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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 577000881
Report Date: 08/26/2022
Date Signed: 08/26/2022 10:43:37 AM


Document Has Been Signed on 08/26/2022 10:43 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 GARDENSFACILITY NUMBER:
577000881
ADMINISTRATOR:EMILY, VENEGASFACILITY TYPE:
740
ADDRESS:1111 ALVARADO AVETELEPHONE:
(530) 756-0700
CITY:DAVISSTATE: CAZIP CODE:
95616
CAPACITY:210CENSUS: 144DATE:
08/26/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
09:40 AM
MET WITH:Jake Bruno, Resident Services Director TIME COMPLETED:
11:00 AM
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LIcensing Program Analyst (LPA)Jill Nakagawa arrived unannounced to conduct an inspection at Atria Covell Gardens on 8/26/22 at approximately 9:40 AM for the purpose of checking on the new MAR system and Memory Care.

The facility was clean and orderly. The entrance had adequate signage requesting masks in the facility by staff and visitors. The front desk concierge conducted a Covid-19 assessment prior to the LPA being granted entry into the facility. There was a questionnaire, temperature taken, and hand sanitizer at the ready. LPA was met by Resident Services Director, Jake Bruno (JB), who showed LPA around the facility. A tour of the facility showed that the facility is in good repair, with Independent Living amenities all on line, including the laundry room, arts and crafts, outside areas for walking and visiting, and the Computer lab, as well as other amenities. The Memory Care Unit was actively engaging residents with a large group participating in a game with an Activities Director. The residents were dressed appropriately and well-groomed.

The next stop of the inspection was to see how the new Electronic MAR System was going. JB said the Med. Techs were doing well with the new system and training had been ongoing for several months. LPA got a chance to view how the system worked and it should help in proper medication management, providing times, photos and other information to ensure the right med is going to the right patient at the right time.

Staff and residents were all interactive and engaging with one another.

There were no deficiencies found at the time of inspection.
No citations were issued.
SUPERVISOR'S NAME: Kimberley MotaTELEPHONE: (707) 588-5051
LICENSING EVALUATOR NAME: Jill NakagawaTELEPHONE: 707-588-5063
LICENSING EVALUATOR SIGNATURE:
DATE: 08/26/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 08/26/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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