Green Merrylands Murrieta Home.

On July 7, 2026, Licensing Program Analyst (LPA), Ivashia Wright, arrived at the facility unannounced to conduct a Case Management - Deficiencies Inspection. LPA met with Caregiver, Nidya Reynoso, explained the purpose of the visit, and inspected the facility. LPA told caregiver Nidya a deficiency is being issued to the facility due to LPA observing an incomplete Medical Assessment (602A) in R1's files dated 8/21/2025. LPA observed pages 2-9 of the (602A) were blank. LPA had observed the incomplete (602A) during a complaint investigation with complaint number 18-AS-20260701094201. Based on the information above deficiencies will be cited per Title 22, California Code of Regulations , Division 6, Chapters 8. An exit interview was conducted and a copy of this report was discussed and provided to Nidya Reynoso.

Licensing Program Analyst (LPA) Abdoulaye Zerbo conducted an unannounced visit for a required annual inspection . The LPA was greeted by Caregiver Karim Ibarra Morales , notified them of the purpose for the visit and was allowed to enter the facility to conduct the inspection. Facility Overview: The facility is a single- story building with 4 residents bedrooms, 1 staff bedroom, 3 bathrooms, a kitchen, a laundry room and a garage. There is no gated pool and there are no firearms on the premises. Infection Control: LPA observed that hygiene and cleaning supplies were available for regular facility maintenance. The facility’s infection control plan was reviewed and found to meet department's requirements. Physical Plant: The physical plant, including floors, windows, and doors, was not well maintained. LPA observed two exterior window screens and one door screen to have tears . Citation will be issued. Fixtures and furniture were in good repair. Laundry equipment was in good working condition. Sharp and dangerous objects were securely locked in the kitchen and inaccessible to residents in care. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 The smoke detectors and carbon monoxide detectors were operable. LPA observed fire extinguisher not to be in compliance with the department's requirements. The last serviced date was 06-10-24. Citation will be issued. The water temperature tested within regulations measuring 108.5 F. Care & Supervision/Administration: Adequate staff were present to supervise residents during the visit. The Administrator holds a current Administrator's certificate with the expiration date of 05-02-2026 and a CPR certification with the expiration date of 11-25-2025. Record Review and Resident/Staff Files: LPA reviewed files for 2 staff members, confirming criminal clearance, updated training, and health screening. 2 residents' files were reviewed and contained all required documentation. LPA observed first kit to be available for the clients in care. The residents and staff files were kept locked and inaccessible to unauthorized individuals. Health-Related Services/Incidental Medical Services: All residents' medications were securely locked upstairs in the medication room. LPA reviewed medication for 2 residents confirming that all medication were listed and accounted for. Disaster Preparedness: LPA reviewed the facility’s emergency and disaster plan, including documentation of the last emergency drill conducted on 11-05-2025, which met the department's requirements. All facility exits were clear of obstructions. Deficiencies were cited during the visit. An exit interview was conducted, during which this report, the 809-D and the appeal rights were reviewed, and a copy was provided to Caregiver Karim Ibarra Morales.

Additionally, Sandy corroborated that S1 was encouraged to use translator tools when they needed to understand more complex conversations. Information obtained from resident interviews revealed that 2 out of 5 individuals experienced difficulty communicating with S1. Residents reported that S1 was unable to communicate effectively, noting that their requests were often misunderstood or disregarded. Interview with Additional Witness 1 (AW1), it was reported they observed S1 unable to communicate with the residents in care throughout their visit. AW1 further stated that during the exit interview, S1 relied on a translator device and did not verbally acknowledge AW1 to confirm their understanding of the information provided. AW1 further noted that, based on the interaction, it was unclear whether S1 would be capable of effectively communicating and responding properly in the event of an emergency. LPA was unable to interview S1 due to their resignation in February 2025 and their inability to contact them. Through file reviews, information obtained revealed that the Plan of Operation includes a Job Description stating that staff must be able to interact professionally and respectfully with residents, visitors, licensing agents, and other community agencies. Based on interviews and record reviews, the allegation that staff are not able to communicate effectively with residents in care is substantiated. A finding that the complaint is SUBSTANTIATED means that the allegation is valid because the preponderance of the evidence standard has been met. This poses a health and safety and or personal rights risk to residents in care. The facility will be cited. An exit interview was conducted. A copy of this report was provided to facility representative Osvaldo Nunez, along with a copy of the LIC9099-C, LIC9099D, and Appeal Rights were provided.

