Inspection Reports for
Apple Ridge Assisted Living

3950 Annadale Ln, Sacramento, CA 95821, USA, CA, 95821

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Citations (last 4 years)

Citations (over 4 years) 9 citations/year

Citations are regulatory findings recorded during state inspections.

125% worse than California average
California average: 4 citations/year

Citations per year

24 18 12 6 0
2023
2024
2025
2026

Occupancy

Latest occupancy rate 83% occupied

Based on a March 2026 inspection.

Occupancy rate over time

40% 60% 80% 100% Jul 2023 Sep 2024 Apr 2025 Sep 2025 Dec 2025 Mar 2026 Mar 2026

Inspection Report

Census: 78 Capacity: 94 Citations: 2 Date: Mar 19, 2026

Visit Reason
An unannounced case management visit was conducted in response to learned deficiencies related to resident rights and billing practices.

Findings
The facility failed to provide a legally blind resident a third party witness during the review of admission documents, resulting in the resident not being fully informed. Additionally, the resident was charged above their basic Supplemental Security Income rate, accruing a monthly balance.

Citations (2)
Resident was not provided a third party witness during review of admission agreement and facility documents, causing the resident to not be fully informed.
Resident was charged above their basic Supplemental Security Income rate, resulting in additional monthly charges.
Report Facts
Monthly balance accrued: 213.13 Basic SSI income rate: 1206.94

Employees mentioned
NameTitleContext
Kyle RileyMet with Licensing Program Analyst during inspection
Avelina MartinezLicensing Program AnalystConducted the inspection and authored the report
Czarrina A Camilon-LeeLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report

Follow-Up
Census: 78 Capacity: 94 Citations: 2 Date: Mar 11, 2026

Visit Reason
The inspection was a case management deficiencies inspection conducted to address deficiencies observed during an unrelated complaint investigation.

Findings
The inspection found that 10 staff members had criminal record clearances not associated with the facility and two staff members lacked criminal record clearances, posing immediate health, safety, and personal rights risks to residents. Immediate civil penalties were issued as a result.

Citations (2)
10 staff members with criminal record clearances not associated to the facility.
Two staff members without criminal record clearance.
Report Facts
Staff members with unassociated criminal record clearances: 10 Staff members without criminal record clearance: 2

Employees mentioned
NameTitleContext
Kevin GouldLicensing Program AnalystConducted the inspection and authored the report
Steven BushStaff member who assisted Licensing Program Analyst with obtaining records and documentation
Czarrina A Camilon-LeeLicensing Program ManagerNamed in report header and deficiency section

Inspection Report

Complaint Investigation
Census: 74 Capacity: 94 Citations: 0 Date: Feb 13, 2026

Visit Reason
The inspection was an unannounced complaint investigation conducted to address an allegation that staff left residents unsupervised for an extended period of time on December 12, 2025.

Complaint Details
The complaint alleged that staff left residents unsupervised for an extended period of time. The investigation included confidential interviews with eleven individuals and review of staffing records. The allegation was found unsubstantiated due to lack of preponderance of evidence.
Findings
Based on interviews with staff and residents and review of work schedules, there was insufficient evidence to substantiate the allegation that residents were left unsupervised. The allegation was determined to be unsubstantiated.

Report Facts
Capacity: 94 Census: 74 Number of individuals interviewed: 11 Staff reports: 5 Resident reports: 4

Employees mentioned
NameTitleContext
Avelina MartinezLicensing Program AnalystConducted the complaint investigation
Ilona CorpusAdministratorProvided staffing information and work schedules

Inspection Report

Census: 80 Capacity: 94 Citations: 0 Date: Feb 4, 2026

Visit Reason
The visit was an unannounced case management visit to discuss an Administrator change at the facility.

Findings
The Licensing Program Analyst requested documentation related to the appointment of a new administrator, including a letter from the licensee, administrator certificate, personnel reports, and fingerprint documentation. No deficiencies or violations were noted in the report.

Employees mentioned
NameTitleContext
Steve BushMet with Licensing Program Analyst during the visit.
Avelina MartinezLicensing Program AnalystConducted the case management visit and requested documentation.
Ilona CorpusAdministrator/DirectorNamed as the current facility administrator.

Inspection Report

Complaint Investigation
Census: 80 Capacity: 94 Citations: 0 Date: Feb 4, 2026

Visit Reason
The visit was an unannounced complaint investigation conducted in response to a complaint received on 2025-12-04 alleging that staff did not prevent the spread of lice.

Complaint Details
The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violation did or did not occur.
Findings
The investigation included interviews and record reviews which confirmed one resident with lice. Although there was mention of a possible second resident with lice, there was insufficient evidence to substantiate the allegation. Therefore, the complaint was determined to be unsubstantiated.

