<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701251
Report Date: 11/25/2025
Date Signed: 11/25/2025 01:32:52 PM

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
08/11/2025 and conducted by Evaluator Pang Lee
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20250811212520
FACILITY NAME:APPLE RIDGE ASSISTED LIVING, LLCFACILITY NUMBER:
342701251
ADMINISTRATOR:WHITE, CHARLESFACILITY TYPE:
740
ADDRESS:3950 ANNADALE LANETELEPHONE:
(916) 489-6900
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY:94CENSUS: 81DATE:
11/25/2025
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:IIona CorpusTIME COMPLETED:
01:00 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff did not provide residents with appropriate sleeping accommodation.
Facility staff did not provide residents with proper wheelchairs.
Staff did not accord with resident privacy.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 11/25/2025 Licensing Program Analyst (LPA) Pang Lee and Avelina Martinez arrived unannounced to this facility to conduct a complaint visit. LPA met with Executive Director Ilona Corpus and explained the purpose of the visit. The purpose of this visit is to deliver complaint finding for the allegation above. The current census is 81. A brief interview was conducted with Executive Director Corpus

It was alleged that facility staff did not provide a resident with appropriate sleeping accommodation and that staff did not provide a resident with proper wheelchair. The investigation included interviews with staff, residents and resident’s responsible party (RP), as well as a review of facility records. During interviews, 5 out of 5 staff members reported that the facility does meet residents’ sleeping needs and that they were not aware of any resident concerns regarding proper wheelchair needs.

CONTINUED LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 27-AS-20250811212520
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: 11/25/2025
NARRATIVE
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
Additionally, 7 out of 7 residents interviewed stated they have no concerns regarding their sleeping accommodation and not be provided with proper wheelchair. In an interview Resident 1 (R1) reported no current concerns, explaining that their responsible party (RP) brought R1’s wheelchair from home to the facility and that the facility is currently assisting R1 in obtaining a hospital bed through Home Health. Moreover, R1’s RP confirmed that R1 independently chose to discontinue hospice services and that they have no concerns regarding R1’s care, stating the facility is doing its best to meet R1’s needs. The investigation found that R1 was placed on hospice on 03/05/2025 and was provided durable medical equipment (DME), including a hospital bed and wheelchair. Records show that R1 was discharged from hospice on 05/09/2025 after expressing wanting to begin physical therapy for strengthening. As a result of the hospice discharge, R1’s DME was retrieved by the hospice provider and since R1’s insurance would not cover for a new hospital bed the facility attempted to obtain a hospital bed through R1’s RP since R1 has an extra hospital bed at RP’s home and the facility confirmed that it would be acceptable with a physician’s order. However, R1’s RP did not follow through, and the hospital bed was not delivered to R1. Moreover, Resident Care Coordinator Hakim spoke with R1’s PCP, who agreed to place R1 on Home Health, which will allow R1 to receive a hospital bed through their services. Based on the statement conducted and records reviewed during the investigation process LPA Lee was unable to corroborate the allegation; therefore, the allegation staff are mismanaging residents’ medications is determined to be unsubstantiated.

It was alleged that staff did not accord with resident privacy. The investigation included interviews with both staff and residents. 5 out of 5 staff members interviewed reported that they had neither witnessed nor heard of any staff peeking through door cracks while residents were showering and denied the allegation. Similarly, all 7 out of 7 residents interviewed stated that they had not witnessed or heard of any staff peeking at residents during showers. Additionally, Resident 1 (R1) stated that they did not recall making any allegations or complaints regarding this matter. Based on the statements collected during the investigation, LPA Lee was unable to corroborate the allegation. Therefore, the allegation that staff do not accord with resident privacy is determined to be unsubstantiated.

The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s)occurred. An exit interview was conducted with Executive Director Corpus and a copy of this report was provided to the facility.

SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 11/25/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/25/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2