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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 392701576
Report Date: 08/27/2026
Date Signed: 08/27/2026 03:15:37 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH 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
08/25/2026 and conducted by Evaluator Michael Bilger
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20260825135528
FACILITY NAME:CRYSTAL CREEK SENIOR LIVINGFACILITY NUMBER:
392701576
ADMINISTRATOR:ANGELA RINGUFACILITY TYPE:
740
ADDRESS:2435 WAGNER HEIGHTS ROADTELEPHONE:
(209) 477-5353
CITY:STOCKTONSTATE: CAZIP CODE:
95209
CAPACITY:80CENSUS: 72DATE:
08/27/2026
UNANNOUNCEDTIME BEGAN:
12:30 PM
MET WITH:Jennifer AlmendarezTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Licensee does not ensure staff have a Tuberculosis clearance
INVESTIGATION FINDINGS:
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On 8-27-2026 at 12:30pm, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to open and investigate the allegation noted above. LPA met with Director of Nursing Jennifer Almendarez and explained the purpose of the visit. Director of Nursing departed and LPA met with staff5 (S5) during the remainder of today's visit. Administrator Angela Ringu was not present during today's visit. During today's investigation, LPA requested various staffing files for March 2026 and additional employment information for August 2026 including employee separations. Additionally, LPA conducted interviews with one staff member.
Allegation: Licensee does not ensure staff have tuberculosis clearance. It was alleged that a staff identified as a caregiver did not receive a Tuberculosis (TB) clearance after being hired five months ago. LPA reviewed new hire staff files for March 2026 and recent staff files of those who ended employment in August 2026. LPA also conducted interview with S1. Based on these file reviews and interview, it was revealed that all staff hired received TB testing and health screen clearance performed by an appropriately skilled professional. It was further revealed through interview that housekeeping staff, but no caregivers resigned during the week of {Cont. on 9099C}
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2026
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 27-AS-20260825135528
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: CRYSTAL CREEK SENIOR LIVING
FACILITY NUMBER: 392701576
VISIT DATE: 08/27/2026
NARRATIVE
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8/17/2026. As a result, there is not a preponderance of evidence to conclude staff did not have tuberculosis clearance, therefore, this allegation is UNFOUNDED. A finding of unfounded means the allegation is false, could not have happened, and/or is without a reasonable basis.

An exit interview was conducted with S5 and a copy of this report was provided.
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 08/27/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/27/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2