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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701251
Report Date: 01/07/2026
Date Signed: 01/07/2026 12:55:18 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
10/20/2025 and conducted by Evaluator Avelina Martinez
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20251020150935
FACILITY NAME:APPLE RIDGE ASSISTED LIVING, LLCFACILITY NUMBER:
342701251
ADMINISTRATOR:ILONA CORPUSFACILITY TYPE:
740
ADDRESS:3950 ANNADALE LANETELEPHONE:
(916) 489-6900
CITY:SACRAMENTOSTATE: CAZIP CODE:
95821
CAPACITY:94CENSUS: 81DATE:
01/07/2026
UNANNOUNCEDTIME BEGAN:
12:00 PM
MET WITH:Illona CorpusTIME COMPLETED:
01:10 PM
ALLEGATION(S):
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Licensee does not ensure that resident is accorded privacy while in care.
Licensee does not ensure that resident is provided with a comfortable environment while in care.
Licensee does not prevent resident from being verbally abused by other resident while in care.
Staff retaliate against resident for filing complaints.
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Avelina Martinez conducted an unannounced complaint inspection with the above facility on January 07, 2025, at 12:40 PM and met with Administrator, Ilona Corpus. The purpose of the inspection was to deliver complaint findings for the above allegations

Based on interviews conducted and records reviewed, it was determined that there was not sufficient evidence to prove resident 1 (R1) was not accorded privacy; was not provided a comfortable environment; endured retaliation by staff; and verbally abused by residents.

Confidential interviews were conducted with seven individuals during the period of October 27, 2025, to December 22, 2025.

Continued...
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Avelina Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026
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-20251020150935
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: 01/07/2026
NARRATIVE
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When interviewed, R1 alleged that their privacy rights have been violated by their roommate and R3. R1 also alleged that their roommate and R3 created an uncomfortable environment for them. However, based on information obtained from one out three resident interviews, it was alleged that R1 has been verbally abusive towards their roommate and R3. It was also alleged that R1 has been purposely turning off their roommate’s television and causing an uncomfortable environment for them. According to one out of three residents, they did not have any problems or concerns with R1. Due to conflicting statements made by residents during interviews, there was not sufficient evidence to support the allegations being made.

Also, during this investigation, four staff members were interviewed. Statements given during staff interviews were consistent that R1’s privacy has not been violated and has been provided with a comfortable environment. It was also learned that facility staff members have offered to move R1 to a different bedroom to better meet their needs, however; R1 declined to move to a different bedroom. In addition, facility staff has addressed privacy concerns with resident 3 (R3) and R1’s roommate. Staff have also addressed verbal abuse concerns with R3.

Due to the above noted information, although the allegations may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, and therefore the allegations are unsubstantiated.

An exit interview was conducted, and a copy of this report was provided to the facility.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Avelina Martinez
LICENSING EVALUATOR SIGNATURE:

DATE: 01/07/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/07/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2