Inspection Reports for Apple Ridge Assisted Living

The visit was conducted as a case management follow-up on a LIC 624 Incident Report received concerning an Absence Without Leave (AWOL) incident involving a resident with dementia who left the facility unsupervised.

The facility was found noncompliant with basic services requirements as a resident with dementia left the facility unsupervised and was found four blocks away. This posed an immediate health and safety risk and resulted in an immediate civil penalty of $1000 for a repeat violation.

The visit was triggered by a complaint incident report regarding an Absence Without Leave (AWOL) incident on October 4, 2025, involving a resident diagnosed with dementia who was not allowed to leave unassisted. The violation was substantiated and cited as a repeat violation.

The visit was conducted as a case management follow-up on a LIC 624 Incident Report received concerning an Absence Without Leave (AWOL) incident where Resident 1 left the facility unassisted on July 26, 2025.

The facility failed to provide adequate care and supervision as Resident 1 left unassisted, posing an immediate health and safety risk. A citation was issued under Title 22, Division 6, and a $500 civil penalty was assessed.

The visit was complaint-related, following up on an AWOL incident involving Resident 1. The incident was substantiated, resulting in a citation and civil penalty.

The inspection was a case management visit conducted to address issues observed by the Licensing Program Analyst and issues reported by residents, including investigation of an incident that occurred on 2025-06-02.

The Licensing Program Analyst conducted the inspection, discussed findings with facility staff, and planned to return for additional interviews and review of medical records related to the incident. The facility is in the process of hiring a new administrator.

A case management visit was conducted to address the issue that the Licensing Program Analyst did not include the 9099-D citation pages with the prior visit dated 6/5/25. The visit included discussion of deficiencies and citation additions.

The facility was found to have multiple Type A deficiencies including mismanagement of residents' medication, false claims regarding medication administration, and unsafe storage of bleach accessible to residents. A civil penalty of $250 was assessed for a repeat violation.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 2025-01-08 regarding medication mismanagement, falsification of medication administration records, and unsafe use of chemicals resulting in resident injury.

The investigation substantiated the allegations that staff mismanaged residents' medication, falsified medication administration records, and used chemicals unsafely causing injury to a resident. Multiple interviews, record reviews, and observations confirmed these violations.

The complaint investigation was substantiated based on evidence including interviews with staff and residents, review of medication records, and observations. Allegations included medication mismanagement, falsification of medication records, and unsafe chemical use resulting in injury.

The inspection visit was conducted to investigate a complaint alleging that staff were not providing residents with snacks.

Based on interviews with residents, staff, observation, and record review, the allegation that residents were not provided snacks was unsubstantiated. Snacks were found to be provided three times daily, although availability varied due to resident behavior.

The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violation occurred.

The inspection was an unannounced annual inspection conducted to evaluate compliance with licensing requirements at Apple Ridge Assisted Living, LLC.

The inspection identified multiple Type A deficiencies including broken and sharp gate and bed posing immediate safety risks, presence of a cockroach in the shower, unlocked laundry room with accessible detergent, and a resident without a required tuberculosis test. Plans of correction were requested with due dates.

The visit was an unannounced complaint investigation conducted in response to allegations including unexplained death, unmet incontinence needs, failure to observe resident for change in condition, and failure to answer resident's call button.

The investigation found no preponderance of evidence to substantiate any of the allegations. The unexplained death was attributed to cardiac arrest and other health issues. No deficiencies were observed or cited during the investigation.

The complaint investigation was unsubstantiated. Allegations included unexplained death, unmet incontinence needs, failure to observe resident for change in condition, and failure to answer call button. Interviews, record reviews, and call log analysis did not support the allegations.

The visit was an unannounced plan of correction inspection conducted to verify the facility's compliance with previously issued citations and to assess the status of corrective actions.

The licensing analyst found that the facility had not submitted all required proof of corrections as agreed upon in the plans of correction, resulting in civil penalties being assessed for failure to correct previously issued citations.

The visit was an unannounced case management inspection triggered by an incident report of a resident elopement on 2025-04-09.

