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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 347000389
Report Date: 01/05/2024
Date Signed: 01/05/2024 03:25:17 PM

Unfounded


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/27/2023 and conducted by Evaluator Cassie Yang
COMPLAINT CONTROL NUMBER: 59-AS-20231227082445
FACILITY NAME:ATRIA EL CAMINO GARDENSFACILITY NUMBER:
347000389
ADMINISTRATOR:CRISTINA ORTIZFACILITY TYPE:
740
ADDRESS:2426 GARFIELD AVETELEPHONE:
(916) 488-5722
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:325CENSUS: DATE:
01/05/2024
UNANNOUNCEDTIME BEGAN:
01:00 PM
MET WITH:Cristina OrtizTIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Staff did not follow proper eviction procedures
INVESTIGATION FINDINGS:
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On 01/05/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to open and deliver the findings of the allegation cited above. LPA met with Executive Director, Cristina Ortiz, and explained the purpose of the visit.

Today's investigation, LPA conducted a file review and interviews with Administrator and R1.

Result is as follow regarding Allegation: Staff did not follow proper eviction procedures

Please continue on LIC 9099-C.
Unfounded
Estimated Days of Completion:
SUPERVISOR'S NAME: Anthony PerezTELEPHONE: (323) 485-4915
LICENSING EVALUATOR NAME: Cassie YangTELEPHONE: (916) 201-1928
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2024
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 2
Control Number 59-AS-20231227082445
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: ATRIA EL CAMINO GARDENS
FACILITY NUMBER: 347000389
VISIT DATE: 01/05/2024
NARRATIVE
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Allegation: Staff did not follow proper eviction procedures.

Based on file review, it revealed R1 has missed the rent payment for the month of October 2023, November 2023, and December 2023. Interview conducted with Administrator revealed R1's Power of Attorney is aware that R1 is out of funds and is unable to pay rent at the facility. Interview with R1 revealed R1 is aware her Power of Attorney has not paid R1's rent for several months. Documents revealed that eviction letter was served on December 22, 2023 with effective date of January 22, 2024, which is 30 days, in compliance of Title 22 Eviction Procedures. Document further revealed eviction letter obtained the required criteria of referral services aid in finding alternative housing, complaint information to Licensing and Long Term Care Ombudsman, and lastly Health and Safety Code Section 1569.683(a)(4) unlawful detainer action.

Based on information obtained, LPA finds the allegation to be UNFOUNDED-means that the allegation is false, could not have happened, and/or is without a reasonable basis.

Exit interview conducted, and a copy of the report and appeal rights was provided via email.

SUPERVISOR'S NAME: Anthony PerezTELEPHONE: (323) 485-4915
LICENSING EVALUATOR NAME: Cassie YangTELEPHONE: (916) 201-1928
LICENSING EVALUATOR SIGNATURE:

DATE: 01/05/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/05/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 2