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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392701576
Report Date: 07/07/2026
Date Signed: 07/07/2026 10:26:16 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
05/04/2026 and conducted by Evaluator Michael Bilger
COMPLAINT CONTROL NUMBER: 27-AS-20260504140507
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: DATE:
07/07/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Angela RinguTIME COMPLETED:
10:30 AM
ALLEGATION(S):
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Staff do not respond to communication from resident's doctors in a timely manner
Staff cancel resident's medical appointments without explanation
Staff are not assisting resident with obtaining medical care
INVESTIGATION FINDINGS:
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On 7-7-2026 at 10:00am, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver and discuss findings for the allegations noted above. LPA met with Administrator Angela Ringu and explained the purpose of the visit. During this investigation, LPA conducted staff interview and record reviews including physician’s report, needs and services plan, care notes and appointment calendar all pertaining to resident1 (R1).
Allegation: Staff do not respond to communication from resident’s doctor’s in a timely manner. LPA conducted interview and record reviews as noted above. Based on evidence reviewed, it was revealed that R1 previously had multiple interventions with medical personnel including dialysis and psychological services. Additionally, the evidence revealed that staff engaged in communication with outside medical personnel including physicians regarding diet restrictions, medication changes, behaviors, and doctor appointments. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED. {Cont.on 9099C}
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

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

DATE: 07/07/2026
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-20260504140507
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: 07/07/2026
NARRATIVE
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Allegation: Staff cancel resident’s medical appointments without explanation. LPA conducted interview and record reviews as noted above. Based on the evidence reviewed it was revealed that R1 previously had regular scheduled appointments for dialysis throughout the months of March, April, and May of 2026. Additional medical appointments were also noted for lab work, physical therapy, heart check-ups, and other physician appointments. Records reviewed and interviews revealed no evidence of staff-initiated cancellations of appointments. As a result, the preponderance of evidence standard is not met, and this allegation is UNSUBSTANTIATED.

Allegation: Staff are not assisting resident with obtaining medical care. LPA conducted interview and record reviews as noted above. Based on the evidence reviewed, it was revealed that R1 previously required medical attention regarding diet restrictions, medication changes, behaviors, and dialysis. Further evidence revealed that staff have been providing on-going interactions regarding the above including arranging medical appointments for consultation. 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 Administrator and a copy of this report was provided. Appeal rights provided.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

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

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