The inspection found that a resident eloped from the facility, posing an immediate health and safety risk. Additionally, resident incontinence was not properly managed, with evidence of urine on bedding and strong odors observed.

The visit was complaint-related due to an incident report of a resident elopement on 2025-04-09. The complaint was substantiated based on interviews and record review confirming the elopement and safety risks.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2024-12-17 regarding overcharging residents, lack of privacy, resident leaving unattended, and failure to safeguard resident funds.

The investigation found all allegations to be unsubstantiated due to insufficient evidence to prove violations. Interviews and record reviews indicated no overcharging, no privacy violations, unclear if resident left unattended, and unclear if staff failed to safeguard resident funds.

The complaint involved multiple allegations: staff charging residents in excess of Medi-Cal rates, staff interfering with resident privacy, resident leaving the facility unattended due to neglect, and staff not safeguarding resident funds. The investigation concluded all allegations were unsubstantiated.

An unannounced complaint investigation visit was conducted following allegations that the facility staff could not meet residents' needs and that staff yelled at residents.

The investigation substantiated the allegations, finding that residents were not accorded dignity in personal relationships with staff and were not receiving basic services needed, posing immediate health, safety, and personnel rights risks. Observations included poor hygiene conditions and broken beds.

The complaint investigation was substantiated based on interviews and observations. Allegations included staff yelling at residents, neglect in care such as delayed showers, broken beds, and unsanitary conditions. The preponderance of evidence supported these findings.

An unannounced complaint investigation was conducted in response to allegations received on 2024-10-14 regarding temperature maintenance and staff assistance with residents moving out of bed.

The investigation, which included interviews with staff and residents and observations, found the allegations to be unsubstantiated due to lack of preponderance of evidence. No deficiencies were cited related to the allegations.

The complaint involved allegations that comfortable temperature was not maintained and that facility staff were unable to assist residents in moving out of bed due to lack of staff. The complaint was found to be unsubstantiated.

The visit was an unannounced complaint investigation conducted to address multiple allegations received on 07/31/2024 regarding inadequate resident care, including failure to meet incontinence care needs, failure to answer call buttons, staff yelling at residents, and inappropriate staff communication.

The investigation substantiated all allegations, finding that facility staff failed to meet residents' incontinence care needs, did not respond timely to call buttons, spoke inappropriately to residents, and yelled at residents. These issues were confirmed through interviews with staff and residents, facility documentation, and observations of the facility environment.

The complaint investigation was triggered by allegations received on 07/31/2024 concerning inadequate incontinence care, failure to answer call buttons, staff yelling, and inappropriate communication. The allegations were substantiated based on interviews with 9 staff and 9 residents, facility documentation, and observations. The facility was found to have systemic issues in staff responsiveness and behavior towards residents.

The visit was an unannounced complaint investigation conducted to deliver findings related to allegations that staff left residents in soiled diapers for long periods, did not shower residents, failed to repair the air conditioning system, and did not ensure residents were fed.

The investigation substantiated that staff left residents in soiled diapers for extended periods and did not provide regular showers as scheduled. The allegation regarding the air conditioning system was unsubstantiated as the system was repaired and portable units were provided. The allegation that staff did not ensure residents were fed was also unsubstantiated based on staff and resident interviews and observations.

The complaint investigation was substantiated for allegations that staff left residents in soiled diapers for approximately three to seven hours and did not provide regular showers, averaging only two showers per month despite the schedule. The allegations that the air conditioning system was not repaired and that residents were not fed were found to be unsubstantiated.

The visit was an unannounced complaint investigation conducted to address allegations that facility staff did not assist residents with hygiene needs, that staff stole from residents, and that the facility air conditioning was in disrepair.

The allegation that staff did not assist residents with hygiene needs was substantiated based on staff and resident interviews, observations, and record reviews showing inconsistent hygiene care and strong urine odor in hallways. The allegation of staff stealing from residents was unsubstantiated due to lack of evidence. The allegation of air conditioning disrepair was unsubstantiated as the AC unit was repaired and portable units were provided during downtime.

