577000881-10-1-2021-21-AS-BMOS-C7JUKZ-20211006153954

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 577000881
Report Date: 09/30/2021
Date Signed: 10/01/2021 11:21:17 AM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

This is an official report of an unannounced visit/investigation of a complaint received in our office on
05/21/2021 and conducted by Evaluator Carla Fernandes-Goes

PUBLIC

COMPLAINT CONTROL NUMBER: 21-AS-20210521145110

FACILITY NAME:	ATRIA COVELL GARDENS		FACILITY NUMBER:	577000881
ADMINISTRATOR:	SLOAN, ASHLEE		FACILITY TYPE:	740
ADDRESS:	1111 ALVARADO AVE		TELEPHONE:	(530) 756-0700
CITY:	DAVIS	STATE: CA	ZIP CODE:	95616
CAPACITY:	210	CENSUS: 134	DATE:	09/30/2021
		UNANNOUNCED	TIME BEGAN:	09:15 AM
MET WITH:	Emily Venegas - Executive Director		TIME COMPLETED:	09:45 AM

ALLEGATION(S):

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Facility failed to provide residents with food of good quality.
The Administrator does not treat the residents with dignity and respect.

INVESTIGATION FINDINGS:

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The Department conducted a complaint investigation regarding the allegations listed above. Licensing Program Analyst Fernandes-Goes arrived unannounced for the purpose of closing the investigation and met with Emily Venegas - Executive Director.

On 5/25/2021, the Department opened complaint investigation. LPA Fernandes-Goes on 6/10/2021 toured the facility; conducted interviews on 6/10, 7/20, 9/12, & 9/13/21; acquired documentation; and made observations of the facility. During documentation review on file and observations with former Executive Director (ED) Ashley Sloan and interviews of staff, complainant, residents', and POAs, LPA learned that in regard of “food of good quality” facility provides meals all day between 7 AM and 7 PM in the dining room with options also available at bistro until late evening. Continue LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Bethany Moellers	TELEPHONE: (707) 588-5040
LICENSING EVALUATOR NAME: Carla Fernandes-Goes	TELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021

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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Control Number 21-AS-20210521145110

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 101 GOLF COURSE DR. STE. A-230
ROHNERT PARK, CA 94928

FACILITY NAME: ATRIA COVELL GARDENS	FACILITY NUMBER: 577000881
	VISIT DATE: 09/30/2021

NARRATIVE

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Facility chef holds a meeting once a month with residents available to gather information on change of menu and other improvements that residents might request. Residents stated that food on the menu sometimes not available due to popularity, food not always hot to their desire, and certain food items seem to be cheap instead of a better quality such as English Muffins. Kitchen during toured of the facility on 6/10/21 was clean, food was properly stored, refrigerators were at designated temperatures, and sufficient supply of perishable and non-perishable at the time of the visit. Menus are available in the dining area. Based on interviews, menus, and tour of the facility LPA wasn’t able to prove or disprove that food in the facility is not of good quality.

In regard to “Administrator doesn’t treat residents with dignity and respect”, LPA learned during interviews of residents that former ED Ashlee “didn’t seem to interact with residents”, didn’t answer emails or phone calls in a timely matter, and during Town Halls would not answer questions asked stating “We are not going to talk about this”. However, some residents shown appreciation on the fact that they felt safe during COVID-19 in 2020. Residents thought that former ED Ashlee was very competent but might needed training on how to work with elderly population. Based on interviews LPA wasn’t able to prove or disprove that former ED Ashlee Sloan wasn’t treating residents with dignity and respect.

A finding that the complaint allegations of "Facility failed to provide residents with food of good quality.”, “The Administrator does not treat the residents with dignity and respect.” are unsubstantiated meaning that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

No deficiencies cited during this inspection.

SUPERVISOR'S NAME: Bethany Moellers	TELEPHONE: (707) 588-5040
LICENSING EVALUATOR NAME: Carla Fernandes-Goes	TELEPHONE: 707-588-5026
LICENSING EVALUATOR SIGNATURE:	DATE: 09/30/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/30/2021

LIC9099 (FAS) - (06/04)

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