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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107202497
Report Date: 08/13/2020
Date Signed: 08/14/2020 08:56:04 AM



STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/02/2020 and conducted by Evaluator Alexandria Walton
PUBLIC
COMPLAINT CONTROL NUMBER: 24-AS-20200402140941
FACILITY NAME:ATRIA FRESNOFACILITY NUMBER:
107202497
ADMINISTRATOR:NATASHA HAGOPIANFACILITY TYPE:
740
ADDRESS:1715 E ALLUVIAL AVETELEPHONE:
(559) 298-4900
CITY:FRESNOSTATE: CAZIP CODE:
93720
CAPACITY:100CENSUS: DATE:
08/13/2020
UNANNOUNCEDTIME BEGAN:
12:12 PM
MET WITH:Executive Director, Natasha GeorgesTIME COMPLETED:
12:40 PM
ALLEGATION(S):
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Resident's nutritional needs not met at facility
INVESTIGATION FINDINGS:
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On 8/13/2020, Licesning Program Analyst (LPA), A. Walton contacted Executive Director (ED) to deliver findings on the above allegation via telephone due to COVID-19 and pre-cautionary measures. LPA introduced self and discussed the purpose of the call with ED, Natasha Georges.

Based on interviews conducted with staff, due to COVID-19, there were occassions when the facility did not receive the full dining order from the food delivery trucks. The pandemic casued a food shortage on some items which resulted in dining staff substituting food items. Residents were provided options for meals, menus are the same for both Independent Living and Assisted Living, and the facility also provides a snack cart to deliver snacks to residents throughtout the day.

CONTINUED TO LIC9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Andy XiongTELEPHONE: (559) 650-7904
LICENSING EVALUATOR NAME: Alexandria WaltonTELEPHONE: (559) 246-0128
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2020
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 24-AS-20200402140941
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1314 E SHAW AVE
FRESNO, CA 93710
FACILITY NAME: ATRIA FRESNO
FACILITY NUMBER: 107202497
VISIT DATE: 08/13/2020
NARRATIVE
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The Department has investigated the above allegation. Based on interviews, the above allegation is UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur.

No deficiencies issued.

An exit interview was conducted with ED. A copy of this report was discussed and provided to ED, Natasha Georges via email and an electronic read receipt confirms receiving this document.
SUPERVISOR'S NAME: Andy XiongTELEPHONE: (559) 650-7904
LICENSING EVALUATOR NAME: Alexandria WaltonTELEPHONE: (559) 246-0128
LICENSING EVALUATOR SIGNATURE:

DATE: 08/13/2020
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/13/2020
LIC9099 (FAS) - (06/04)
Page: 2 of 2