Report Facts
Capacity: 94 Census: 80

Employees mentioned
NameTitleContext
Avelina MartinezLicensing Program AnalystConducted the complaint investigation and delivered findings
Steven BushFacility representative met during the investigation
Ilona CorpusAdministratorFacility administrator named in the report

Inspection Report

Census: 80 Capacity: 94 Citations: 1 Date: Feb 3, 2026

Visit Reason
The visit was an unannounced case management inspection to discuss a deficiency related to incidental and medical care, specifically regarding medication assistance for a resident.

Findings
The facility staff failed to assist resident 1 with their prescribed permethrin topical cream medication, resulting in the resident not receiving required treatment for lice. This posed a potential health and safety risk to the resident.

Citations (1)
Facility staff did not assist resident 1 with their prescribed medications as needed, specifically a permethrin topical cream prescribed on November 20, 2025, resulting in the resident not receiving required treatment.
Report Facts
Deficiency citation number: 87465

Employees mentioned
NameTitleContext
Avelina MartinezLicensing Program AnalystConducted the case management visit and authored the report
Czarrina A Camilon-LeeLicensing Program ManagerNamed in the report as Licensing Program Manager
Steve BushFacility representative met during the inspection
Ilona CorpusAdministrator/DirectorFacility Administrator/Director named in the report

Inspection Report

Complaint Investigation
Census: 83 Capacity: 94 Citations: 1 Date: Jan 16, 2026

Visit Reason
The inspection was an unannounced complaint investigation conducted in response to a complaint received on 2025-11-04 regarding allegations of inadequate resident care and facility conditions.

Complaint Details
The complaint was substantiated regarding failure to notify the resident's responsible party of a change in condition. Other allegations related to resident care and facility conditions were unsubstantiated.
Findings
The investigation found insufficient evidence to substantiate allegations that a resident was not showered or was left in a soiled brief, and that the facility was malodorous or infested with insects. However, it was substantiated that the facility failed to notify the resident's responsible party of a change in the resident's condition and did not update the service plan accordingly.

Citations (1)
Failure to ensure that changes in resident's condition were documented and communicated to the resident's responsible party, posing a potential health and safety risk.
Report Facts
Capacity: 94 Census: 83 Plan of Correction Due Date: Jan 29, 2026

Employees mentioned
NameTitleContext
Avelina MartinezLicensing Program AnalystConducted the complaint investigation and inspection
Ilona CorpusAdministratorFacility administrator met during inspection

Inspection Report

Complaint Investigation
Census: 81 Capacity: 94 Citations: 0 Date: Jan 7, 2026

Visit Reason
The inspection was an unannounced complaint investigation conducted in response to allegations received on 2025-10-20 regarding privacy violations, uncomfortable environment, verbal abuse by residents, and staff retaliation against a resident for filing complaints.

Complaint Details
The complaint investigation was unsubstantiated. Allegations included privacy violations, uncomfortable environment, verbal abuse by other residents, and staff retaliation. Interviews with seven individuals and four staff members found no sufficient evidence to prove the allegations. Facility staff offered to move the resident to a different bedroom, which was declined. Privacy and verbal abuse concerns were addressed with involved residents.
Findings
Based on interviews with residents and staff and records reviewed, there was insufficient evidence to substantiate the allegations of privacy violations, uncomfortable environment, verbal abuse, and staff retaliation. Conflicting statements from residents and consistent staff reports led to the conclusion that the allegations were unsubstantiated.

Report Facts
Capacity: 94 Census: 81 Number of individuals interviewed: 7 Number of staff interviewed: 4

Employees mentioned
NameTitleContext
Avelina MartinezLicensing Program AnalystConducted the complaint investigation
Ilona CorpusAdministratorFacility administrator met during inspection
Czarrina A Camilon-LeeSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 80 Capacity: 94 Citations: 0 Date: Dec 9, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted to address allegations that staff did not ensure residents were changed properly and lacked proper training in changing residents.

Complaint Details
The complaint was unsubstantiated based on the preponderance of evidence standard. Interviews with 5 staff members and 7 residents, as well as a review of 7 staff training records, did not corroborate the allegations.
Findings
The investigation included interviews with staff and residents and a review of facility records. The allegations were found to be unsubstantiated as most residents and staff reported no concerns, and staff training records were adequate.

