Meadowbrook Health Care Center

    461 W Johnston Ave, Hemet, CA, 92543
    2.6 · 42 reviews
    • Independent living
    • Assisted living
    • Skilled nursing
    AnonymousLoved one of resident
    1.0

    Rundown unsafe facility with neglect

    I moved my mom here and wish I hadn't. The building is rundown and dirty, understaffed and often uncaring - nurses rude or absent, meds mishandled or missing, call buttons and bathrooms broken, pests and theft attempts, and residents left unattended after falls. A few caregivers (Jessica, Linda and some CNAs) were compassionate and attentive, but management is unresponsive and security is poor. I felt the place was unsafe and would not recommend without major changes and outside oversight.

    Pricing

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    Amenities

    Healthcare services

    • Activities of daily living assistance
    • Assistance with bathing
    • Assistance with dressing
    • Assistance with transfers
    • Medication management
    • Mental wellness program

    Healthcare staffing

    • 24-hour call system
    • 24-hour supervision

    Meals and dining

    • Diabetes diet
    • Meal preparation and service
    • Restaurant-style dining
    • Special dietary restrictions

    Room

    • Cable
    • Fully furnished
    • Housekeeping and linen services
    • Kitchenettes
    • Telephone
    • Wifi

    Common areas

    • Beauty salon
    • Dining room
    • Garden
    • Outdoor space
    • Small library

    Community services

    • Move-in coordination

    Activities

    • Community-sponsored activities
    • Resident-run activities
    • Scheduled daily activities

    2.60 · 42 reviews

    Overall rating

    1. 5
    2. 4
    3. 3
    4. 2
    5. 1
    • Care

      1.9
    • Staff

      2.7
    • Meals

      1.0
    • Amenities

      1.7
    • Value

      1.0

    Location

    Map showing location of Meadowbrook Health Care Center

    About Meadowbrook Health Care Center

    Meadowbrook Senior Living is a senior living community located in Hemet, California, offering both assisted living and independent living options tailored to the needs of its residents. The community is dedicated to providing an environment where seniors can enjoy a comfortable, engaging, and supportive lifestyle. Residents at Meadowbrook Senior Living experience life in a setting designed to balance freedom with the right level of assistance, ensuring that everyone receives the care and attention they need while maintaining their independence as much as possible.

    One of the highlights of Meadowbrook Senior Living is its commitment to providing high-quality meals and dining experiences for residents. Meals are carefully planned and prepared by chefs who focus on providing the right balance of vitamins and minerals, using quality ingredients to create dishes that are both nutritious and delicious. The dining experience is an important aspect of daily life at Meadowbrook, with a focus on making every meal enjoyable and something for residents to look forward to.

    Meadowbrook Senior Living understands the importance of engaging activities and community involvement. The community offers a variety of activities designed to support the social, physical, mental, and emotional well-being of residents. These activities are created to encourage residents to stay active, make new connections, and pursue their interests. The friendly and helpful staff fosters a welcoming environment, ensuring that everyone in the community feels at home and respected.

    Accommodation options at Meadowbrook Senior Living include one-bedroom apartments as well as semi-private rooms, giving residents the choice to select the living arrangement that best suits their needs and preferences. The community is pet-friendly, creating a comfortable atmosphere for pet owners and animal lovers. Attention to safety is a key consideration at Meadowbrook, with staff members focused on making residents feel secure while supporting their independence.

    With a reputation for offering compassionate care, quality services, and a vibrant social atmosphere, Meadowbrook Senior Living stands out as a welcoming and supportive environment for seniors looking for independent or assisted living. The combination of engaging programming, quality dining, and attentive staff makes Meadowbrook Senior Living a place where seniors can truly thrive.

    People often ask...

