577000881-3-17-2021-21-AS-KMOA-BZ9TVD-20210319150345

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 577000881
Report Date: 03/16/2021
Date Signed: 03/17/2021 02:33:49 PM

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
11/16/2020 and conducted by Evaluator Katrina Walters

PUBLIC

COMPLAINT CONTROL NUMBER: 21-AS-20201116115336

FACILITY NAME:	ATRIA COVELL GARDENS		FACILITY NUMBER:	577000881
ADMINISTRATOR:	ASHLEE SLOAN		FACILITY TYPE:	740
ADDRESS:	1111 ALVARADO AVE		TELEPHONE:	(530) 756-0700
CITY:	DAVIS	STATE: CA	ZIP CODE:	95616
CAPACITY:	210	CENSUS:	DATE:	03/16/2021
		UNANNOUNCED	TIME BEGAN:	02:13 PM
MET WITH:	Ashlee Sloan		TIME COMPLETED:	05:00 PM

ALLEGATION(S):

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Facility issued an unlawful rate increase.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Katrina Walters spoke with Administrator, Ashlee Sloan via Televisit to deliver findings regarding the above mentioned complaint allegations. Visit was done remotely due to Covid-19 precautions.

Durning the course of this investigation, LPA interviewd Resident, Reviewed emails from Regional Vice President to Residents and reviewed 4 Written notices of rate increases sent to residents 10/26/20. The complaint alleges that the facility issued an unlawful rate increase and that rate increases are not consistant for all residents. Through the review of four resident records, LPA learned that residents were notified of the rate increase more than 60 days' prior to the date that it would take effect. The Written notification indicated that rates were being raised due to operating expenses. The facility provided residents with the additional cost and breakdown of increase of services.

Continued on 9099 C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Hope DeBenedetti	TELEPHONE: (707) 588-5059
LICENSING EVALUATOR NAME: Katrina Walters	TELEPHONE: (707) 588-5057
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2021

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-20201116115336

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: 03/16/2021

NARRATIVE

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Per interview with AS, the rate increase at Atria Covell is for all residents. Rate increases differ due to the market value of each room and the personal care rates are dependent on the residents care needs. This was also reflected on the Rental rate and Personal Care Rate given to the four resident notifications reviewed. The notification also states that the rate for Personal Care can either increase or decrease, depending on the needs of each resident. Therefore, the facility is currently in compliance with Regulation Health and Safety Code 1569.655.

A finding that of the complaint allegation "Facility issued an unlawful rate increase” is 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.
Report with Administrator's signature on file

SUPERVISOR'S NAME: Hope DeBenedetti	TELEPHONE: (707) 588-5059
LICENSING EVALUATOR NAME: Katrina Walters	TELEPHONE: (707) 588-5057
LICENSING EVALUATOR SIGNATURE:	DATE: 03/16/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/16/2021

LIC9099 (FAS) - (06/04)

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