Report Facts
Census: 80 Total Capacity: 94 Staff interviewed: 5 Residents interviewed: 7 Staff records reviewed: 7

Employees mentioned
NameTitleContext
Pang LeeLicensing Program AnalystConducted the complaint investigation
Ilona CorpusExecutive DirectorMet with Licensing Program Analyst during the investigation and exit interview

Inspection Report

Complaint Investigation
Census: 80 Capacity: 94 Citations: 1 Date: Dec 2, 2025

Visit Reason
The inspection visit was an unannounced complaint investigation conducted to address allegations that facility staff did not respond to residents' calls for assistance and did not ensure residents' dietary needs were met.

Complaint Details
The complaint investigation was substantiated regarding staff response delays to resident calls, with evidence including resident and staff interviews, observations, and record reviews. The dietary needs allegation was unsubstantiated based on interviews and observations. The complaint was received on 2025-08-25 and investigated on 2025-12-02.
Findings
The investigation substantiated that staff did not respond timely to residents' call buttons, resulting in delays in incontinence care and insufficient staffing. However, the allegation that residents' dietary needs were not met was unsubstantiated, with residents reporting no concerns about meal assistance or dietary care.

Citations (1)
Staff did not respond to resident's call button in a timely manner, causing delays in meeting residents' needs including incontinence care.
Report Facts
Census: 80 Total Capacity: 94 Staff interviews: 5 Resident interviews: 7 Call response delay times: 30 Call response delay times: 180

Employees mentioned
NameTitleContext
Ilona CorpusExecutive DirectorMet with Licensing Program Analyst during complaint investigation and exit interview
Pang LeeLicensing Program AnalystConducted the complaint investigation and authored the report
Czarrina A Camilon-LeeSupervisorSupervisor overseeing the complaint investigation

Inspection Report

Complaint Investigation
Census: 80 Capacity: 94 Citations: 0 Date: Nov 25, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted to address allegations that staff do not change residents' depends/clothes timely.

Complaint Details
The complaint was substantiated based on interviews, record reviews, and observations. Residents reported waiting from 30 minutes to several hours for incontinence care, and staff response to call pendants was often delayed or absent. The facility had previously been cited for this issue under complaint control #27-AS-20250507151513.
Findings
The investigation substantiated the allegation that there are not enough staff to meet residents' needs, including delayed response to call pendants and delayed incontinence care. Observations and interviews confirmed long wait times and inadequate staffing.

Report Facts
Census: 80 Total Capacity: 94 Complaint Control Number: 27-AS-20250929115641

Employees mentioned
NameTitleContext
Ilona CorpusExecutive DirectorMet with Licensing Program Analyst during complaint investigation and named in findings
Pang LeeLicensing Program AnalystConducted the complaint investigation
Avelina MartinezLicensing Program AnalystAssisted in conducting the complaint investigation

Inspection Report

Complaint Investigation
Census: 81 Capacity: 94 Citations: 1 Date: Nov 25, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit conducted to address allegations including insufficient staffing to meet residents' needs, a resident developing a rash due to staff neglect, and mismanagement of residents' medications.

Complaint Details
The complaint investigation was substantiated for insufficient staffing to meet residents' needs, based on staff and resident interviews, observations of delayed call responses, and review of facility records. The allegations of rash due to neglect and medication mismanagement were unsubstantiated.
Findings
The allegation that the licensee does not ensure enough staff to meet residents' needs was substantiated, citing delayed responses to call pendants and incontinence care. The allegations that a resident developed a rash due to staff neglect and that staff mismanaged medications were found unsubstantiated after interviews and record reviews.

Citations (1)
Failure to ensure residents’ needs were met by facility staff, posing an immediate health and safety risk to a resident.
Report Facts
Capacity: 94 Census: 81 Deficiencies cited: 1 Plan of Correction Due Date: Dec 5, 2025

Employees mentioned
NameTitleContext
Pang LeeLicensing Program AnalystConducted the complaint investigation and authored the report
Ilona CorpusExecutive DirectorMet with Licensing Program Analyst during investigation and exit interview
Charles WhiteAdministratorNamed as facility administrator in relation to findings and plan of correction

Inspection Report

Complaint Investigation
Census: 83 Capacity: 94 Citations: 0 Date: Oct 31, 2025

Visit Reason
An unannounced complaint investigation visit was conducted to investigate allegations that staff did not get timely medical care for a resident and were not following physician’s orders.

Complaint Details
The complaint was unsubstantiated. Allegations included staff not obtaining timely medical care for a resident and not following physician’s orders. The investigation found no gaps or missed medication doses and confirmed that the resident and responsible party had no concerns. An outside agency confirmed proper diagnostic procedures were not bypassed.
Findings
The investigation included record reviews, observations, and interviews with residents, staff, and an outside agency. The allegations were found to be unsubstantiated as there was insufficient evidence to prove the alleged violations occurred.