Licensing Program Analyst (LPA) Mary Flores conducted an unannounced case management visit regarding deficiencies observed during a complaint investigation visit. LPA met with Oswald Nunez and explained the reason for the visit. On 9/30/25 during a complaint investigation visit. LPA reviewed food supplies and observed 9 cans of mixed vegetables, 9 cans of peaches, 1 box of oatmeal, 3 boxes of pancake mix, 1 box of cereal, 1 bag of cereal, 2 jars of jelly, 1 jar of peanut butter, 2 bags of bread, 1 bag of tortillas, empty gallon of milk, less than 1 pound of grapes, about 6 strawberries, 3 eggs, 4 tomatoes, 1 pepper, 1 bag of string beans, 2 bags of potato tatters, 1 bag with some chicken 1 bag of vegetables, 1 frozen chicken. Per Title 22 Regulations facility should have at least 2 days of perishables and 7 days of non-perishables which include a variety of foods. Currently the facility has 4 residents. Therefore, the facility does not meet this requirement. Deficiency noted on LIC 809D per Title 22 Regulations. Exit interview was conducted with Oswaldo Nunez and a copy of this report was provided.

This Case management – Deficiencies inspection is being conducted by Licensing Program Analyst (LPA) Abdoulaye Zerbo on 07-14-25 for the purpose of issuing citations for deficiencies observed during the investigation into Complaint Control No. 18-AS-20250711151040. LPA met with Caregiver Titus Irungu and explained purpose of the visit. During the visit, no records of Resident 1(R1) were present at the facility for LPA to review. Based on observations, and interviews , deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. See LIC809-D. An exit interview was conducted and a copy of this report and appeal rights was discussed with and provided to facility representative Titus Irungu

Licensing Program Analyst (LPA) Janira Arreola conducted an unannounced annual required visit on 10/4/2023. LPA was granted entry and met with staff, Dennise Gutierrez, who was informed of the purpose of the visit. At the time of the visit there was (1) staff and (1) clients present. The facility is a one story home with (6) bedrooms and (3) bathrooms with attached garage. No pools or firearms are being kept at the facility. The residents served are elderly ages 60 and over. The facility is approved for a capacity of (6) non-ambulatory residents of which (1) may be bedridden. LPA conducted a tour of the interior and exterior, reviewed facility documents and conducted a staff and resident interviews. LPA observed the following: Infection Control: The LPA observed hand washing stations in the facility stocked with supplies and hand washing signs. LPA observed PPE equipment and cleaning supplies to do regular cleaning of the facility. The facility has an infection control plan, however the licensee and staff were unable to show these documents in a timely manner. Physical Plant: Physical plant, floors, windows, and doors were observed to be clean. Facility is in need of repair, with broken ramp. The smoke detector and carbon monoxide was operational, and the hot water temperature 105.8F. LPA observed unlocked chemicals in the laundry room, this will be cited. LPA observed staff belongings in an unapproved room which is used as a passage way to a restroom. Facility will be cited for this. Care & Supervision / Administration: The licensee has a staff schedule, however the licensee was unable to provide this to the LPA in a timely manner. Facility sketch, exit routes, personal rights, complaint information and emergency phone numbers were found posted in the facility. The listed administrator, possesses a current administrator's certificate. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Record Review and Resident/Staff Files: LPA reviewed (3) staff files and training. (1) staff does not have CPR on file. Staff training was not provided to the LPA during the time of the visit. (1) staff is currently residing in the home and does not have a staff file at the facility. Two (1) resident file was reviewed, and possessed all required paperwork. The facility will be cited for incomplete staff files. Health Related Services/ Incidental Medical Services: All client medication was kept locked in facility pantry. The LPA observed medication for Resident #E1 (R1) whom no longer resides at the facility. LPA observed undestroyed controlled medication for the resident is being stored at the facility. Facility will be cited for this. Due to time constraints, the annual will be continued on a later date. Observations were documented and will be addressed during the annual continuation. An exit interview was conducted where a copy of this report, 809-D pages and appeal rights were reviewed and provided to staff, Dennise Gutierrez.