Crystal Creek Senior Living

Allegation investigated: Staff are not allowing a resident to attend religious meetings.

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. {Cothe state’s words, verbatim · CDSS document, May 5, 2026 · control 27-AS-20260330153304

Allegation investigated: Staff do not ensure resident's dietary needs are met

On 5-5-2026 at 11:30am, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver and discuss findings for the allegations noted above. LPA met with Director of Wellness Jennifer Almendarez and explained the purpose of the visit. During this investigation, LPA conducted interviews with four residents and four staff members. Additionally, LPA reviewed needs and service plan, physician’s report, care notes, weight record, and incident report pertaining to resident1 (R1). LPA also reviewed facility house rules and menus. Allegation: Staff do not ensure resident’s dietary needs are met. LPA conducted interviews and record reviews as noted above. Based on interviews and record reviews, it was revealed that facility staff have offered food items to various residents counter to their dietary needs. It was further revealed through observation that facility staff offers residents in care the same food items while in the dining room. {Cont. on 9099C} Substantiatedthe state’s words, verbatim · CDSS document, May 5, 2026 · control 27-AS-20260403081111

Allegation investigated: Staff do not respond to resident’s call button. Staff cancels resident’s scheduled appointments.

On 5-5-2026 at 1:30pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver and discuss findings for the allegations noted above. LPA met with Director Wellness Jennifer Almendarez and explained the purpose of the visit. During this investigation, LPA conducted facility observations on 4-22-2026 and 5-5-2026. Additionally, LPA conducted interviews with five staff members and six residents in care. LPA also reviewed facility file documentation including resident appointment calendars Allegation: Staff do not respond to resident’s call button. LPA conducted facility observations and interviews as noted above. During observations conducted, LPA observed staff attending to resident needs and answering call lights within an average time frame of 5-10 minutes. Interviews conducted revealed that 10-15 minutes are the facility’s expectation standards. Further interviews revealed no corroborated statements from staff not responding to resident call buttons. {Cont. on 90the state’s words, verbatim · CDSS document, May 5, 2026 · control 27-AS-20260414134148

Allegation investigated: Staff did not ensure that insulin administration to residents was performed by an appropriately skilled professional

On 4-22-2026 at 10:15am, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to deliver findings for the allegation noted above. LPA met with Health and Wellness Director Jennifer Almendarez and explained the purpose of the visit. During this investigation, LPA conducted interviews with five staff members and reviewed facility file documentation including medication logs for January and February of 2026, and facility’s medication policy. Allegation: Staff did not ensure that insulin administration to residents was performed by an appropriately skilled professional. LPA conducted interviews and record reviews as noted above. Based on these interviews and record reviews, it was revealed that at the time of review, a total of 15 residents received insulin via flex pen. Interviews also revealed that five of these residents were unable to determine what the dosage should be and required assistance as a result. A review of facility’s medication policy states in part: "Properlythe state’s words, verbatim · CDSS document, Apr 22, 2026 · control 27-AS-20260206104333

Allegation investigated: Staff did not maintain the resident's room in a sanitary condition. Staff did not ensure that the resident was regularly observed for changes in condition.

Licensing Program Analyst (LPA) Kesha Lewis and Melina Oropeza arrived unannounced to deliver findings for the above allegations. LPA met with Angela and explained the purpose of the visit. Based on multiple interview with the resident (R1) and observations of R1'S room and records reviewed. the ficility did have care notes for R1 that covered time period, LPA did not obersrve R1'S room to be unsanitary. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Mar 24, 2026 · control 27-AS-20260116125404

Allegation investigated: Staff do not assist resident with adequate supervision, resulting in resident unclothed in facility and/or smoking inside of facility. Resident Rights are violated; Staff inappropriately speaks to resident, humiliate resident and/or interact inaapropriately. Staff do not maintain a comfortable temperature in the facility for residents in care. Staff do not distribute residents' medications as prescribed. Staff confined resident to room. Staff do not safeguard resident's mail Staff do not serve residents food of good quality Staff do not have medication training

Licensing Program Analyst (LPA) Kesha Lewis and Melina Oropeza arrived unannounced to deliver findings for the above allegations. LPA met with Angela and explained the purpose of the visit. Allegation 1: Staff do not assist resident with adequate supervision, resulting in resident unclothed in facility and/or smoking inside of facility is UNSUBSTANTIATED, based on interviews and observations no residents were unclothed. Allegation 2: Resident Rights are violated; Staff inappropriately speaks to resident, humiliate resident and/or interact inaapropriately. Baed on obersvation over mulitlple visit LPA never heard or saw any staff interact inaapropriately with residents. Allegation 3: Staff do not maintain a comfortable temperature in the facility for residents in care this alleagaton is UNSUBSTANTIATED based on interviews and abservations no resdients stated there were uncomfterbale with the tempiture and over muliple visits the LPA observed the facility to be with in the required tempatthe state’s words, verbatim · CDSS document, Mar 24, 2026 · control 27-AS-20260128081241

Allegation investigated: Staff do not ensure residents have adequate hygiene supplies.