Report Facts
Capacity: 94 Census: 83

Employees mentioned
NameTitleContext
Pang LeeLicensing Program AnalystConducted the complaint investigation
Ilona CorpusExecutive DirectorMet with Licensing Program Analyst during the investigation
Charles WhiteAdministratorFacility administrator named in the report

Inspection Report

Follow-Up
Census: 82 Capacity: 94 Citations: 1 Date: Oct 17, 2025

Visit Reason
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.

Complaint Details
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.
Findings
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.

Citations (1)
Failure to provide adequate care and supervision resulting in a resident with dementia leaving the facility unsupervised and being found outside the premises.
Report Facts
Civil penalty amount: 1000 Deficiency count: 1 Plan of Correction due date: Oct 24, 2025

Employees mentioned
NameTitleContext
Ilona CorpusExecutive DirectorMet with Licensing Program Analyst during inspection and mentioned in findings
Pang LeeLicensing Program AnalystConducted the unannounced case management visit and signed the report
Czarrina A Camilon-LeeLicensing Program ManagerNamed as Licensing Program Manager overseeing the inspection

Inspection Report

Complaint Investigation
Census: 82 Capacity: 94 Citations: 0 Date: Oct 17, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted in response to allegations that staff forced a resident to shower and did not maintain a comfortable facility temperature for residents.

Complaint Details
The complaint involved allegations that staff forced residents to shower and failed to maintain a comfortable temperature. Interviews with seven residents and multiple staff members, as well as temperature recordings on several dates, did not corroborate the allegations. The complaint was found to be unsubstantiated.
Findings
The investigation included interviews with residents and staff, record reviews, and temperature observations. The allegations were found to be unsubstantiated as there was insufficient evidence to prove the violations occurred.

Report Facts
Facility temperature readings: 72 Facility temperature readings: 76 Facility temperature readings: 74 Facility temperature readings: 75 Number of residents interviewed: 7 Number of staff interviewed: 6 Number of staff interviewed: 5

Employees mentioned
NameTitleContext
Ilona CorpusExecutive DirectorMet with Licensing Program Analyst and involved in investigation regarding shower schedule change
Pang LeeLicensing Program AnalystConducted the complaint investigation visit

Inspection Report

Complaint Investigation
Census: 82 Capacity: 94 Citations: 0 Date: Sep 25, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted to address an allegation that staff did not ensure residents' personal property was safely secured.

Complaint Details
The complaint alleged that staff did not ensure residents' personal property was safely secured. The allegation was found to be unsubstantiated after interviews and investigation.
Findings
The investigation found no preponderance of evidence to substantiate the allegation. Interviews with staff and all five residents confirmed that residents' personal property was safely secured and there were no concerns with laundry services.

Report Facts
Capacity: 94 Census: 82 Residents interviewed: 5

Employees mentioned
NameTitleContext
Ilona CorpusAdministratorMet with Licensing Program Analyst during the complaint investigation
Pang LeeLicensing Program AnalystConducted the complaint investigation
Czarrina A Camilon-LeeSupervisorSupervisor overseeing the investigation

Inspection Report

Complaint Investigation
Census: 82 Capacity: 94 Citations: 3 Date: Sep 4, 2025

Visit Reason
The visit was an unannounced complaint investigation conducted due to allegations that staff were not meeting residents' needs resulting in injuries, not using two-person assists for residents, not ensuring residents' rooms are kept clean, and not meeting residents' laundry needs.

Complaint Details
The complaint was received on 2025-01-28 and investigated through multiple visits and interviews. The allegations included staff not meeting residents' needs resulting in injuries, not using two-person assists, not ensuring clean rooms, and not meeting laundry needs. The allegation regarding injuries was unsubstantiated, while the others were substantiated.
Findings
The investigation found the allegation of staff not meeting residents' needs resulting in injuries to be unsubstantiated. However, the allegations that staff were not using two-person assists for residents, not ensuring residents' rooms were kept clean, and not meeting residents' laundry needs were substantiated. Deficiencies were cited related to these substantiated allegations.

Citations (3)
Facility did not provide two-person assistance to meet residents' needs per their physician report and assessment plan, posing a potential health, safety, and personal rights risk.
Facility staff did not ensure that the facility was clean and sanitary, posing a potential health, safety, and personal rights risk to residents.
Facility did not meet residents' laundry needs by ensuring that resident laundry was being done and returned to residents.
Report Facts
Capacity: 94 Census: 82 Staff interviewed: 7 Residents interviewed: 14 Deficiencies cited: 3 Plan of Correction Due Date: 2025

Employees mentioned
NameTitleContext
Pang LeeLicensing Program AnalystConducted the complaint investigation and authored the report
Ilona CorpusFacility Designated AdministratorMet with Licensing Program Analyst during the investigation and exit interview
Alfredo CruzAdministratorNamed as facility administrator

Inspection Report

Follow-Up
Census: 82 Capacity: 94 Citations: 1 Date: Jul 29, 2025

Visit Reason
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.

