347000389-3-30-2022-25-AS-MSEY-CD3KNC-20220401080251

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347000389
Report Date: 03/30/2022
Date Signed: 03/30/2022 04:17:19 PM

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
12/23/2021 and conducted by Evaluator Sabrina Calzada

PUBLIC

COMPLAINT CONTROL NUMBER: 25-AS-20211223103421

FACILITY NAME:	ATRIA EL CAMINO GARDENS		FACILITY NUMBER:	347000389
ADMINISTRATOR:	RIST, ALICIA		FACILITY TYPE:	740
ADDRESS:	2426 GARFIELD AVE		TELEPHONE:	(916) 488-5722
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	325	CENSUS: 184	DATE:	03/30/2022
		UNANNOUNCED	TIME BEGAN:	11:35 AM
MET WITH:	Kimberly Hagen, Administrator		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Facility not in good repair

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Sabrina Calzada arrived unannounced to conclude a complaint investigation and deliver findings. LPA met with Kimberly Hagen, Administrator. Prior to initiating today's inspection, LPA completed required COVID-19 testing protocols and completed a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. Additionally, LPA was screened per Covid-19 precautionary measures upon entering the community. LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: KN95 mask.

During the investigation, LPA's Calzada and Yang interviewed the Divisional Maintenance Director, Maintenance Specialist, Executive Director, Assistant Executive Director, and (2) residents. LPA's reviewed the following documentation: history of work orders for apartment, contractor's invoice.

The results of the investigation are as follows:
cont on 9099C.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina Calzada	TELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 1 of 3

Control Number 25-AS-20211223103421

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 EL CAMINO GARDENS	FACILITY NUMBER: 347000389
	VISIT DATE: 03/30/2022

NARRATIVE

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Resident (R1) stated she has lived at the facility since September 2017 and was told by the prior occupant that the apartment leaks every time it rains and the carpet gets wet near the heater/AC unit where the water comes in, and the carpet gets really soaked during a big storm. Resident informed LPA's that maintenance had vacuumed the water from her carpet and placed a board on her AC unit to prevent further leaks.

Facility work orders reviewed for resident's apartment, from 2013 forward, show that on 9/21/2013, a work order was entered for "water issues... needed asap" and on 11/1/2015 "water was leaking into the apartment- radio's maintenance who are responding immediately".

Divisional Maintenance Director stated on 12/31/2021 that the leaking was reported on 12/23/2021 at 8:39 am, housekeeping staff immediately confirmed the leak, and the Maintenance Specialist followed up and investigated the exterior of the building by cleaning the gutters and resealing the ptac unit to prevent further leaks. Division Maintenance Director added that after the recent big storm, he reviewed prior work invoices for the cleaning of the gutters, and determined that the outside cleaning company failed to complete the job, asserting "it's not a roofing issue, it’s a gutter issue".

Maintenance Specialist explained on 12/31/2021 that upon learning of the leak due to the recent rain, he immediately cleared out the gutter and closed the down spout pipe to prevent future leaks and temporarily placed a blocker board on top of the ptac unit until the re-routing of the overflow is fixed. LPA's observed on 12/31/2021 that a board had been placed at an angle on top of the unit outside so any rain/moisture would run away from the unit and not on the unit, leaking potentially to the inside.

An outside contractor's invoice, dated 1/1/2022, notes that an "emergency call" was made on Sunday, 12/26/2021, to the facility to address water entering resident's apartment via the A/C unit. The invoice documents that the gutter outside/above the unit was cleared of leaves that were causing the gutter to be clogged, causing the water to pour out at the overflow onto the A/C unit. Additionally, during this maintenance call, the overflow was sealed to prevent water from flowing onto the unit and into the building.

Administrator stated in an email to the Department "The community promptly addressed the issue through internal remediation and cleaning and also called out an vendor to address the issue from occurring again."
cont on 9099C(2)...

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina Calzada	TELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022

LIC9099 (FAS) - (06/04)

Page: 2 of 3

Control Number 25-AS-20211223103421

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 EL CAMINO GARDENS	FACILITY NUMBER: 347000389
	VISIT DATE: 03/30/2022

NARRATIVE

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9099C(2)..Both the resident and facility staff stated that the facility offered another apartment unit to resident, but the resident didn't want to move due to the location of the apartment and the summer sunlight.

Based on information obtained, the Department finds the allegation to be UNSUBSTANTIATED-
meaning that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

A Technical Advisory Note was issued to schedule regular gutter maintenance.

Exit interview. Copy of report and appeal rights provided.

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Sabrina Calzada	TELEPHONE: (510) 829-2133
LICENSING EVALUATOR SIGNATURE:	DATE: 03/30/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/30/2022

LIC9099 (FAS) - (06/04)

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