Saddle Ridge Senior Living

Allegation investigated: Staff are not meeting residents needs

On 9/4/26 at 10:00 AM, Licensing Program Analyst (LPA) J. Leffall arrived unannounced to conduct an initial 10-day complaint inspection. LPA explained reason for inspection and was granted entry. LPA met with Administrator (A1) Brandon Ayala-Montelongo. LPA made observations collected records and conducted interviews. Based on interviews, R1's briefs, clothes and beddings have been found soiled. LPA observed R1's bedding to have a liner and observed floor near R1's door to be sticky. Administrator states has been aware and facility has been proactive in providing the best level of care to R1 and attempting to meet R1's care needs. Administrator provided dates, and documentation of previous meetings with R1's family strongly suggesting that R1 needs a higher level of care. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did occur, therefore the allegation is Unsubstantiated. No deficiencies were issued. A copy of this report and appeal rights was provided to Administrator, whose signature on this form confirms receipt of this report. Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 4, 2026 · control 24-AS-20260828165225

Type of visit: Case Management - Deficiencies

On 8/20/26, Licensing Program Analyst (LPA) J. Leffall conducted a case management visit to follow up and confirm details of an incident report that was received by the Department. The incident occurred on 8/16/26, in which R1 was given medication that is not prescribed to said resident. LPA met with Administrator Brandon Ayala-Montelongo. S1 has received a demotion of the Caregiver position. S1 will no longer perform care giving duties in Assisted Living. S1 has transitioned duties in Memory Care and is no longer permitted to distribute medication. A citation and civil penalty is being issued on the attached 809-D and 421FC regarding medications error. A copy of this report with Appeal Rights were issued to Administrator whose signature confirms receipt of this report.the state’s words, verbatim · CDSS document, Aug 20, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(4) · Plan of correction due date: Aug 20, 2026

(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. Based on records reviewed and interviews conducted, R1 was given medication that is not prescribed to said resident which poses an immediate Health & Safety risk to the residents.the state’s words, verbatim · CDSS document, Aug 20, 2026

Plan of correction: S1 has received a demotion of the Caregiver position. S1 will no longer perform care giving duties in Assisted Living. S1 has transitioned duties in Memory Care and is no longer permitted to distribute medication.

Type of visit: Case Management - Deficiencies

On 6/16/26, Licensing Program Analyst (LPA) J. Leffall conducted a case management visit to follow up and confirm details of an incident report that was received by the Department. The incident occurred on 5/30/226, in which R1 was given medication at the wrong scheduled time. LPA met with Administrator Brandon Ayala-Montelongo. S1 has received disciplinary action including termination of employment. A citation and civil penalty and Appeal Rights are being issued on the attached 809-D and 421IM regarding medications error. A copy of this report with Appeal Rights were issued to Administrator whose signature confirms receipt of this report.the state’s words, verbatim · CDSS document, Jun 16, 2026

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87465(a)(4) · Plan of correction due date: Jun 17, 2026

(a) A plan for incidental medical and dental care shall be developed by each facility. The plan shall encourage routine medical and dental care and provide for assistance in obtaining such care, by compliance with the following: (4) The licensee shall assist residents with self-administered medications as needed. Based on records reviewed and interviews conducted, the wrong medication that is not prescribed to R1 was administered, which poses an immediate Health & Safety risk to the residents.the state’s words, verbatim · CDSS document, Jun 16, 2026

Plan of correction: The staff’s employment was terminated and is no longer performing duties in facility.