Findings
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 and a $500 civil penalty was assessed due to lack of care and supervision. The facility is required to conduct staff training and provide documentation to ensure residents do not leave unassisted.

Citations (1)
Failure to provide care and supervision as required, resulting in Resident 1 leaving the facility unassisted and posing an immediate health and safety risk.
Report Facts
Civil penalty amount: 500 Deficiency count: 1 Plan of Correction due date: Aug 5, 2025

Employees mentioned
NameTitleContext
Pang LeeLicensing Program AnalystConducted the case management visit and issued the citation.
Lisa JohansenBusiness Office ManagerMet with Licensing Program Analyst during the visit and provided documentation related to staff.
Ilona CorpusExecutive DirectorMet with Licensing Program Analyst during the visit and participated in exit interview.

Inspection Report

Complaint Investigation
Census: 82 Capacity: 94 Citations: 1 Date: Jul 29, 2025

Visit Reason
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.

Complaint Details
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.
Findings
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.

Citations (1)
Failure to provide care and supervision as Resident 1 left the facility unassisted, violating Section 1569.312(a) Basic services requirements.
Report Facts
Civil penalty amount: 500 Deficiency count: 1 Plan of Correction due date: Aug 5, 2025

Employees mentioned
NameTitleContext
Charles WhiteAdministrator/DirectorNamed as facility administrator/director.
Lisa JohansenBusiness Office ManagerMet with Licensing Program Analyst during visit and provided documentation.
Ilona CorpusExecutive DirectorMet with Licensing Program Analyst and participated in exit interview.
Pang LeeLicensing Program AnalystConducted the unannounced case management visit and issued citation.

Inspection Report

Complaint Investigation
Census: 81 Capacity: 94 Citations: 0 Date: Jun 20, 2025

Visit Reason
The visit was an unannounced complaint investigation triggered by an allegation that staff refused to provide accommodations to a resident in care.

Complaint Details
The allegation was that staff refused to provide accommodations to a resident. Interviews with the resident and staff revealed a communication issue, which was resolved amicably. The complaint was found unsubstantiated.
Findings
The investigation found the complaint to be unsubstantiated as there was not a preponderance of evidence to prove the alleged violation occurred. No deficiencies were observed or cited during the investigation.

Report Facts
Capacity: 94 Census: 81

Employees mentioned
NameTitleContext
Holly WilliamsLicensing EvaluatorConducted the complaint investigation
Lisa JohansenBusiness Office ManagerFacility representative interviewed during investigation
Charles WhiteAdministratorFacility administrator named in the report
Brandon CollinsInterim AdministratorGave permission for FDA to sign during investigation
Czarrina A Camilon-LeeSupervisorSupervisor overseeing the investigation

Inspection Report

Census: 81 Capacity: 94 Citations: 0 Date: Jun 13, 2025

Visit Reason
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.

Findings
The Licensing Program Analyst conducted the inspection, discussed the report with the Business Office Manager, and followed up on the hiring of a new administrator. Additional interviews and medical record reviews are pending, and a return visit is planned.

Employees mentioned
NameTitleContext
Holly WilliamsLicensing Program AnalystConducted the case management inspection and authored the report.
Lisa JohansenBusiness Office ManagerMet with the Licensing Program Analyst to discuss the report and received permission to sign the report.
Charles WhiteAdministrator/DirectorFacility administrator mentioned in the report header.
Brandon CollinsFacility Designated Administrator (FDA) who provided information about the new administrator hiring.
Czarrina A Camilon-LeeLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report

Census: 83 Capacity: 94 Citations: 3 Date: Jun 6, 2025

Visit Reason
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.

Findings
Multiple Type A deficiencies were cited related to medication mismanagement, false claims regarding medication administration, and unsafe storage of cleaning products accessible to residents, all posing immediate health, safety, or personnel rights risks. A civil penalty of $250 was assessed for a repeat violation.

