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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 306000752
Report Date: 03/15/2024
Date Signed: 03/15/2024 12:46:06 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 770 THE CITY DR., SUITE 7100
ORANGE, CA 92868
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/08/2024 and conducted by Evaluator Kimberly Lyman
COMPLAINT CONTROL NUMBER: 22-AS-20240308100024
FACILITY NAME:ATRIA GOLDEN CREEKFACILITY NUMBER:
306000752
ADMINISTRATOR:JAMES D. CRADDOCKFACILITY TYPE:
740
ADDRESS:33 CREEK RDTELEPHONE:
(949) 786-5665
CITY:IRVINESTATE: CAZIP CODE:
92604
CAPACITY:155CENSUS: 101DATE:
03/15/2024
UNANNOUNCEDTIME BEGAN:
10:35 AM
MET WITH:Dori RedmanTIME COMPLETED:
01:15 PM
ALLEGATION(S):
1
2
3
4
5
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7
8
9
Illegal eviction
INVESTIGATION FINDINGS:
1
2
3
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5
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7
8
9
10
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12
13
Licensing Program Analyst (LPA) Kimberly Lyman conducted an unannounced complaint visit to initiate an investigation into the above allegation. LPA was greeted and granted entry into the facility by Executive Director Dori Redman and explained the reason for the visit.
During the course of the investigation LPA toured the facility, interviewed Executive Director and resident as well as reviewed and obtained pertinent documentation such as facility notes. Regarding the allegation of Illegal eviction, the investigation revealed the following: Facility served a thirty day notice to Resident 1 (R1) on March 7, 2024 for violation of house rules regarding alcohol abuse. House rules verbiage indicates "abuse of alcohol will not be tolerated." LPA reviewed six incident reports outlining public intoxication and subsequent hospitalization from the episodes with the last one being March 6, 2024. Interview with R1 confirms episodes of intoxication. Facility documented ten instances of public intoxication between January and March 2024. Documentation includes advisement from staff to discontinue drinking alcohol. The department has determined that the eviction is legal. Therefore, the allegation is deemed unfounded, meaning the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted and a copy of this report was provided.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Alisa OrtizTELEPHONE: (714) 703-2855
LICENSING EVALUATOR NAME: Kimberly LymanTELEPHONE: (714) 795-1497
LICENSING EVALUATOR SIGNATURE:

DATE: 03/15/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/15/2024
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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