    State of California Inspection Reports

    103

    Inspections

    12

    Type A Citations

    42

    Type B Citations

    6

    Years of reports

    19 Jun 2025
    Identified ongoing staffing shortages on morning and evening shifts, with reports of only one staff member on duty and multiple 911 calls to lift a resident after falls. Residents and staff described limited supervision, noting no written fall procedures, and schedules showed two staff per shift while actual staffing varied.
    21 May 2025
    Investigated the medication management allegation; some residents received prescribed medications and refills on time, while others who self-managed meds experienced delays or missed doses. Found bed bug concerns described by residents, including past treatments and mattress replacements, but records were incomplete due to a change in ownership and not all staff could be reached, resulting in insufficient evidence to confirm or disprove either issue.
    21 May 2025
    Found that staff provide activities for residents, with five residents and two staff reporting ongoing activities (bingo, exercise, arts and crafts, ice cream socials) and a large activity calendar observed. Found the snack-related allegation unsubstantiated: resident reports were mixed (some received snacks between meals, others had to buy from a vending machine), staff cited meals plus snacks and noted the vending machine was added after time concerns, and the site had sufficient snacks during the visit.
    07 Nov 2023
    Verified the care setting’s living areas were clean and accessible, safety systems worked, and meals were provided; reviewed six resident files and six staff files with no regulatory violations identified.
    03 Dec 2024
    Found a concern about a telephone outage and an inability to contact a resident on 12/02/2024; eight interviews with residents, their representatives, and staff were conducted. Noted a balance due with the telephone service provider, reportedly paid for November 2024, and observed the line answered by staff during the visit; food supplies were sufficient, utilities were functioning, and no health or safety concerns were observed; no citations were issued.
    20 Nov 2024
    Found fire clearance approved for 49 non-ambulatory residents, including 20 bedridden. Determined the site met licensure requirements, with clean, well-maintained buildings, secure storage for medications and supplies, functioning safety devices, and current staff certifications; pre-licensing steps were completed with an exit interview.
    29 Oct 2024
    Identified that a closed laundry/storage building with red tags was still in use, with a washer running and clothes inside. Noted that laundry services are contracted, one deficiency was cited, and civil penalties of $500 were assessed.
    • § 87203
    07 Sept 2022
    Found that the allegation that staff forced a resident to eat food from the trash was unsubstantiated. Interviews and record checks showed no resident by that name and no evidence of anyone being forced to eat from a trash can; residents were provided snacks and meals.
    12 Aug 2024
    Investigated the allegation that a resident is being mistreated while in care; interviews with residents and staff and records review showed no clear evidence to prove or disprove the allegation.
    12 Aug 2024
    Reviewed allegations of mistreatment and inappropriate language towards residents, but no evidence found to support claims.
    22 Jul 2024
    Rescinded closure plan discussed after another entity filed an ownership change application; licensee planned to email the rescission request and expected the new owner's application to be received today.
    22 Jul 2024
    Confirmed licensee's decision to rescind closure plan and reported pending change of ownership application to the Department.
    12 Jul 2024
    Identified a fire clearance issue after discovering a red-tagged laundry/storage space in use, with a washer running and clothes inside; the caregiver stated a resident was using it, and documentation that residents and staff were notified that it must not be used was requested. One deficiency was noted.
    12 Jul 2024
    Identified one deficiency during the visit related to the use of a structure for laundry services.
    • § 87203
    12 Jun 2024
    Found no health or safety issues and no deficiencies cited during the visit; residents were observed in the living areas, outdoor smoking area, and bedrooms, while building 3 remained boarded and tarped with residents away. Noted that repairs for building 3 are tied to an insurance claim, with bids being sought for reconstruction and final checks delayed; fire department reports from 2022 and 2023 were reviewed.
    12 Jun 2024
    Confirmed no health or safety issues. Update on repairs from fire. Residents remain away from building 3.
    30 Apr 2024
    Found that on 4/30/2024, a case management visit checked progress on building 3 repairs after a fire, with residents seen in living areas and bedrooms and no health or safety issues observed. The building remained boarded and closed to residents, while evacuation routes and exit signs were observed.
    30 Apr 2024