The complaint investigation was substantiated for the allegation that facility staff did not assist residents with hygiene needs, based on interviews with 9 staff and 9 residents, observations of strong urine odor, and record reviews. The allegation of staff stealing from residents was unsubstantiated, with staff denying theft and insufficient evidence. The allegation regarding air conditioning disrepair was unsubstantiated as the AC unit was repaired and portable units were provided.

The visit was conducted as a case management follow-up to review 22 incident reports received by the department via fax from 08/18/2024 to 08/19/2024, concerning incidents that occurred between 07/26/2024 and 08/08/2024.

The facility failed to report 22 incident reports within the required seven days of occurrence, including 5 COVID positive residents and 17 other medical incidents. This failure poses immediate health, safety, and personal rights risks to persons in care.

The visit was conducted as a follow-up on an incident report received on 2024-09-17 regarding a resident who reported a severe headache and requested medication that was unavailable, leading to an emergency services evaluation.

During the visit, the Licensing Program Analyst obtained relevant medication and physician records but was unable to complete the full review due to time constraints. No deficiencies were found during this visit.

The visit was triggered by a complaint incident report stating that on 2024-09-14, a resident requested Oxytocin medication which was out of stock, resulting in the resident being sent out via Emergency Services for further evaluation.

The visit was an unannounced case management follow-up on an incident regarding an elopement of resident R1 from the facility on 2024-09-16.

The facility failed to ensure the resident R1 was in a secured environment as required by their care plan, resulting in R1 eloping and sustaining injuries. A $500 civil penalty was assessed for bodily injury and severe pain due to this immediate threat to the resident's health and safety.

The visit was an unannounced case management inspection to review facility compliance and discuss the temporary use of room #41 as the administrator's office.

No deficiencies were cited during this visit. Technical assistance was provided regarding notifications of change of use of rooms or buildings.

An unannounced complaint investigation was conducted due to an allegation that the facility did not pass its fire inspection clearance.

The investigation substantiated that the facility failed its most recent fire inspection due to multiple violations including fire doors needing repairs and unauthorized change of use of a resident room to an administrative office without proper permits. Civil penalties of $500 were assessed.

The complaint alleging failure to pass fire inspection clearance was substantiated based on interviews and record review. The facility was cited under 22 CCR Section 87202(a) and assessed a $500 civil penalty.

The visit was an unannounced case management visit conducted to deliver an Order To Individual of Immediate Exclusion from all facilities and the Order to Licensee/Facility of Immediate Exclusion From Facility.

The Licensing Program Analyst delivered exclusion orders to the facility and explained that the excluded staff member must leave immediately and be removed from all shifts. The excluded staff member was not related to this facility.

The visit was a follow-up pre-licensing inspection to verify corrections and compliance prior to final licensing approval.

All corrections were completed during the visit, including ensuring each resident had a call pendant and all heat detector sensors were functioning. The facility was found to be in compliance with no violations cited.

The visit was a pre-licensing inspection conducted to evaluate the facility's readiness for licensing and to ensure compliance with health and safety regulations.

The facility was inspected for health and safety compliance, including physical plant conditions, resident rooms, and safety equipment. Two deficiencies were noted: the need for call pendants for each resident in the assisted living building and the requirement that all heat detector sensors be functioning. The facility did not pass the pre-licensing component at this time and will be re-inspected after corrections.

The visit was an office type inspection involving a COMP II telephone interview with the administrator to verify understanding of community care facility licensing laws and readiness for licensing.

The administrator demonstrated understanding of licensing laws, facility operation, admission policies, staffing, health conditions, emergency preparedness, complaints, and pre-licensing readiness during the COMP II interview.

The visit was conducted as part of the original licensing process (CHOW application) for Apple Ridge Assisted Living, LLC to verify the applicant and administrator's understanding of community care facility licensing laws and readiness for operation.

The applicant and administrator participated in a telephone interview confirming their knowledge of licensing laws, facility operation, admission policies, staffing, emergency preparedness, complaints reporting, and pre-licensing readiness. No deficiencies or violations were noted in the report.