342701251-9-25-2025-27-AS-CACL-DM8LFM-20251007084323

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342701251
Report Date: 09/25/2025
Date Signed: 09/25/2025 11:12:26 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/11/2025 and conducted by Evaluator Pang Lee

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20250711104308

FACILITY NAME:	APPLE RIDGE ASSISTED LIVING, LLC		FACILITY NUMBER:	342701251
ADMINISTRATOR:	WHITE, CHARLES		FACILITY TYPE:	740
ADDRESS:	3950 ANNADALE LANE		TELEPHONE:	(916) 489-6900
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95821
CAPACITY:	94	CENSUS: 82	DATE:	09/25/2025
		UNANNOUNCED	TIME BEGAN:	09:24 AM
MET WITH:	Ilona Corpus		TIME COMPLETED:	10:00 AM

ALLEGATION(S):

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Staff handle resident in a rough manner.
Staff speak inappropriately to residents in care

INVESTIGATION FINDINGS:

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On 09/25/2025, Licensing Program Analyst (LPA) Pang Lee arrived unannounced to this facility to conduct a complaint visit. LPA met with administrator Ilona Corpus and explained the purpose of the visit. The purpose of this visit is to deliver complaint findings for the above allegations. The current census is 82. A brief interview conducted with the administrator Corpus.

It was alleged that staff handled resident in a rough manner and it was alleged that staff speak inappropriately to residents in care. During the course of the investigation, the Licensing Program Analyst (LPA) conducted interviews with facility staff and residents, as well as reviewed relevant records. Based on interviews with staff and all 7 out of 7 residents, there is not a preponderance of evidence to substantiate the allegations referenced above.

CONTINUED LIC 809-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2025

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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Control Number 27-AS-20250711104308

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: APPLE RIDGE ASSISTED LIVING, LLC	FACILITY NUMBER: 342701251
	VISIT DATE: 09/25/2025

NARRATIVE

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None of the interviewed confirmed that staff are handling residents roughly and making inappropriate comments toward residents in care. The residents interviewed reported feeling safe and expressed no concerns about the care they receive. Resident 1 (R1), who shares a room with Resident 2 (R2), stated that they have never observed Staff 1 (S1) treating R2 roughly and speaking to them inappropriately. Resident 3 (R3), who regularly visits R1, also confirmed that they have not witnessed any rough handling and inappropriate behavior toward R2 by S1 or any other staff members. Additionally, R2 reported that most staff are kind, greet R2 and that R2 have no issues with the facility, stating that "most staff are great." S1 denied making any inappropriate comments and handling R1 roughly. A review of facility records revealed that R1 has a history of using inappropriate language toward staff, both in person and via email. Based on the interviews conducted, there is insufficient evidence to determine whether the alleged allegations occurred.

As a result of the investigation, LPA finds the allegations above to be 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 occurred.

An exit interview was conducted, and a copy of the report was provided upon exit.

SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:	DATE: 09/25/2025

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/25/2025

LIC9099 (FAS) - (06/04)

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