    Confirmed no health or safety issues observed during the visit. No deficiencies cited.
    13 Mar 2024
    Identified twenty-five deficiencies across resident records, safety, and operations during an unannounced visit. Noted missing admission agreements and medical assessments, missing TB results and consent forms, expired administrator and CPR certifications, locked employee records, inconsistent water temperatures, inadequate lighting, absence of a carbon monoxide detector, aging fire safety equipment, and unverified emergency drills.
    13 Mar 2024
    Identified deficiencies in documentation, safety, staff certifications, cleanliness, and emergency preparedness during an inspection of a facility.
    • § 1569.311
    • § 87412(a)(11)
    • § 87405(d)
    • § 87412(a)(6)
    • § 87411(d)
    • § 87303(e)(2)
    • § 87303(e)(3)
    • § 87219(h)(2)
    • § 87303(i)(1)
    • § 87307(a)(3)
    • § 87307(d)(5)
    • § 87307(d)(6)
    • § 87456(a)(3)
    • § 87412(f)
    • § 87303(d)
    • § 1569.618(a)
    • § 87303(c)
    • § 87303(a)(1)
    • § 87415(a)
    • § 87303(a)
    • § 87412(a)(13)
    • § 1569.618(c)(3)
    • § 1569.695(c)
    • § 1569.725(a)(4)
    • § 87309(a)
    12 Mar 2024
    Found Building #3 boarded up and empty, with electrical issues noted and being addressed after inspectors’ visit. Found two deficiencies: not having a two-day supply of perishable food and nonworking kitchen refrigeration.
    12 Mar 2024
    Cited deficiencies included issues with food supply and refrigeration, as well as concerns raised by the Fire Department and Building and Safety regarding building maintenance and electrical issues.
    • § 87555(a)(b)
    • § 87555(29)
    27 Feb 2024
    Reviewed records related to a resident’s death following an unannounced case-management visit, including ID/emergency info, admission agreement, medical and psychiatric notes, appraisal/needs and services plan, preplacement appraisal, destruction records, and physician orders; MARs were unavailable because the original was given to another agency, and the death certificate will be provided when available. Found no deficiencies cited.
    27 Feb 2024
    Reviewed file and documents related to Resident #1, who passed away, during an unannounced visit. No deficiencies noted.
    13 Feb 2024
    Identified that a February 13 meeting discussed changing use of the site with attendance from management, licensing staff, the licensee, and an assistant administrator. The licensee stated they lost control of the property in 2021, the site is leased to a potential new owner whose licensure is pending, and they must submit proof of control by February 20, 2024; admissions were not being accepted, and an exit interview was conducted.
    13 Feb 2024
    Identified change of ownership issues at the facility during the meeting and reviewed closure requirements.
    19 Jan 2024
    Investigated a specific care-related allegation, conducted collateral visits, delivered amended findings, and obtained documentation for the related complaint, then reviewed the matter with the Administrator.
    12 Dec 2023
    Investigated four complaints and found them unsubstantiated or unfounded. Findings showed that residents under 60 were compatible with others; staffing was sufficient; personal accommodations and hygiene items were provided; and an administrator was in place.
    19 Jan 2024
    Confirmed findings related to a complaint and conducted a collateral visit for further documentation.
    28 Dec 2023
    Found no health or safety issues or deficiencies during an unannounced visit; observed residents in living areas, outdoor spaces, and bedrooms, and smoke alarms tested and operating in several rooms. Fire occurred in a building not housing residents; the structure is boarded and awaiting rebuilding, with permits secured, a contractor engaged, and insurance funds awaited.
    28 Dec 2023
    Conducted an unannounced visit, observed no health or safety issues, tested smoke alarms, and reviewed progress on fire damage repairs.
    12 Dec 2023
    Identified a bed bug infestation at the location, with residents reporting bites for months and observations of bed bug killer and mattresses not in plastic. Found inadequate food supplies (two-day perishable and seven-day non-perishable) with proof of purchase due by 5:00 pm, noted staff shopping during the visit, and that heat-based fumigation was planned during an upcoming barbecue after cracks were recently sealed.
    12 Dec 2023
    Confirmed that residents under 60 years old are compatible with others and that there was sufficient staff to meet their needs. Soap and hygiene products were provided despite low supplies following a fire. The facility did have an administrator with a valid certificate.
    12 Dec 2023
    Identified deficiencies in food supply and bed bug infestation during the visit. Residents reported bites and scratches from bed bugs.
    • § 1569.269(a)(5)
    01 Nov 2023
    Found insufficient evidence to prove the allegations that staff could not meet residents' needs, residents eloped, hygiene needs were not met, incompatible admissions occurred, or the heater was not working. The heater had been replaced in 2022, and some requested documentation was not provided.
