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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209655
Report Date: 09/04/2026
Date Signed: 09/04/2026 02:32:48 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/28/2026 and conducted by Evaluator Jacques Leffall
COMPLAINT CONTROL NUMBER: 24-AS-20260828165225
FACILITY NAME:SADDLE RIDGE SENIOR LIVINGFACILITY NUMBER:
107209655
ADMINISTRATOR:AYALA-MONTELONGO, BRANDONFACILITY TYPE:
740
ADDRESS:675 W ALLUVIAL AVENUETELEPHONE:
(559) 573-2224
CITY:CLOVISSTATE: CAZIP CODE:
93611
CAPACITY:148CENSUS: 73DATE:
09/04/2026
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Administrator: Brandon Ayala-MontelongoTIME COMPLETED:
03:00 PM
ALLEGATION(S):
1
2
3
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5
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7
8
9
Staff are not meeting residents needs
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
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.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: See Moua
LICENSING EVALUATOR NAME: Jacques Leffall
LICENSING EVALUATOR SIGNATURE:

DATE: 09/04/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/04/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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