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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 435200731
Report Date: 04/21/2026
Date Signed: 04/21/2026 11:04:55 AM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CENTRAL COAST CR/RES, 2580 N. FIRST STREET, STE. 350
SAN JOSE, CA 95131
This is an official report of an unannounced visit/investigation of a complaint received in our office on
03/26/2026 and conducted by Evaluator Jaime Vado
PUBLIC
COMPLAINT CONTROL NUMBER: 26-AS-20260326120029
FACILITY NAME:ATRIA SUNNYVALEFACILITY NUMBER:
435200731
ADMINISTRATOR:FLAVIO SILVAFACILITY TYPE:
740
ADDRESS:175 E REMINGTON DRTELEPHONE:
(408) 738-3410
CITY:SUNNYVALESTATE: CAZIP CODE:
94087
CAPACITY:160CENSUS: 110DATE:
04/21/2026
UNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Administrator - Chad JonesTIME COMPLETED:
11:00 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
- Staff billed resident for services not rendered
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 04/21/2026, Licensing Program Analyst (LPA) Jaime Vado conducted an unannounced complaint investigation visit in order to deliver findings regarding allegation received. LPA met with Chad Jones and explained the purpose of today's visit.

During the course of the investigation, documentation was reviewed and interviews are conducted. Per interviews, the responsible party was billed for services that were not rendered in error as the resident was not at the facility from January 15, 2026 through February 10, 2026. The resident was admitted to the hospital on January 15, 2026 and never returned to the facility. The responsible party provided the facility with a 30 day notice to the facility on January 10, 2026. The responsible party received a notice of still owing the facility $2157 for extra services that were not part of the basic care plan, but the resident was not present to receive those services. It was discovered that there was a clerical error due to the previous administrator. When this error was found by the current administrator, they were able to "zero out" the owed balance, thus eliminating the amount owed so the responsible party does not owe the facility the balance as stated. The family did not pay that amount stated so no refund was needed to be issued. This allegations is unsubstantiated.

Based on these observations, the above allegations are UNSUBSTANTIATED.
Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the above allegations are unsubstantiated at this time. Report is reviewed with the administrator and a copy is provided.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Cara Smith
LICENSING EVALUATOR NAME: Jaime Vado
LICENSING EVALUATOR SIGNATURE:

DATE: 04/21/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/21/2026
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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