415600980-7-21-2020-14-AS-BCHN-BS5QFR-20200803120820

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 415600980
Report Date: 07/20/2020
Date Signed: 07/21/2020 02:38:24 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 851 TRAEGER AVE., SUITE 360
SAN BRUNO, CA 94066

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/13/2020 and conducted by Evaluator Shabana Buksh

COMPLAINT CONTROL NUMBER: 14-AS-20200713100037

FACILITY NAME:	ATRIA AT FOSTER SQUARE		FACILITY NUMBER:	415600980
ADMINISTRATOR:	KELLI GREENE		FACILITY TYPE:	740
ADDRESS:	707 THAYER LN		TELEPHONE:	(650) 532-2460
CITY:	FOSTER CITY	STATE: CA	ZIP CODE:	94404
CAPACITY:	216	CENSUS: 152	DATE:	07/20/2020
		UNANNOUNCED	TIME BEGAN:	02:30 PM
MET WITH:	Freddie Fullon		TIME COMPLETED:	03:00 PM

ALLEGATION(S):

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Resident is being charged for services not received.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA), Shabana Buksh conducted a visual complaint investigation with Executive Director, Freddie Fullon and explained the purpose of the tele-visit. LPA discussed and interviewed the Executive Director regarding the above allegation. The finding is as follows; LPA requested and received all pertinent documents for review. The review of Residents' Admission agreement on page 6, under section (2),(a) Basic Services, states, "We provide the following basic services for the stated monthly rate: (8), Assistance in arranging your transportation to medical and dental appointments, shopping and recreation facilities, and religious activities". In the admission agreement the service does not include transportation cost but includes assistance in arranging transportation. Furthermore, Executive Director stated that Atria does not charge its residents for transportation either it is use of facility transportation or using uber services. The memo that was given to residents' on 07/07/2020 stated that due to Covid -19 epidemic, Atria has decided to take several precautionary measures to keep the community safe, therefore would suspend transportation until further notice. But assistance would still be provided to residents in arranging for the transportation. On 07/14/2020, Atria provided another notice to resident, which reads,'Effective immediately we will provide limited transportation to essential medical appointments only. Executive Director stated, Atria would reimburse residents for all transportation cost during the period transportation was not provided. Therefore, this allegation is deemed Unfounded, meaning that the allegation was false, could not have happened and /or is without a reasonable basis. Report was discussed and emailed to the Executive Director and Reporting party.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Brenda Chan	TELEPHONE: (650) 266-8889
LICENSING EVALUATOR NAME: Shabana Buksh	TELEPHONE: (650) 266-8810
LICENSING EVALUATOR SIGNATURE:	DATE: 07/20/2020

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/20/2020

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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