Citations (3)
Failure to maintain a current, written definitive plan of operation for the facility, evidenced by mismanagement of residents' medication posing immediate health and safety risk.
False claims made by staff indicating medications were administered when they were not, posing immediate health and safety risk.
Storage of bleach in the shower room accessible to residents, posing immediate health and safety risk.
Report Facts
Civil penalty amount: 250

Employees mentioned
NameTitleContext
Holly WilliamsLicensing Program AnalystConducted the case management visit and authored the report
Czarrina A Camilon-LeeLicensing Program ManagerNamed in the report as Licensing Program Manager
Mary SchooleyEngagement DirectorMet with Licensing Program Analyst during the visit and signed the report
Brandon CollinsFacility Designated AdministratorGave permission for Engagement Director to sign and accept the report

Inspection Report

Complaint Investigation
Census: 83 Capacity: 94 Citations: 3 Date: Jun 5, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations of staff mismanaging residents' medication, falsifying medication administration records, and unsafe use of chemicals resulting in injury to a resident.

Complaint Details
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 causing injury.
Findings
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.

Citations (3)
Staff mismanaging residents’ medication, including missing documentation and improper administration times.
Staff falsifying resident’s medication administration records by initialing records for medications not given.
Unsafe use of chemicals, specifically bleach sprayed in the shower while residents were present, causing injury.
Report Facts
Capacity: 94 Census: 83 Staff interviewed: 9 Residents interviewed: 5 Dates missing in medication logs: 7

Employees mentioned
NameTitleContext
Holly WilliamsLicensing Program AnalystEvaluator conducting the complaint investigation
Charlie YangLicensing Program AnalystEvaluator assisting in the complaint investigation
Brandon CollinsFacility Designated AdministratorMet with evaluators during the investigation
Alfredo CruzAdministratorFacility administrator named in report header

Inspection Report

Annual Inspection
Census: 83 Capacity: 94 Citations: 4 Date: Jun 5, 2025

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

Findings
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.

Citations (4)
Broken and sharp gate at memory care and broken bed foot for resident R13 posing immediate safety risk.
Cockroach observed in the new shower posing immediate health and safety risk.
Laundry room in memory care was unlocked with detergent accessible to residents posing immediate safety risk.
One out of eight residents did not have a tuberculosis test on file posing immediate health and safety risk.
Report Facts
Resident files reviewed: 8 Staff files reviewed: 8 Residents interviewed: 5 Staff interviewed: 4 Medication logs reviewed: 5 Facility temperature: 74 Water temperature: 111 Capacity: 94 Census: 83

Employees mentioned
NameTitleContext
Holly WilliamsLicensing Program AnalystConducted inspection and cited deficiencies
Charlie YangLicensing Program AnalystAssisted in conducting the annual inspection
Brandon CollinsFacility Designated AdministratorInterviewed during inspection

Inspection Report

Plan of Correction
Census: 84 Capacity: 94 Citations: 0 Date: Apr 22, 2025

Visit Reason
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 submitted plans of correction.

Findings
The Licensing Program Analyst found that the facility had not submitted all required proof of corrections and plans of action by the due date. Civil penalties were assessed for failure to correct the previously issued citations.

Report Facts
Civil penalty amount: 100 Penalty duration: 5 Number of plans of correction: 2

Employees mentioned
NameTitleContext
Holly WilliamsLicensing Program AnalystConducted the plan of correction visit and assessed civil penalties
Martin NicholsFacility representative met during the inspection and exit interview

Inspection Report

Complaint Investigation
Census: 87 Capacity: 94 Citations: 2 Date: Apr 16, 2025

Visit Reason
The inspection was an unannounced case management visit triggered by an incident report of an elopement on 2025-04-09 involving a resident who was found off the facility property.

Complaint Details
The visit was complaint-related due to an elopement incident reported on 2025-04-09. The complaint was substantiated based on interviews and record review confirming the resident left the facility unattended.
Findings
The inspection found that the resident eloped from the facility, posing an immediate health and safety risk. Additionally, there was evidence of unmanaged incontinence with strong urine odor and soiled bedding observed in a resident's room.

Citations (2)
Failure to ensure the continued safety of residents with dementia who wander away from the facility.
Failure to properly manage and clean up resident incontinence.
Report Facts
Deficiencies cited: 2 Capacity: 94 Census: 87

Employees mentioned
NameTitleContext
Holly WilliamsLicensing Program AnalystConducted the inspection and authored the report.
Brittany RaganHealth and Wellness DirectorInterviewed during the inspection.
Charles WhiteAdministrator/DirectorFacility administrator named in the report header.

Inspection Report

Complaint Investigation
Census: 87 Capacity: 94 Citations: 0 Date: Apr 8, 2025

Visit Reason
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.

Complaint Details
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.
Findings
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.