    01 Nov 2023
    Identified a deficiency for failing to report residents' elopements to the licensing agency, based on records reviewed and staff interviews about three residents who left without notice.
    01 Nov 2023
    Found deficiencies in reporting requirements related to residents eloping from the facility.
    • § 87211(1)(d)
    05 Sept 2023
    Identified safety issues, including exit signs needing maintenance and a broken window in Building #2's dining area; additional information was provided and will be reviewed by licensing.
    05 Sept 2023
    Identified maintenance issues and violations during the inspection.
    • § 87303(c)
    31 Aug 2023
    Found that building #3 was taped off and boarded up after a fire, with the fire department deeming it unsafe to occupy. Noted a letter indicating that inspections are required for building #3 and for buildings #1, #2, #4, as well as offices, laundry, and kitchen facilities; observed no other health and safety concerns and no cable lock near the entrance of building #2.
    31 Aug 2023
    Inspected building areas after a previous fire, observed building #3 taped off and boarded up, building #2 lacked cable lock. No additional health or safety concerns were found.
    22 Aug 2023
    Identified fire damage to an unoccupied building, including the roof, exterior walls, and windows, with burned debris around walkways and no barriers in place at first. Noted a cable lock used on a door at night to deter entry, which was removed after review; fire prevention said the two alternate exits make this not an immediate concern.
    22 Aug 2023
    Confirmed fire damage to a building and identified concerns with an exit route lock at the facility.
    12 Jun 2023
    Identified that the licensee did not follow proper eviction steps for a resident, resulting in a deficiency. Discussions also covered residents’ rights, eviction timing, and available support resources, with a follow-up on the resident’s status requested.
    12 Jun 2023
    Identified substantiated complaint findings, discussed resident rights and eviction process, provided resources and addressed deficiencies during the meeting.
    • § 87224
    18 May 2023
    Found that the licensee instructed staff not to admit the Long Term Care Ombudsman into the premises.
    18 May 2023
    Confirmed that staff did not allow the Long Term Care Ombudsman to enter the facility.
    • § 87468.1(a)(11)
    01 May 2023
    Identified a deficiency after observing broken stucco along Building 2 walls, posing a potential risk to clients. An exit interview addressed client rights.
    01 May 2023
    Identified deficiency in building structure during visit, potential risk to clients.
    • § 87303
    28 Apr 2023
    Confirmed on 04/28/2023 an unannounced visit to amend a form. An exit interview with the administrator was conducted, during which another form was provided.
    23 May 2022
    Found the visitors restriction allegation unsubstantiated, privacy allegation unsubstantiated, medication management allegation unsubstantiated, and safety allegation unsubstantiated.
    28 Apr 2023
    Identified amendments made to a previously issued form during an unannounced visit by the Licensing Program Analyst. Exit interview conducted with Assistant Administrator and updated form provided.
    24 Apr 2023
    Investigated an allegation that the licensee provided false statements to the department about a resident's relocation, and found the resident was moved to a sister facility rather than a skilled nursing facility.
    25 Apr 2023
    Found that a resident did not receive appropriate medical care follow-up after a December 2020 fall, with follow-up not occurring until March 2021. Found the facility in disrepair due to two washers and dryers being broken in June 2021, causing staff to wash residents’ clothes at a laundromat and delaying replacement.
    25 Apr 2023
    Confirmed inadequate follow-up medical care and facility disrepair. Unsubstantiated allegations of personal hygiene, bathing, clothing, and belongings.
    • § 87465(a)(1)
    • § 87303(g)(1)
    24 Apr 2023
    Identified false statements provided to the department regarding the relocation of a resident.
    • § 87207
    13 Apr 2023
    Found that a resident was relocated without informed consent; the allegation that personal belongings were retained during relocation was unfounded.
    13 Apr 2023
    Confirmed allegations of a resident being relocated without informed consent at in and an unfounded allegation pertaining to the retention of the resident's personal belongings during relocation.
    • § 87223(a)(3)
    12 Apr 2023
    Identified two residents living in Building 3 without criminal background clearance tied to the site, leading to penalties for allowing them to reside without clearance. Noted mold and mildew in two bathrooms, rooms 15 and 19, with penalties assessed for this repeat maintenance issue.
    • § 87303
    • § 87355
    12 Apr 2023
    Investigated a specific complaint by interviewing residents and staff and reviewing documents. Conducted an exit interview with the administrator.
    12 Apr 2023
