577000881-3-29-2022-21-AS-KMOA-CDXQ93-20220429115741

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 577000881
Report Date: 03/29/2022
Date Signed: 03/29/2022 11:11:00 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

This is an official report of an unannounced visit/investigation of a complaint received in our office on
12/16/2021 and conducted by Evaluator Jill Nakagawa

COMPLAINT CONTROL NUMBER: 21-AS-20211216115035

FACILITY NAME:	ATRIA COVELL GARDENS		FACILITY NUMBER:	577000881
ADMINISTRATOR:	EMILY, VENEGAS		FACILITY TYPE:	740
ADDRESS:	1111 ALVARADO AVE		TELEPHONE:	(530) 756-0700
CITY:	DAVIS	STATE: CA	ZIP CODE:	95616
CAPACITY:	210	CENSUS: 138	DATE:	03/29/2022
		UNANNOUNCED	TIME BEGAN:	09:30 AM
MET WITH:	Emily Venegas, Executive Director		TIME COMPLETED:	11:10 AM

ALLEGATION(S):

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Insufficient staffing resulting in care needs not being met
Facility is not a comfortable temperature

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Nakagawa conducted a complaint investigation regarding the allegations listed above. LPA arrived unannounced on this day for the purpose of a complaint investigation and delivering findings of the above allegations with Emily Venegas, Executive Director. Facility was toured, observations made, facility records were reviewed and interviews with staff and residents were conducted.

The complaint alleges that due to a lack of staff, residents wait for over 60 minutes for answers to their call lights. LPA reviewed records for 30 days of call lights and found that most calls are answered within 3-8 minutes; there were some calls that took 12-15 minutes. LPA found that most calls are answered within a reasonable amount of time. LPA observed several calls which were answered in different areas of the building. The unknowing staff arrived within 3-4 minutes on each of the calls; courteously. Record review shows adequate staffing.

Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Kimberley Mota	TELEPHONE: (707) 588-5051
LICENSING EVALUATOR NAME: Jill Nakagawa	TELEPHONE: 707-588-5063
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2022

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-20211216115035

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405

FACILITY NAME: ATRIA COVELL GARDENS	FACILITY NUMBER: 577000881
	VISIT DATE: 03/29/2022

NARRATIVE

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Continued from 9099

Complaint alleges that the facility is not a comfortable temperature. LPA conducted several visits, conducted interviews, toured the facility and made observations. The facility was found to be between 74 - 76 degrees Fahrenheit, which, when asked, was a comfortable temperature for most individuals using the dining room. In addition to the dining area being 74-76 degrees large portable heaters were available during two visits made by LPA. On LPA's third visit the heaters were not there but the fireplace was going in the dining room, with open tables in close proximity available for seating.

Based on the observations that were made, the interviews, and the records reviewed the allegations that insufficient staffing resulting in care needs not being met; and the facility is not a comfortable temperature are unsubstantiated meaning that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

No deficiencies cited during the visit. Signatures on file and Appeal Rights given

SUPERVISOR'S NAME: Kimberley Mota	TELEPHONE: (707) 588-5051
LICENSING EVALUATOR NAME: Jill Nakagawa	TELEPHONE: 707-588-5063
LICENSING EVALUATOR SIGNATURE:	DATE: 03/29/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/29/2022

LIC9099 (FAS) - (06/04)

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