317005428-2-15-2022-25-AS-LMUZ-CC3TGR-20220228134331

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 317005428
Report Date: 02/15/2022
Date Signed: 02/15/2022 10:06:49 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
10/19/2021 and conducted by Evaluator DeAnna Williams-Lyons

COMPLAINT CONTROL NUMBER: 25-AS-20211019104524

FACILITY NAME:	ATRIA ROCKLIN		FACILITY NUMBER:	317005428
ADMINISTRATOR:	DANA STANSEL		FACILITY TYPE:	740
ADDRESS:	3201 SANTA FE WAY		TELEPHONE:	(916) 435-8800
CITY:	ROCKLIN	STATE: CA	ZIP CODE:	95765
CAPACITY:	105	CENSUS: 81	DATE:	02/15/2022
		UNANNOUNCED	TIME BEGAN:	09:21 AM
MET WITH:	Dana Stansel, Executive Director		TIME COMPLETED:	10:37 AM

ALLEGATION(S):

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Facility does not meet resident's incontinence care needs
Facility not maintained clean and sanitary

INVESTIGATION FINDINGS:

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On February 2/15/2022, at 9:30: am, Licensing Program Analyst (LPA) DeAnna Williams-Lyons arrived unannounced to deliver findings for Complaint # 25-AS-20211019104524. LPA met with Dana Stansel, Executive Director and explained the purpose of the visit. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 and completed a risk assessment. LPA ensured she applied hand sanitizer before entering the facility and worn a mask for the Personal Protective Equipment (PPE).

It was alleged that the facility does not meet resident's incontinence care needs and the facility not maintained clean and sanitary. During the investigation, LPA interviewed residents with incontinence needs, and they stated they have never had to wait more than 10 minutes for staff to respond to their needs. Even being short staff at times, resident’s needs are met. R2 stated, “They just get it done. Our care does not suffer.”
To continue see 9099-C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: DeAnna Williams-Lyons	TELEPHONE: (916) 212-3983
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2022

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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Control Number 25-AS-20211019104524

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926

FACILITY NAME: ATRIA ROCKLIN	FACILITY NUMBER: 317005428
	VISIT DATE: 02/15/2022

NARRATIVE

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LPA review the housekeeping schedule and determined that housekeeping is scheduled Monday through Friday from 8AM to 4:30 PM. LPA Williams-Lyons toured the facility on 2/8/2022 and inspected the common areas in and outside of the facility, all of the rooms and restrooms and the dining room. LPA Williams-Lyons observed the facility to be clean and odor free, the floors to be clean and vacuumed, the floors to be free of debris and the facility to be in safe sanitary conditions. Through 9 interviews conducted on 2/8/22, it was stated that Maintenance will do all the heavy cleaning and Housekeeping will do resident’s room’s and keep the common areas clean. S7 stated, “At the time the complaint was reported, the dining room was closed, and staff delivered meals to the residents in their rooms, so it could not have been dirty.” It was stated through interviews that it is hard for staff to get all the housekeeping task done but they are managing with what help they have and do it. S6 indicated that care staff assists with housekeeping when needed. It was stated through staff interviews that the cleanliness could improve, however, Resident statements obtained indicate no issues with the cleanliness of the facility.

Based on records reviewed and LPA’s observation, at the time of the visit on 2/4/22.-2/10/22, the facility to be free of odors and in safe sanitary conditions. And based on interviews conducted with residents and staff, residents no issues with getting their incontinence needs met. Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred, the findings are UNSUBSTANTIATED.

Per California Code of Regulations, Title 22, no citations were issued.

An exit interview was conducted and a copy of this report was given to Dana Stansel.

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: DeAnna Williams-Lyons	TELEPHONE: (916) 212-3983
LICENSING EVALUATOR SIGNATURE:	DATE: 02/15/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 02/15/2022

LIC9099 (FAS) - (06/04)

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