    Identified complaint allegations were investigated through interviews and document reviews during a visit to the facility.
    07 Feb 2023
    Identified unresolved complaints from 11/10/22, including a heater inoperable and a resident not assisted with obtaining medication. Noted change of ownership matters, including the current licensee’s involvement and the applicant’s association to the home, with the applicant reportedly ready to proceed by 2/27/2023.
    07 Feb 2023
    Recent complaints and deficiencies regarding an inoperable heater and failure to assist a resident with obtaining medication were discussed in the meeting. The change in ownership was also addressed, including the current licensee's involvement and the applicant's association with the facility.
    25 Jan 2023
    Identified concerns about meals; some residents reported meals were not healthy and one complained about the type of food, while staff noted menu improvements were underway and several residents confirmed these changes. Identified mold in the bathtub of room 22, with housekeeping described as sporadic, and nine residents stated they never observed staff smoking in non-smoking areas.
    25 Jan 2023
    Confirmed allegations of mold in one room, while other allegations were not proven.
    • § 87303(a)
    06 Jan 2023
    Found disrepair in Building #1, including a shared toilet that wouldn’t flush, a dirty rusty hallway bathtub, and rooms not cleaned daily, with renovations underway. Found no evidence of staff yelling at residents or treating them disrespectfully; residents denied such behavior.
    06 Jan 2023
    Confirmed allegations of facility disrepair, lack of cleanliness in resident rooms, and staff rudeness. Unsubstantiated claims of staff yelling at residents.
    • § 87303(a)
    15 Nov 2022
    Found the allegation that a resident was financially abused while in care unfounded. The resident signed an admission agreement, paid about $900 per month with a later request for an extra $200, kept control of their bank card and PIN, and paid fees in cash; seven of eleven residents interviewed did not report abuse.
    15 Nov 2022
    Investigated the allegation of financial abuse involving a resident; determined to be unfounded as the resident agreed to the fees in the admission agreement and retained control of their bank card and PIN.
    10 Nov 2022
    Found staff failed to assist a resident with medical needs when prescribed medication and the administrator directed the resident to contact their doctor because insurance would not cover it. Found the claim that the home was not free from bugs lacked conclusive evidence, with most residents denying any pest issues and observations remaining unclear.
    • § 87465(a)(1)
    10 Nov 2022
    Investigated the allegation that the heater was inoperable. Found one heater in building 1 disabled and tagged with a Do Not Use notice from the gas company, while the other heater worked; residents reported being cold at night and space heaters promised by new ownership had not arrived.
    10 Nov 2022
    Found no evidence to support the allegations that residents lacked an adequate food supply or lacked eating utensils; observed meals were plentiful and utensils were available, with some conflicting reports from staff and residents.
    10 Nov 2022
    Found that the allegation that staff did not allow a resident to receive visitors did not pertain to this site, because the resident lives at the neighboring SNF with the same name.
    10 Nov 2022
    Confirmed allegation of inoperable heater in building, with deficiency cited for repeated issue.
    • § 87303(a)
    07 Sept 2022
    Identified deficiencies included not meeting the seven-day non-perishable food requirement and a staff member working with Guardian status still in process, meaning no proper clearance. Noted this was a repeated violation within a year, resulting in a civil penalty.
    • §
    • § 1569.17(b)
    07 Sept 2022
    Found that the allegation that staff fed residents spoiled food could not be confirmed based on interviews and observations; expired dressing bottles were discovered but not served and were discarded by staff.
    07 Sept 2022
    Investigated the allegation that staff forced a resident to eat food from the trash; found no evidence to support the claim after reviewing files, conducting interviews, and observing daily operations.
    23 May 2022
    Investigated an allegation that staff stole a resident's personal belongings. Interviews indicated staff denied the theft and said they never possessed the resident's ID, while records for the resident were not maintained, leaving insufficient evidence to prove or disprove the allegation.
    23 May 2022
    Investigated four allegations—pushing a resident, not administering medications as prescribed, footwear not fitting, and unmet bathing needs—and found them UNSUBSTANTIATED.
    23 May 2022
    Confirmed no issues with visitor access, privacy, medication management, or safety at the facility.
    • § 87303(a)
    18 May 2022