On 01/21/26, Licensing Program Analyst (LPA) Kesha Lewis made an unannounced visit to this facility to deliver findings for the above allegations. LPA identified herself upon arrival, stated the purpose of the visit. LPA met with Angela Ringu and a brief interview followed. LPA toured the facility. LPA learned the facility will be installing shower Despensers and updating the facility’s admissions agreement starting March 1st. Based on interviews and document review the facility did not provide body soap to residents therefore the allegation Staff do not ensure residents have adequate hygiene supplies is SUBSTANTIATED. The Department has determined, based on the preponderance of the evidence obtained during this investigation, that the allegation is substantiated. The following deficiency is cited per California Code of Regulations, TITLE 22. Exit interview was conducted with facility staff. Appeal Rights were issued, and a copy of this report was given. Substantiatedthe state’s words, verbatim · CDSS document, Jan 21, 2026 · control 27-AS-20251210083346

Allegation investigated: Staff did not prevent residents from fighting.

On 01/21/26, Licensing Program Analyst (LPA) Kesha Lewis made an unannounced visit to this facility to open an investigation for the above allegations. LPA identified herself upon arrival, stated the purpose of the visit. LPA met with Angela Riungu. Based on documents received and interviews conducted R1 has not been in any physical altercations while in the facility and staff do not keep R2's Cigarettes. Therefore, the allegation Staff did not prevent residents from fighting is UNSUBSTANTIATED. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Jan 21, 2026 · control 27-AS-20251209104837

Allegation investigated: Staff did not follow resident's medication orders.

On 12/10/25, Licensing Program Analyst (LPA) Kesha Lewis made an unannounced visit to this facility to open an investigation for the above allegations. LPA identified herself upon arrival, stated the purpose of the visit. LPA met with Angela Ringu. Based on documents recieved and reviewed the allegation Staff did not follow resident's medication orders is UNSUBSTAITIATED. Both R1 and R2 do not take blood pressure medication.A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 10, 2025 · control 27-AS-20251209104837

Allegation investigated: Staff did not ensure they had adequate planned activties for residents.

On 12/09/25, Licensing Program Analyst (LPA) Kesha Lewis made an unannounced visit to this facility to open an investigation into the above allegation. LPA identified herself upon arrival, stated the purpose of the visit. LPA met with Angela Ringu and a brief interview followed. LPA requested a copy of the facilities activities Calander for November and December, and the LPA requested the name of contract for the activity’s director. Based on documents reviewed there is an activity's director on staff and both months of November and December have different activities for the residents to participate in. Therefore, the allegation is UNFOUNDED. This agency has investigated the complaint allegation(s). This agency has found that the complaint was UNFOUNDED, meaning that the allegation(s) were false, could not have happened and/or was without a reasonable basis. This agency has therefore dismissed the complaint. There were no deficiencies observed or cited during today’s complaint visit. Ethe state’s words, verbatim · CDSS document, Dec 9, 2025 · control 27-AS-20251205111053

Allegation investigated: Staff are denying residents medical treatment.

On 12/09/25, Licensing Program Analyst (LPA) Kesha Lewis made an unannounced visit to this facility to continue an investigation for the above allegations. LPA identified herself upon arrival, stated the purpose of the visit. LPA met with Angela Ringu and a brief interview followed. Based on interviews with staff and residents along with documents reviewed. LPA could not find evidence that the above allegation. R1 was able to be seen by a doctor as they wished, alson with 4 out of 4 residents interviewed felt they could be seen by the doctor as they wished. A review of R1'S medication was done, and all was found to be accounted for. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 9, 2025 · control 27-AS-20251118125214

Allegation investigated: Staff interfered with resident’s ability to engage in religious activities. Staff threatened resident. Staff transported resident in an unsafe manner. Staff did not safeguard resident’s medication.

