075600353-12-13-2023-15-AS-KHOS-CZ5J3F-20240103054128

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 075600353
Report Date: 12/13/2023
Date Signed: 12/13/2023 05:17:50 PM

Unfounded

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
12/13/2023 and conducted by Evaluator James Sampair

COMPLAINT CONTROL NUMBER: 15-AS-20231213114737

FACILITY NAME:	ATRIA VALLEY VIEW		FACILITY NUMBER:	075600353
ADMINISTRATOR:	KELLI L GREENE		FACILITY TYPE:	740
ADDRESS:	1228 ROSSMOOR PKWY		TELEPHONE:	(925) 937-7300
CITY:	WALNUT CREEK	STATE: CA	ZIP CODE:	94595
CAPACITY:	153	CENSUS: 106	DATE:	12/13/2023
		UNANNOUNCED	TIME BEGAN:	03:50 PM
MET WITH:	Administrator Monique Bindra		TIME COMPLETED:	05:30 PM

ALLEGATION(S):

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The facility license is not posted for public viewing

INVESTIGATION FINDINGS:

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On 12/13/2023 at 03:50 PM, Licensing Program Analyst (LPA) J. Sampair arrived unannounced to conduct the initial 10-day complaint inspection of the facility pertaining to the allegation above. Upon arrival, LPA stated the purpose of the visit to Administrator Monique Bindra.

The complainant alleged that the facility license is not posted for public viewing. Shortly after entering the facility, the LPA confirmed that the license was still posted in the location where it had been when he last visited the facility on 07/28/2023.

The allegation is false, could not have happened, and/or is without a reasonable basis, therefore, the allegation is UNFOUNDED.

Exit interview conducted and a copy of this report provided for Administrator via email.

Unfounded

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: 12/13/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/13/2023

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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