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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045000603
Report Date: 08/28/2026
Date Signed: 08/28/2026 12:00:37 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH 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
07/22/2026 and conducted by Evaluator Rebecca Knight
COMPLAINT CONTROL NUMBER: 59-AS-20260722165010
FACILITY NAME:MARBELLA OROVILLEFACILITY NUMBER:
045000603
ADMINISTRATOR:KALE, APRILFACILITY TYPE:
740
ADDRESS:400 EXECUTIVE PARKWAYTELEPHONE:
(530) 534-8160
CITY:OROVILLESTATE: CAZIP CODE:
95966
CAPACITY:0CENSUS: 0DATE:
08/28/2026
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:April Kale - executive directorTIME COMPLETED:
12:00 PM
ALLEGATION(S):
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Bruising of unknown origin.- UNSUBSTANTIATED
INVESTIGATION FINDINGS:
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08/27/2026 11:45 AM Licensing Program Analyst (LPA) Rebecca Knight, made an unannounced visit to the facility and met with Executive Director April Kale. The purpose of this visit was to deliver the results of a complaint investigation.

During the course of the investigation LPA conducted interviews, toured the facility, and reviewed documents.

Continued on LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2026
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 59-AS-20260722165010
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: MARBELLA OROVILLE
FACILITY NUMBER: 045000603
VISIT DATE: 08/28/2026
NARRATIVE
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Bruising of unknown origin.- UNSUBSTANTIATED

It was reported that a resident had bruising and redness on their breasts.

LPA document review: Resident 1’s (R1) care plan dated 01/13/2026 states that R1 is independent with all dressing / grooming tasks. R1 requires standby assist with showers. R1 uses a manual wheelchair and seatbelt for posture. R1 had one fall within the last three months. Incident report dated 07/16/2026 states R1 had dark discolorations around right breast that appear to look like bruises.

R1 stated they did not know how they obtained the bruises but thought the cause was reaching over their bedside rail at night. R1 stated that no one had hurt them or touched them inappropriately and if anyone hurt them or touched them they would tell staff.

Staff stated they spoke with R1 and feel that the cause of the bruising is from R1 hitting their bed rail that is in between their nightstand and bed. Staff have encouraged R1 to keep a pillow there to prevent them from hitting the bed rail.

Executive Director stated R1 has a bar on their bed and when they roll over to turn their light on they hit their breast. R1 is in a wheelchair the majority of the time and when they brush their teeth they lean up against the counter and their breasts hit the counter. ED stated that they asked R1 if they had been mistreated or touched inappropriately and R1 said no one comes in their room without knocking and R1 doesn’t allow anyone they don’t know in their room.

This allegation is unsubstantiated.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are UNSUBSTANTIATED. No deficiencies cited. Exit interview conducted and a copy of the report was provided to Executive Director April Kale.

SUPERVISORS NAME: Lauren Crocker
LICENSING EVALUATOR NAME: Rebecca Knight
LICENSING EVALUATOR SIGNATURE:

DATE: 08/28/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/28/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2