on observation, interviews, and record review, the allegations that staff did not provide a proper rate increase notice to the resident/resident's representative, and that staff did not follow proper Pre-Admission Appraisal procedures is UNFOUNDED. A finding that the complaint is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis. An exit interview was conducted, and a copy of this report was provided to Juan Vergara, Business Office Manager.the state’s words, verbatim · CDSS document, Jun 24, 2024 · control 18-AS-20231031153951

Type of visit: Required - 1 Year

On 1/24/2024, Licensing Program Analyst (LPA) Chinwe Nwogene arrived unannounced at the facility to conduct an annual inspection. LPA Nwogene met with Senior Executive Director, Brian Taube and Executive Director, Janae Orona who were informed of the purpose of visit. The facility has (4) buildings, Building A, C, D, and E. LPA toured the buildings inside and out with Brian Taube and Janae Orona. The following was observed, reviewed, and inspected: The physical plant, in general, was in good repair. The facility is operating in the capacity approved by Community Care Licensing (CCL). The buildings and grounds were free from hazards. Outdoor and indoor passageways were kept free of obstruction. LPA inspected a sample of resident bedrooms and bathrooms in the Assisted Living & Memory Care Unit. Resident bedrooms have the required bedding and furniture; such as clean mattresses, night stands, storage space, and sufficient lighting. Room temperatures were comfortable for residents in care. LPA inspected a sample of resident bathrooms; bathrooms were observed to be clean and equipped with grab bar and non-slip mat. There is also a good number of personal toiletries available for the residents in care. LPA measured the hot water temperature in the sampled bathrooms, in which all bathroom sinks measured within regulation. Sampled. Bedrooms were equipped with a pull cord system to notify staff of any emergencies. LPA toured the kitchen and dining area. The facility was stocked with a 2-day supply of perishable and 7-day supply of non-perishable food items that were labeled appropriately. The facility had a menu posted and available for review. Dishes, glasses, and utensils were in good condition and stored in a healthful manner. LPA inspected the common areas. LPA inspected the fire extinguisher and found it to be in compliance and record to be up to date. LPA observed several carbon monoxide alarms throughout the facility. Carbon monoxide & smoke detector were tested and functioning properly. There was a locked and centralized storage area for medications, including refrigerated medications. Medications appeared to be dispensed and documented appropriately. The facility had a designated area for resident files and staff files. Emergency disaster plans, personal rights, and complaint procedures were posted in a prominent area. There was adequate seating in the common areas and several activity rooms. LPA observed several activity posters. The facility was also equipped with a complete first aid kit as well as the first aid manual. LPA inspected the outdoor area of the facility. There was shaded area with seating. Overall, the facility was clean, in good repair, and operating in safe conditions for residents in care. No deficiencies were cited during this visit. An exit interview was conducted where this report was discussed and a copy was provided to Brian Taube.the state’s words, verbatim · CDSS document, Jan 24, 2024

Allegation investigated: Staff falsified resident records

Licensing Program Analyst (LPA) Javina George made an unannounced visit to the facility to deliver findings for the allegation noted above. LPA met with Executive Director's Brian Taube and Jeanne Orona and explained the purpose of the visit and the elements of the allegation. The allegation was investigated, the investigation consisted of observations, interviews and records review. On 09/24/20 community care licensing received a complaint alleging that the facility falsified resident records. Resident#1 (R1) was admitted to the facility on 02/06/17. Upon admission R1 was diagnosed with Parkinson’s disease. On 09/07/20 R1 was sent at the emergency room due to swelling in their lower extremities. Per the emergency room report the patient history was provided by both the patient and facility staff. The patient history notes that patient history is limited due to dementia. LPA conducted a review of multiple Physician’s reports, Needs and Services plans and resident level of care assessments, where resident is noted as being a level 1, as well as being independent. The documentation reviewed Unsubstantiated was completed by the facility staff, and R1’s primary care physician dating back to February 2016, with the most recent being completed on 10/19/20. There is nothing noted confirming R1 to have a diagnosis of dementia. Additionally, LPA observed a copy of the fax cover letter sent by the facility Wellness Director that was requesting clarification of the dementia diagnosis for R1. A further records review revealed R1’s primary care physician provided a response on a medical script stating that R1 was never diagnosed with dementia, however stated that that R1 had a mild cognitive impairment due to their age. Due to the medical history being provided by both the resident and facility staff, and no documentation to support that staff in fact wrote dementia on R1's paperwork, the allegation is UNSUBSTANTIATED. A finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation(s) occurred. An exit interview was conducted and a copy of this report was provided to Executive Director's Brian Taube and Jeanne Orona.the state’s words, verbatim · CDSS document, Dec 12, 2023 · control 18-AS-20200924141733