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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392701576
Report Date: 06/04/2026
Date Signed: 06/04/2026 12:27:57 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
05/28/2026 and conducted by Evaluator Michael Bilger
COMPLAINT CONTROL NUMBER: 27-AS-20260528084535
FACILITY NAME:CRYSTAL CREEK SENIOR LIVINGFACILITY NUMBER:
392701576
ADMINISTRATOR:ANGELA RINGUFACILITY TYPE:
740
ADDRESS:2435 WAGNER HEIGHTS ROADTELEPHONE:
(209) 477-5353
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY:80CENSUS: 70DATE:
06/04/2026
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Angela RinguTIME COMPLETED:
12:45 PM
ALLEGATION(S):
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Staff do not keep facility clean and sanitary
INVESTIGATION FINDINGS:
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On 6-4-2026 at 10:15am, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to open and investigate the complaint allegation noted above. LPA met with Administrator Angela Ringu and explained the purpose of the visit. During this investigation, LPA conducted a facility observation including a tour of common areas, various resident rooms, dining room, kitchen area, activities room, and outside of facility. LPA also reviewed facility housekeeping schedule and conducted interviews with two residents in care, and two staff members. Based on observation, interviews, and record reviews, it was revealed facility is maintaining a generally clean, safe, and sanitary environment at this time. Observation did not reveal any excessive unsanitary or malodorous environments. Observation revealed housekeeping on duty and performing general housekeeping duties. Room #11 was observed to contain clutter, however, interviews revealed resident1 (R1) prefers this environment while exercising his resident rights. Housekeeping scheduled reviewed indicates consistent schedule of cleaning for all rooms within facility. As a result of this investigation, there is not a preponderance of evidence to conclude facility does not maintain a clean and sanitary environment, therefore, this allegation is UNSUBSTANTIATED. (cont. on 9099C)


Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026
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-20260528084535
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: CRYSTAL CREEK SENIOR LIVING
FACILITY NUMBER: 392701576
VISIT DATE: 06/04/2026
NARRATIVE
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A findings of unsubstantiated means the allegation may have happened or is valid, but there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted with Administrator and a copy of this report was provided. LIC 811 and appeal rights provided.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 06/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/04/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2