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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 03:16:55 PM

Unfounded


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
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8
9
Licensee does not ensure license number is displayed on public website
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 licensee does not ensure license number is displayed on public website. LPA’s review shows that the facilities license number is displayed on the front page of the facilities website. Therefore facility is in compliance with Title 22 Regulations. Based on observations made, this allegation is Unfounded.
An allegation that is Unfounded, means that the allegation was false, could not have happened and/or is without a reasonable basis.
Unfounded
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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