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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209035
Report Date: 12/08/2025
Date Signed: 12/08/2025 10:12:55 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
09/23/2025 and conducted by Evaluator Jacques Leffall
COMPLAINT CONTROL NUMBER: 24-AS-20250923161009
FACILITY NAME:SADDLE RIDGE SENIOR LIVINGFACILITY NUMBER:
107209035
ADMINISTRATOR:REYES, ALANAFACILITY TYPE:
740
ADDRESS:675 W ALLUVIAL AVENUETELEPHONE:
(559) 325-8400
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY:148CENSUS: 116DATE:
12/08/2025
UNANNOUNCEDTIME BEGAN:
08:30 AM
MET WITH:Administrator: Brandon Ayala-MontelongeTIME COMPLETED:
10:30 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Due to lack of supervision, resident passed away and staff were unaware

Questionable Death

INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 12/8/25 at 8:30 am Licensing Program Analyst (LPA) J. Leffall conducted a subsequent complaint visit to deliver findings on above allegation. LPA met with Administrator (A1) Brandon Ayala-Montelongo and stated purpose of visit.

Based on the interviews conducted and records reviewed, R1 was considered independent with no agreement between the resident and facility to provide care and supervision. R1’s cause of death was stated as natural. This agency has investigated the complaint allegations above. We have found that the complaint was unfounded. Exit interview was conducted.

No deficiencies issued

Exit interviewed conducted. A copy of this report was provided to Administrator whose signature confirms receipt of the report.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Jacques Leffall
LICENSING EVALUATOR SIGNATURE:

DATE: 12/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/08/2025
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 1