    Identified extensive infection-control gaps and sanitation issues, including missing COVID-19 postings beyond the front entry, insufficient hand hygiene supplies, cleaning/disinfecting provisions, PPE, no designated infection-control lead, no staff training, and no plan for testing, isolation, or monitoring residents for COVID-19. Observed numerous hazardous conditions and dirty areas in several rooms and bathrooms, with broken fixtures, malodors, dirty sinks and toilets, and scattered trash.
    18 May 2022
    Identified deficiencies in infection control measures and facility cleanliness during an inspection conducted by the California Department of Social Services.
    • § 87303(a)
    09 May 2022
    Found insufficient evidence to prove the allegation that staff threatened residents while in care, and to prove the allegation that residents were told not to report concerns to CCL or the Ombudsman.
    09 May 2022
    Interviews conducted with residents showed no evidence of staff threatening residents or prohibiting them from reporting to other agencies.
    02 May 2022
    Found that the allegation of a resident being inappropriately touched by another resident did not pertain to this site, but to a health care center with a similar name on the same property. The matter was dismissed.
    02 May 2022
    Identified an outstanding deficiency from a prior visit that remained uncorrected, with civil penalties assessed and set to accrue daily until corrected. Also noted an immediate penalty for a repeated violation, and an exit interview was conducted.
    02 May 2022
    Found that the allegations of neglect, running out of cleaning supplies, and unsafe accommodations referred to a different center on the same property, and the complaint was unfounded.
    02 May 2022
    Identified a deficiency that was not corrected on time, resulting in civil penalties being assessed.
    11 Apr 2022
    Investigators found the allegation that the resident had access to razor blades while in care was unfounded; the resident handles personal hygiene and does not pose a risk with hygiene items. They also observed significant cleanliness and odor concerns in the resident's room and bathroom, including clutter and dirty surfaces.
    11 Apr 2022
    Investigated allegations of unsanitary living conditions, confirming that the resident's personal space was unclean and poorly maintained, while the claim of inappropriate access to razor blades was determined to be unfounded.
    • § 87303(a)
    17 Nov 2021
    Found two staff members on site without the required clearances and unable to provide the necessary paperwork. Replacement staff arrived, the two departed, and a deficiency related to staff clearances was identified; an exit interview was conducted.
    17 Nov 2021
    Identified deficiency in proper staff clearances during inspection visit.
    • § 1569.17(b)
    24 May 2021
    Found that a resident’s file was not retained for the required three years after discharge, leaving records unavailable for review. This posed a potential health and safety risk to residents.
    24 May 2021
    Identified deficiency in record-keeping of resident files, posing potential health and safety risk.
    • § 87506(e)
    07 May 2021
    Found cleaning products accessible to residents, creating a health and safety risk. Identified a deficiency due to this accessibility.
    07 May 2021
    Identified the allegation that centrally stored medicines were not kept in a safe, locked place, but the medication room was locked when not in use. Found that linens and clothing are handled through regular laundry service, with a two-week period using a laundromat, no insect infestation observed, and serious disrepair noted such as broken windows and a rusted handrail.
    • § 87303(a)
    07 May 2021
    Observed cleaning solutions accessible to residents, posing a health and safety risk. Deficiency will be cited.
    • §
    22 Feb 2021
    Found that the residence met Title 22 licensing standards with no corrections needed. Verified a fire clearance for 49 non-ambulatory residents, secure storage for medications and cleaning supplies, functioning detectors, proper hygiene and linens, stocked food service, organized resident and staff files, and noted a change of ownership with a licensed sister site.
    22 Feb 2021
    Confirmed that the facility met licensing standards and no corrections were needed at that time.
    12 Nov 2020
    Identified noncompliance with placing residents below the approved age and with the ownership-change process during a teleconference. Designated the administrator to oversee operations and placement decisions, with regional and licensing staff to review the ownership application; an exit interview was conducted.
    12 Nov 2020
    Identified non-compliance issues with resident intakes and change of ownership during teleconference. Action plan requested for compliance.
    17 Apr 2020
    Investigated an allegation of staff financially abusing a resident while in care; due to lack of evidence and inability to interview key individuals, the claim was deemed unsubstantiated. Conducted an exit interview via telephone with the administrator.
    05 Dec 2019
    Identified deficiencies included a broken heater requiring residents to use personal space heaters and sharp scissors left accessible in the kitchen.

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