577000881-5-15-2026-21-AS-KMOA-DU9LYP-20260520091039

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 577000881
Report Date: 05/15/2026
Date Signed: 05/15/2026 12:19:10 PM

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
02/04/2026 and conducted by Evaluator Jill Nakagawa

PUBLIC

COMPLAINT CONTROL NUMBER: 21-AS-20260204155138

FACILITY NAME:	ATRIA COVELL GARDENS		FACILITY NUMBER:	577000881
ADMINISTRATOR:	KARRIE SILVEY		FACILITY TYPE:	740
ADDRESS:	1111 ALVARADO AVE		TELEPHONE:	(530) 756-0700
CITY:	DAVIS	STATE: CA	ZIP CODE:	95616
CAPACITY:	210	CENSUS: 175	DATE:	05/15/2026
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Arthur Morales, Manager of the Day/Maintenance Director		TIME COMPLETED:	12:15 PM

ALLEGATION(S):

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Staff did not take precautions to prevent the spread of illness

INVESTIGATION FINDINGS:

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On 05/15/2026, Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to complete an investigation regarding the above allegation and deliver findings and met with the Maintenancee Director Arthur Morales, Maintenance Director/Administrator-of-the-Day, as Administrator Ricky Dulas was off site.

The complaint alleges that Staff did not take precautions to prevent the spread of illness. The complainant states that the executive director waited until 72 hours had passed before following infection control guidelines when more than 50 residents had developed symptoms of a viral outbreak. LPA reviewed line list which was reported to County Department of Public Health (CDPH) and incident reports of the initial start of the outbreak.

Continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026

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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Control Number 21-AS-20260204155138

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: 05/15/2026

NARRATIVE

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Continued from 9099....

On 01/24/2026 two (2) residents sought medical care outside of the facility. On 01/25/2026 an additional resident sought medical treatment. At that point staff were made aware by residents and staff that there were three (3) cases of residents exhibiting the same symptoms and Administrator was notified. In less than 24 hours of the three (3) cases being identified, County Department of Public Health (CDPH) was contacted, families and residents were informed of the symptoms and Enhanced Infection Control protocols were immediately implemented. Reporting Party stated that there was a shortage of med techs. Although there were call-offs due to staff illness the Administrator and other trained staff assisted with those duties. Based on the documentation received from the Department of Public Health, the information reported to Community Care LIcensing (CCL), the notifications sent out to residents, families, visitors and staff, and the protocols put into place according to the facility’s Infection Control Plan the allegation that Staff did not take precautions to prevent the spread of illness is UNSUBSTANTIATED. Although the allegation may have occurred there is not a preponderance of evidence to substantiate the allegation therefore the allegation is UNSUBSTANTIATED.

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:	DATE: 05/15/2026

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/15/2026

LIC9099 (FAS) - (06/04)

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