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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 347000389
Report Date: 05/29/2025
Date Signed: 05/29/2025 10:00:31 AM

Unsubstantiated


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
10/10/2024 and conducted by Evaluator Cassie Yang
COMPLAINT CONTROL NUMBER: 59-AS-20241010160423
FACILITY NAME:ATRIA EL CAMINO GARDENSFACILITY NUMBER:
347000389
ADMINISTRATOR:GEORGES, NATASHAFACILITY TYPE:
740
ADDRESS:2426 GARFIELD AVETELEPHONE:
(916) 488-5722
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:325CENSUS: 201DATE:
05/29/2025
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Karrie SilveyTIME COMPLETED:
10:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not according resident privacy.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
 On May 29, 2025, Licensing Program Analyst (LPA) Cassie Yang arrived unannounced at the facility to deliver the finding for the allegation cited above. LPA met with Assistant Executive Director and explained the purpose of the visit.

Based on interview conducted, R1 is stand-by assistance as R1 has history of vertigo and is placed in fall risk. R1's LIC 602 revealed R1 has motor impairment and/or paralysis due to "balance issues". Interview revealed, at time staff would knock then enter the apartment while R1 is in the bathroom with door opened. R1 does not mind if staff enters when R1 is in distress and needs assistance. Interview conducted with R2 revealed staff often would do a quick knock before entering but R2 would be in bed and wished to not be disturbed. Interview conducted with R3, R4, R5, R6, R7 and R8 revealed there are no concerns regarding privacy. Based on information gathered, the preponderance of evidence standards have not been met. Therefore, the allegation is found to be UNSUBSTANTIATED. A finding that a complaint allegation is unsubstantiated means 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.
Exit interview conducted and a copy of the report was provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISOR'S NAME: Anthony PerezTELEPHONE: (323) 485-4915
LICENSING EVALUATOR NAME: Cassie YangTELEPHONE: (916) 201-1928
LICENSING EVALUATOR SIGNATURE:

DATE: 05/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025
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
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
10/10/2024 and conducted by Evaluator Cassie Yang
COMPLAINT CONTROL NUMBER: 59-AS-20241010160423

FACILITY NAME:ATRIA EL CAMINO GARDENSFACILITY NUMBER:
347000389
ADMINISTRATOR:GEORGES, NATASHAFACILITY TYPE:
740
ADDRESS:2426 GARFIELD AVETELEPHONE:
(916) 488-5722
CITY:CARMICHAELSTATE: CAZIP CODE:
95608
CAPACITY:325CENSUS: 201DATE:
05/29/2025
UNANNOUNCEDTIME BEGAN:
09:20 AM
MET WITH:Karrie SilveyTIME COMPLETED:
10:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff do not safe guard resident's mail packages.
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
 Licensing Program Analyst (LPA) Cassie Yang arrived at the facility to deliver the finding for the allegtaion cited above. LPA met with Assistant Executive Director and explained the purpose of the visit.

During the course of the investigation, LPA conducted extensive interviews. Interview with S1 revealed delivery drivers would drop off packages at the Administrative Office which will be locked around 7:30 p.m when the administrative team leaves. Interview conducted with S2 revealed S2 assist with organizing packages by room numbers and distributing to residents. S2 works near the package shelf and ensure no unauthorized individuals takes the packages. Interview conducted with R2, R3, R4, R5, R6, R7 and R8 revealed there has been no issues regarding mail packages not being safeguarded. Additional during LPA's observation, LPA observed UPS driver to be delivering packages to the Administrative Office where S2 was supervising the area. 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, a copy of the report was provided.
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: 05/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/29/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 2 of 2