Report Facts
Capacity: 94 Census: 87 Allowable rate: 1420.07

Employees mentioned
NameTitleContext
Holly WilliamsLicensing Program AnalystConducted the complaint investigation and delivered findings
Brandon CollinsRegional Director of OperationsMet with Licensing Program Analyst during investigation
Alfredo CruzAdministratorPrior administrator interviewed regarding resident supervision
Czarrina A Camilon-LeeLicensing Program ManagerNamed in report signature and oversight

Inspection Report

Complaint Investigation
Census: 86 Capacity: 94 Citations: 2 Date: Jan 16, 2025

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by allegations that the facility accepts residents for care but staff cannot meet their needs and that staff yell at residents.

Complaint Details
The complaint investigation was substantiated. Allegations included staff not meeting residents' needs and yelling at residents. Interviews with residents and staff confirmed these issues, including neglect, inadequate staffing, delayed responses to resident needs, and poor facility cleanliness.
Findings
The investigation substantiated the allegations based on interviews and observations, finding that staff did not handle personal relationships with dignity and residents were not receiving basic services needed. The facility was cited for deficiencies posing immediate health, safety, and personnel rights risks.

Citations (2)
To be accorded dignity in their personal relationships with staff, residents, and other persons. This requirement was not met.
Basic services shall at a minimum include care and supervision as defined. This requirement was not met.
Report Facts
Capacity: 94 Census: 86 Deficiencies cited: 2 Plan of Correction Due Date: Jan 17, 2025

Employees mentioned
NameTitleContext
Holly WilliamsLicensing Program AnalystConducted the complaint investigation and authored the report
Charles WhiteFacility AdministratorMet with Licensing Program Analyst during investigation and exit interview

Inspection Report

Complaint Investigation
Census: 83 Capacity: 94 Citations: 4 Date: Oct 24, 2024

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

Complaint Details
The complaint investigation was substantiated. Allegations included failure to meet residents' incontinence care needs, failure to answer call buttons timely, staff yelling at residents, and inappropriate communication by staff. Evidence included staff and resident interviews, facility documentation, and observations during multiple unannounced visits.
Findings
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 posed immediate health, safety, and personal rights risks to residents.

Citations (4)
Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs, including timely response to call buttons.
Facility staff did not ensure residents were free from punishment, humiliation, intimidation, abuse, or other punitive actions such as inappropriate speech.
Facility staff did not ensure residents were accorded dignity in their personal relationships with staff and others.
Facility staff did not ensure residents were free from yelling or verbal abuse by staff.
Report Facts
Staff interviewed: 9 Residents interviewed: 9 Capacity: 94 Census: 83 Call button response time: 3 Call button response time: 2 Plan of Correction Due Date: Oct 25, 2024

Employees mentioned
NameTitleContext
Arielle PascuaLicensing Program AnalystConducted the complaint investigation
Alfredo CruzFacility Designated AdministratorMet with Licensing Program Analyst during investigation
Aaron KhodorkovskyAdministratorNamed as facility administrator in report

Inspection Report

Complaint Investigation
Census: 85 Capacity: 94 Citations: 0 Date: Sep 19, 2024

Visit Reason
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.

Complaint Details
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.
Findings
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.

Employees mentioned
NameTitleContext
Alfredo CruzFacility Designated AdministratorMet with Licensing Program Analyst during the visit and involved in the incident follow-up.
Arielle PascuaLicensing Program AnalystConducted the case management visit and obtained medication and physician records.

Inspection Report

Follow-Up
Census: 85 Capacity: 94 Citations: 1 Date: Sep 19, 2024

Visit Reason
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.

Findings
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.

Citations (1)
Basic services requirements: Being aware of the resident's general whereabouts, although the resident may travel independently in the community. This requirement was not met as evidenced by the licensee not ensuring staff were aware of R1's general whereabouts after last seen on 09/16/2024, resulting in R1 being found outside the facility on 09/18/2024, posing an immediate health and safety risk.
Report Facts
Civil penalty amount: 500 Staff count: 3 Staff count: 2 Distance: 2.8

Employees mentioned
NameTitleContext
Alfredo CruzFacility Designated AdministratorMet with Licensing Program Analyst during the visit and involved in incident follow-up.
Arielle PascuaLicensing Program AnalystConducted the unannounced case management visit and authored the report.
Lisa RiosLicensing Program ManagerSupervised the licensing evaluation and is named in the report.

Inspection Report

Census: 84 Capacity: 94 Citations: 0 Date: Sep 3, 2024

Visit Reason
The visit was an unannounced case management inspection to review facility changes and compliance related to a change in ownership and room use.

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

Employees mentioned
NameTitleContext
Alfredo CruzFacility AdministratorMet with Licensing Program Analysts during the inspection and discussed facility room use and administrative office placement.

Inspection Report

Complaint Investigation
Census: 84 Capacity: 94 Citations: 1 Date: Aug 29, 2024

Visit Reason
This was an unannounced complaint investigation visit triggered by an allegation that the facility did not pass its fire inspection clearance.

