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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 347000389
Report Date: 04/23/2021
Date Signed: 04/23/2021 11:43:36 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 520 COHASSET RD., STE. 170
CHICO, CA 95926
FACILITY NAME:ATRIA EL CAMINO GARDENSFACILITY NUMBER:
347000389
ADMINISTRATOR:RIST, ALICIAFACILITY TYPE:
740
ADDRESS:2426 GARFIELD AVETELEPHONE:
(916) 488-5722
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:325CENSUS: 225DATE:
04/23/2021
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:30 AM
MET WITH:Administrator, Alicia RistTIME COMPLETED:
12:00 PM
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Licensing Program Analsyt (LPA) Melana Llopis contacted the facility on 04/23/2021 via telephone due to Covid-19 and precautionary measures for a Case Management call. LPA spoke with Administrator, Alicia Rist and explained the purpose of the call was to address concerns the Department received regarding the facility's visitation policies.

Administrator emailed LPA the facility visitation plan. LPA and Administrator reviewed plan as well as PIN 21-17 which addresses CCLD guidelines for visitations during this time.

LPA and Administrator to follow up.

No deficiencies are being cited due to today's call.

Exit interview conducted, copy of report emailed to Administrator. Administrator to send a signed copy back to LPA.
SUPERVISOR'S NAME: Maribeth SentyTELEPHONE: (916) 214-0485
LICENSING EVALUATOR NAME: Melana LlopisTELEPHONE: 510-298-7052
LICENSING EVALUATOR SIGNATURE:

DATE: 04/23/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/23/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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