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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 216800331
Report Date: 07/09/2026
Date Signed: 07/09/2026 03:15:31 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SANTA ROSA RO, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/03/2026 and conducted by Evaluator Anthony Loera
COMPLAINT CONTROL NUMBER: 21-AS-20260703144857
FACILITY NAME:ATRIA TAMALPAIS CREEKFACILITY NUMBER:
216800331
ADMINISTRATOR:TANCHOCO, CORRINEFACILITY TYPE:
740
ADDRESS:853 TAMALPAIS AVETELEPHONE:
(415) 892-0944
CITY:NOVATOSTATE: CAZIP CODE:
94947
CAPACITY:180CENSUS: 101DATE:
07/09/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Maintence Director, Corey MundyTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
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5
6
7
8
9
Staff did not provide resident with proper notification prior to rate increase
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 07/09/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced visit for the purpose of initiating and delivering complaint findings. LPA arrived and met with Maintence Director, Corey Mundy. During the course of the investigation, LPA reviewed records, conducted interviews, and made observations.

Compliant alleges staff did not provide resident with proper notification prior to rate increase. Complaint stated that resident (R1) moved into the facility in December 2025 and the facility recently increased R1s rent after six months without providing the required 90 day written notice. Complainant states neither did they or R1 receive the rate increase notice. LPAs review of record review shows the facility mailed out a rate increase notice addressed to R1s responsible party on 03/23/2026, indicating the rate increase will be effective 07/01/2026.

Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Anthony Loera
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2026
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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