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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079200326
Report Date: 10/25/2023
Date Signed: 10/25/2023 02:19:05 PM


Document Has Been Signed on 10/25/2023 02:19 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612



FACILITY NAME:ATRIA PARK OF LAFAYETTEFACILITY NUMBER:
079200326
ADMINISTRATOR:QUINLAN-TUDDA, BARBARAFACILITY TYPE:
740
ADDRESS:1545 PLEASANT HILL RDTELEPHONE:
(925) 932-9910
CITY:LAFAYETTESTATE: CAZIP CODE:
94549
CAPACITY:130CENSUS: 86DATE:
10/25/2023
TYPE OF VISIT:Case Management - Health ChecksUNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH: Barbara Tudda, Executive DirectorTIME COMPLETED:
02:30 PM
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On 10/25/23 at 1:30 PM, Licensing Program Analyst (LPA) K. Nguyen conducted an unannounced Health & Safety inspection as result of a priority 2 complaint. LPA met with Barbara Tudda, Executive Director.

LPA toured facility including but not limited to the common areas, courtyard, bathrooms, kitchens, medication room, theater, game room and Life Guidance (memory care unit). Hot water temperature in common area temperature was at a comfortable degree; each resident has their own individual apartment. There are 2-days of non-perishables and 7-days of perishable food supplies. Facility food supplies are checked daily by chef and staff. Resident's medications were kept locked in the medication room. Smoke and carbon monoxide detectors are combined and observed throughout the facility and the bedrooms. First-aid kit was complete. Fire extinguisher was observed full and last inspected 05/28/23. No accessible bodies of water were observed. Indoor and outdoor passageways were free of obstruction. Emergency Disaster Plan (EDP) on file and following COVID-19 precautionary guidelines.

No deficiencies are cited on this date.

Exit interview conducted. A copy of this report provided to ED via email.
SUPERVISOR'S NAME: Bennett FongTELEPHONE: (510) 725-7919
LICENSING EVALUATOR NAME: Kelly NguyenTELEPHONE: (510) 915-8702
LICENSING EVALUATOR SIGNATURE:
DATE: 10/25/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 10/25/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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