347000389-3-14-2024-59-AS-KHOS-D3GJJS-20240318070601

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347000389
Report Date: 03/14/2024
Date Signed: 03/14/2024 12:48:03 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
08/02/2023 and conducted by Evaluator Cassie Yang

COMPLAINT CONTROL NUMBER: 59-AS-20230802163034

FACILITY NAME:	ATRIA EL CAMINO GARDENS		FACILITY NUMBER:	347000389
ADMINISTRATOR:	KIMBERLY HAGEN		FACILITY TYPE:	740
ADDRESS:	2426 GARFIELD AVE		TELEPHONE:	(916) 488-5722
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	325	CENSUS: 189	DATE:	03/14/2024
		UNANNOUNCED	TIME BEGAN:	08:35 AM
MET WITH:	Natasha Georges		TIME COMPLETED:	09:15 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility is not maintaining a comfortable temperature for a resident in care.

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On 3/14/2024, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to deliver the finding regarding the allegation the department received. LPA met with Executive Director, Natasha Georges, and explained the purpose of the visit.

During the investigation, LPA conducted extensive interviews, file review and room inspections.

Result of the investigation is as follow.

Please continue on LIC 9099-C...

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Anthony Perez	TELEPHONE: (323) 485-4915
LICENSING EVALUATOR NAME: Cassie Yang	TELEPHONE: (916) 201-1928
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024

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-20230802163034

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: 03/14/2024

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Allegation: Facility is not maintaining a comfortable temperature for a resident in care.

The Department conducted extensive interviews regarding the allegation cited above. Interview conducted with R1 revealed that facility staff conduct daily checks on residents in care to ensure room are in a comfortable temperature. Interview conducted with R2 revealed that R2's AC unit is in an operable condition. Interview further revealed that facility provides residents in care portal air conditioning units during the summer if needed, and facility provides portal heating units for residents if they request for it. Interview conducted with Executive Director revealed that facility offer residents in care, the option to relocate to the B and C wings if needed as the A wing units' Heating, Ventilation, and Air Conditioning is older. Document review revealed that Executive Director had submitted a request for a replacement for the A wing Heating, Ventilation, and Air Conditioning. Based on interview conducted with Executive Director revealed that a request is to be approved, then a construction permit is needed prior to work getting done. Interview further revealed that facility accommodates to residents' needs if alternative heating and/or air conditioning is needed.

Based on information obtained through interviews and file reviewed, the Department finds the allegation found the complaint to be unfounded, meaning that the allegation was false, could not have happened and/or is without a reasonable basis.

Exit interview conducted and a copy of report and appeal rights will be provided via email to Administrator.

SUPERVISOR'S NAME: Anthony Perez	TELEPHONE: (323) 485-4915
LICENSING EVALUATOR NAME: Cassie Yang	TELEPHONE: (916) 201-1928
LICENSING EVALUATOR SIGNATURE:	DATE: 03/14/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/14/2024

LIC9099 (FAS) - (06/04)

Page: 2 of 2