347005251-5-20-2026-59-AS-TORZ-DUMSRK-20260601140629

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 347005251
Report Date: 05/20/2026
Date Signed: 05/20/2026 03:25:37 PM

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
12/30/2025 and conducted by Evaluator Graham Gunby

COMPLAINT CONTROL NUMBER: 59-AS-20251230131934

FACILITY NAME:	ATRIA CARMICHAEL OAKS		FACILITY NUMBER:	347005251
ADMINISTRATOR:	DAVIS, KAYLA		FACILITY TYPE:	740
ADDRESS:	8350 FAIR OAKS BLVD		TELEPHONE:	(916) 944-2323
CITY:	CARMICHAEL	STATE: CA	ZIP CODE:	95608
CAPACITY:	95	CENSUS: 62	DATE:	05/20/2026
		UNANNOUNCED	TIME BEGAN:	12:15 PM
MET WITH:	Executive Director - Kayla Davis		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Staff does not provide adequate supervision to resident.

INVESTIGATION FINDINGS:

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

On 05/20/2026, Licensing Program Analyst (LPA) Graham Gunby arrived at the facility unannounced to deliver complaint findings into the allegation listed above and met with Executive Director, Kayla Davis.

The department conducted record review, observations, and interviews with staff to investigate this allegation. During the interview with S1 it was revealed that R1 currently lives in their Independent Living. R1 does not receive any assistance from the facility. During the interview process it was reported that staff check on independent residents once a day and as needed. Staff are aware of resident needs for adequate care and supervision per their needs and service plans. Interviews did not indicate any concern in proper care and supervision for residents by staff in the common areas of the facility. Dining room and kitchen are thoroughly monitored by staff to prevent residents from entering unrestricted areas. Based on this information, these allegations are UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred, and the findings are unsubstantiated.
No deficiencies are being cited during today's inspection. Exit interview conducted, email of report is provided to Executive Director.

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Graham Gunby
LICENSING EVALUATOR SIGNATURE:	DATE: 05/20/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/20/2026

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

LIC9099 (FAS) - (06/04)

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