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

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392701576
Report Date: 05/05/2026
Date Signed: 05/05/2026 11:20:36 AM

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
03/30/2026 and conducted by Evaluator Michael Bilger
COMPLAINT CONTROL NUMBER: 27-AS-20260330153304
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: 72DATE:
05/05/2026
UNANNOUNCEDTIME BEGAN:
10:15 AM
MET WITH:Jennifer AlmendarezTIME COMPLETED:
11:20 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not allowing a resident to attend religious meetings.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 5-5-2026 at 10:15am, Licensing Program Analyst (LPA) arrived unannounced to deliver and discuss findings for the allegation noted above. LPA met with Director of Wellness Jennifer Almendarez and explained the purpose of the visit. During this investigation, LPA conducted interviews with two staff members and one resident in care. Additionally, LPA reviewed needs and service plan, admissions agreement, physician’s report, facility care notes, and facility’s internal complaint documentation pertaining to resident1 (R1)
Allegation: Staff are not allowing a resident to attend religious meetings. Based on interviews and record reviews, on or about 3-29-2026, R1 entered the activity room to watch a religious services program, but was told he was unable to at that moment as it would interfere with other residents wishing to also utilize the television and participate in other activities. On this date, R1 was allowed to watch his religious program in the activities room as an exception.

{Cont. on 9099C}
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026
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-20260330153304
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: 05/05/2026
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Interviews conducted and documentation reviewed further revealed that facility has purchased R1 a television for this room to accommodate his religious services program. During an interview with R1, LPA observed R1’s television to be functioning properly for purposes of watching his religious program. Additionally, it was revealed that R1 continues to have access to his cell phone which can provide his religious program. Interviews and documentation review did not reveal corroborated evidence that facility staff were disallowing R1 to attend his religious program. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. A finding 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 Director Of Welness and a copy of this report was provided. Appeal rights provided.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 05/05/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/05/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2