On 12/02/25, Licensing Program Analyst (LPA) Kesha Lewis made an unannounced visit to this facility to deliver findings about the above allegations. LPA identified herself upon arrival, stated the purpose of the visit. Based on interviews with staff and residents along with the reporting party and documents reviewed. LPA could not find evidence that the above allegation. Two of the interviewees stated that the facility purchased items for R1 to engage in their religious activities, there is also no person that can corroborate R1 was transported in an unsafe manner or threatened. A review of R1'S medication was done, and all was found to be accounted for. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 2, 2025 · control 27-AS-20251105095151

Allegation investigated: Staff do not ensure a safe environment for residents in care.

On 12/02/25, Licensing Program Analyst (LPA) Kesha Lewis made an unannounced visit to this facility to deliver findings about the above allegations. LPA identified herself upon arrival, stated the purpose of the visit, Based on interviews with staff and residents along with the reporting party. LPA could not find evidence that the above allegation of Staff do not ensure a safe environment for residents in care. was true, therefore the allegation is UNSUBSTANTIATED. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was provided. Unsubstantiatedthe state’s words, verbatim · CDSS document, Dec 2, 2025 · control 27-AS-20251016152255

Allegation investigated: Staff do not assist resident with arranging transportation to attend church Staff do not allow resident access to personal belonging. Staff do not safeguard resident's mail. Staff do not allow resident to travel into the community.

On 12/02/25, Licensing Program Analyst (LPA) Kesha Lewis made an unannounced visit to this facility to deliver findings about the above allegations. LPA identified herself upon arrival, stated the purpose of the visit. Based on interviews with staff and residents along with the reporting party and documents reviewed. LPA could not find evidence that the above allegation. Interviews with state that when available the facility van was used to transport R1 and when it was not the staff offered to call uber or a cab for R1 this was confirmed their interviews. Based on LPA'S observation R1 had all their belongs and they were available to R1. Mail at the facility is called and passed out by one staff member only. Based on records reviewed R1 cannot leave the facility unassisted. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.the state’s words, verbatim · CDSS document, Dec 2, 2025 · control 27-AS-20251010151501

Allegation investigated: Staff not abiding by contract.

On 11/12/25, Licensing Program Analyst (LPA) Kesha Lewis made an unannounced visit to this facility to Amed the report for the above allegations and met with Deanna Posada. LPA identified herself upon arrival, stated the purpose of the visit. LPA met with Angela Ringu and a brief interview followed. LPA requested copies of the R1'S admissions agreement, LPA also interviewed and R1. Based on documents reviewed and interview with staff the above allegation is UNFOUNDED. The facility has no intention of moving R1 into a shared room, R1 has lived at the facility for 11 years in a private room and has not waived their right to a private room. The department has determined that the complaint was unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview and copy of report given. Unfoundedthe state’s words, verbatim · CDSS document, Oct 29, 2025 · control 27-AS-20251021094041

Allegation investigated: Facility does not have an administrator

Licensing Program Analyst (LPA) Kesha Lewis and Licensing Program Manager (LPM) Liza King arrived unannounced to conduct a complaint investigation and follow up incidents that the department has become aware of which need additional follow up. LPM and LPA met with Angela Riungu and explained the purpose of the visit. According to interview and records review, previous Admin last day 07/31/25, current Admin start date date 08/11/25 however documents were not receieved in the RO by the licensee to appoint the individual. Admin Cert 7028459740 exp 07/25/26 and meets all educational experience. On todays date documents were requested to incl. o A letter from the licensee and/or Board appointing the individual as the Administrator o LIC308 o Copy of current Admin Cert o Any documentation that meets the education and/or experience requirements, if applicable o LIC 200 signed by the licensee or designee o LIC 500 to indicate the days/hours the administrator is in the facility o LIC 501 so thathe state’s words, verbatim · CDSS document, Sep 19, 2025 · control 27-AS-20250808081449

Allegation investigated: Facility failed to providfe residents comfortable temperature

On 08/13/25, Licensing Program Analyst (LPA) Kesha Lewis made an unannounced visit to this facility to open an investigation into the above allegations. LPA identified herself upon arrival, stated the purpose of the visit, and asked to meet with the Designated Facility Administrator/Executive Director (ED). LPA met with Angela Riungu and a brief interview followed. LPA requested a copy of log showing when the power went out and for how long it was documented that the power was out for 10 minutes and the generators came on a few minutes after. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegation is found to be UNSUBSTANTIATED. A finding that the complaint allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. An exit interview was conducted, and a copy of this report was provided. Unsubstantiathe state’s words, verbatim · CDSS document, Aug 13, 2025 · control 27-AS-20250811094532