<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 079200326
Report Date: 03/20/2024
Date Signed: 03/20/2024 01:54:38 PM


Document Has Been Signed on 03/20/2024 01:54 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: 87DATE:
03/20/2024
TYPE OF VISIT:Required - 1 YearUNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Barara Tudda, AdminstratorTIME COMPLETED:
02:20 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On 03/20/24 at 10:00 AM, Licensing Program Analysts (LPAs) K. Nguyen and L. Holmes conducted an unannounced required annual inspection. LPAs met with Barbara Tudda, Executive Director (ED); Administrator Standard Certificate #7013847740 exp. 10/09/2025.

LPAs toured facility including but not limited to the common areas, courtyard, bathrooms, kitchens, medication room, theater, and game room. Hot water temperature in common area temperature was at a comfortable degree at 108.2 degrees Fahrenheit; 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. Fire extinguisher was observed full and last inspected 3/26/2024. 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. Disaster drills completed every other month. Certificate of Liability Insurance exp. 06/01/24.

LPAs reviewed 7 residents records. LPA reviewed 5 staff records and 5 of 5 have current first aid training and associated to the facility. LPAs reviewed a sample of resident’s medications.

No deficiencies cited on this date.



Exit interview conducted and a copy of this report provided to ED.
SUPERVISOR'S NAME: Bennett FongTELEPHONE: (510) 725-7919
LICENSING EVALUATOR NAME: Kelly NguyenTELEPHONE: (510) 915-8702
LICENSING EVALUATOR SIGNATURE:
DATE: 03/20/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 03/20/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1