075600352-8-9-2023-15-AS-KHOS-CWPHYK-20231017063653

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 075600352
Report Date: 08/09/2023
Date Signed: 08/09/2023 05:44:02 PM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/08/2023 and conducted by Evaluator James Sampair

COMPLAINT CONTROL NUMBER: 15-AS-20230808105555

FACILITY NAME:	ATRIA WALNUT CREEK		FACILITY NUMBER:	075600352
ADMINISTRATOR:	KELLI GREENE		FACILITY TYPE:	740
ADDRESS:	1400 MONTEGO		TELEPHONE:	(925) 938-6611
CITY:	WALNUT CREEK	STATE: CA	ZIP CODE:	94598
CAPACITY:	200	CENSUS: 118	DATE:	08/09/2023
		UNANNOUNCED	TIME BEGAN:	02:55 PM
MET WITH:	Administrator Kelli Greene		TIME COMPLETED:	05:50 PM

ALLEGATION(S):

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Facility air conditioning is in disrepair.
Staff not maintaining a comfortable room temperature for residents.

INVESTIGATION FINDINGS:

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On 08/09/2023 at 2:55 PM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct the initial 10-day complaint investigation of the allegations above. Upon entry, LPA informed the front deskperson who informed Administrator (ADM) Kelli Greene of the purpose of the visit.

During the visit, LPA interviewed 2 residents, reviewed facility records, and interviewed Maintenance Director Matthew Marroquin and ADM Greene.

Facility air conditioning is in disrepair.
Based on interviews with staff and residents, and a review of facility records, it is accurate to say that the HVAC system did require repair starting on 08/06/2023, it would not be accurate to categorize that as a long-term neglectful act.

(Continued on LIC9099-C...)

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bennett Fong	TELEPHONE: (510) -62-2621
LICENSING EVALUATOR NAME: James Sampair	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

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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Control Number 15-AS-20230808105555

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
OAKLAND ASC, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: ATRIA WALNUT CREEK	FACILITY NUMBER: 075600352
	VISIT DATE: 08/09/2023

NARRATIVE

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(...Continued from LIC9099)

Staff not maintaining a comfortable room temperature for residents.
Based on interviews with staff and residents, and a review of facility records, it is accurate to say that the staff acted quickly to maintain a comfortable room temperature for residents. The ADM provided approximately 50 air conditioning units or fans for the residents. The major problem for many of the residents was that they were acting in opposition to the instructions of the ADM and the Maintenance Director. During the time the HVAC was in need of repair, they either opened their shades or turned off the thermostat in their room, both of which increase their room temperature as well as the room temperature of the entire floor of residents.

No citations issued during visit.

Although the allegations may have happened, or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview was conducted with ADM. A copy of this report was provided via email.

SUPERVISOR'S NAME: Bennett Fong	TELEPHONE: (510) -62-2621
LICENSING EVALUATOR NAME: James Sampair	TELEPHONE: (510) 286-4201
LICENSING EVALUATOR SIGNATURE:	DATE: 08/09/2023

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/09/2023

LIC9099 (FAS) - (06/04)

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