Complaint Details
The complaint alleging the facility did not 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.
Findings
The investigation substantiated that the facility failed to pass its most recent fire inspection due to multiple violations including unpermitted change of use of a resident room to an administrative office and needed repairs to fire doors, latches, and smoke seals. The facility was cited for violating fire clearance requirements and assessed a $500 civil penalty.

Citations (1)
Facility failed to maintain a fire clearance approved by the fire department, including unpermitted change of use of a resident room and needed repairs to fire doors, latches, and smoke seals.
Report Facts
Civil penalty amount: 500 Capacity: 94 Census: 84 Plan of Correction Due Date: Aug 30, 2024

Employees mentioned
NameTitleContext
Holly WilliamsLicensing EvaluatorConducted the complaint investigation and authored the report
Vincent MoleskiLicensing Program AnalystParticipated in the complaint investigation
Alfredo CruzAdministratorFacility administrator interviewed during investigation
Czarrina A Camilon-LeeSupervisorSupervisor overseeing the investigation

Inspection Report

Census: 85 Capacity: 94 Citations: 0 Date: Aug 22, 2024

Visit Reason
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.

Findings
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.

Employees mentioned
NameTitleContext
Christina ValerioLicensing Program AnalystConducted the case management visit and delivered exclusion orders.
Lisa JohansenBusiness Office ManagerMet with Licensing Program Analyst and received exclusion orders.
Aaron KhodorkovskyAdministrator/DirectorNamed as facility administrator/director.

Inspection Report

Original Licensing
Census: 81 Capacity: 94 Citations: 0 Date: Jun 11, 2024

Visit Reason
This was a pre-licensing follow-up visit to evaluate the facility's readiness for licensing approval and to verify completion of required corrections.

Findings
The facility was found to be in compliance with no violations cited. All required corrections, including call pendants for residents and functioning heat detector sensors, were completed during the visit.

Employees mentioned
NameTitleContext
Alfredo CruzFacility staff who assisted with the inspection and is proposed to be the new administrator pending certification.

Inspection Report

Original Licensing
Census: 77 Capacity: 94 Citations: 2 Date: May 30, 2024

Visit Reason
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.

Findings
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.

Citations (2)
Each resident in assisted living building needs to have a call pendant.
All heat detector sensors shall be functioning.
Report Facts
Residents in care: 77 Total licensed capacity: 94 Hospice residents granted: 20 Hot water temperature: 108 Facility temperature: 72

Employees mentioned
NameTitleContext
Aaron KhodorkovskyAdministratorFacility representative met during inspection and involved in findings
Alfredo CruzStaff assisting with the inspection visit
Tung TruongLicensing Program AnalystConducted the pre-licensing inspection

Inspection Report

Census: 74 Capacity: 94 Citations: 0 Date: Apr 25, 2024

Visit Reason
The visit was an office type announced inspection conducted on 04/25/2024 to evaluate the facility's compliance with community care facility licensing laws and regulations.

Findings
During the COMP II telephone interview, the administrator demonstrated understanding of facility operation, admission policies, staffing requirements, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness. No deficiencies or violations were noted in the report.

Employees mentioned
NameTitleContext
Aaron KhodorkovskyAdministratorAdministrator who participated in COMP II interview and confirmed understanding of licensing laws.

Inspection Report

Original Licensing
Census: 60 Capacity: 94 Citations: 0 Date: Jul 6, 2023

Visit Reason
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.

Findings
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.

Employees mentioned
NameTitleContext
Ashley SylveAdministratorAdministrator confirmed understanding of licensing laws during the original licensing visit.
Steven AtlasManaging MemberManaging Member participated in the original licensing visit and interview.

Inspection Report

Census: 60 Capacity: 94 Citations: 0 Date: Jul 6, 2023

Visit Reason
The visit was an office evaluation related to a change of ownership (CHOW) application for Apple Ridge Assisted Living, LLC. The applicant and administrator participated in a COMP II interview to verify identification and confirm understanding of community care facility licensing laws.

Findings
The applicant and administrator demonstrated understanding of facility operation, admission policies, staffing requirements, restrictive health conditions, general provisions, emergency preparedness, complaints and reporting, and pre-licensing readiness. Signed LIC 809 forms with photo ID copies were obtained.

Employees mentioned
NameTitleContext
Ashley SylveAdministratorAdministrator participating in COMP II interview and verification
Steven AtlasManaging MemberManaging Member participating in COMP II interview and verification
Anna BarriosLicensing EvaluatorConducted the evaluation and signed the report
Mirella QuarantaSupervisorSupervisor overseeing the evaluation

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