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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 045920290
Report Date: 08/28/2026
Date Signed: 08/28/2026 01:18:38 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
08/21/2026 and conducted by Evaluator Rebecca Knight
COMPLAINT CONTROL NUMBER: 59-AS-20260821124420
FACILITY NAME:MARBELLA OROVILLEFACILITY NUMBER:
045920290
ADMINISTRATOR:KALE, APRILFACILITY TYPE:
740
ADDRESS:400 EXECUTIVE PARKWAYTELEPHONE:
(530) 537-8160
CITY:OROVILLESTATE: CAZIP CODE:
95966
CAPACITY:88CENSUS: 49DATE:
08/28/2026
UNANNOUNCEDTIME BEGAN:
12:05 PM
MET WITH:April Kale - executive directorTIME COMPLETED:
01:30 PM
ALLEGATION(S):
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Staff did not allow resident to receive telephone calls. - UNSUBSTANTIATED
Staff does not ensure residents’ personal property is safely secured. - UNSUBSTANTIATED
INVESTIGATION FINDINGS:
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08/27/2026 12:30 PM 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 conduct a complaint investigation.

During the course of the investigation LPA conducted interviews, and reviewed Power of Attorney documents related to one resident.

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 3
Control Number 59-AS-20260821124420
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: 045920290
VISIT DATE: 08/28/2026
NARRATIVE
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Staff did not allow resident to receive telephone calls. - UNSUBSTANTIATED

It was reported that R1 has not been allowed to receive telephone calls while living in the facility.

LPA reviewed Advance Health Care Directive that assigns Power of Attorney (POA) for Health Care Decisions to two POA's. This document does not assign POA decisions to any other aspects of care for R1 other than health care decisions. There is no court order or restraining order in place that would prevent R1 from receiving telephone calls from any person.

Executive Director (ED) stated staff have not been preventing R1 from receiving telephone calls. If a caller calls the facility to speak with a resident the facility telephone system does not have the capability of transferring the call directly to the resident's room. Staff do ask who is calling and inform R1 of who is calling and R1 comes to the front desk and takes that call. If R1 is not available staff take a message and gives R1 the message. R1 has the choice of whether or not to return the call. R1 does have two assigned POA's who understand that the facility cannot restrict R1 from sending and receiving telephone calls.

R1 stated they have been receiving telephone calls from their family and friends.
This allegation is unsubstantiated.

Continued on LIC9099-C
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 3
Control Number 59-AS-20260821124420
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: 045920290
VISIT DATE: 08/28/2026
NARRATIVE
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Staff does not ensure residents’ personal property is safely secured. - UNSUBSTANTIATED

It was reported that a residents mobile phone was taken away from them..

R1 stated they have a mobile phone and normally text family members each day to check in. R1 stated they regularly receive and make calls from their mobile phone. At the time of the interview R1 had misplaced their mobile phone and staff had been assigned to help R1 locate their mobile phone in their apartment.

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: 3 of 3