075600352-7-30-2025-15-AS-YFLS-DL6Q3E-20250903114837

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 075600352
Report Date: 07/30/2025
Date Signed: 07/30/2025 01:10:00 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, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/24/2025 and conducted by Evaluator Gregory Clark

COMPLAINT CONTROL NUMBER: 15-AS-20250724103019

FACILITY NAME:	ATRIA WALNUT CREEK		FACILITY NUMBER:	075600352
ADMINISTRATOR:	KELLI GREENE		FACILITY TYPE:	740
ADDRESS:	1400 MONTEGO		TELEPHONE:	(925) 938-6611
CITY:	WALNUT CREEK	STATE: CA	ZIP CODE:	94598
CAPACITY:	200	CENSUS: 134	DATE:	07/30/2025
		UNANNOUNCED	TIME BEGAN:	11:00 AM
MET WITH:	National Operations Specialist John O'Neil		TIME COMPLETED:	01:20 PM

ALLEGATION(S):

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Staff did not provide adequate supervision resulting in resident falling.
Staff is overcharging resident.
Staff did not safeguard resident's personal belongings.

INVESTIGATION FINDINGS:

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On 2/07/2023 at 11:00 a.m., Licensing Program Analyst (LPA) Greg Clark arrived unannounced to conduct an initial 10-day complaint investigation and deliver findings in regard to the allegations above. LPA met with National Operations Specialist John O'Neil and explained the purpose of the visit.

During the course of the investigation LPA interviewed W1 and S1, toured the Memory Care Unit and reviewed R1’s file.

R1 was admitted to the facility on 10/27/21 to Assisted Living, R1 was transferred to Memory Care on 8/22/24. On 3/23/25 R1 was transferred John Muir Medical Center after a fall. R1 passed away on May 8, 2025.

***report continues on LIC9099C***

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Gregory Clark
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025

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 15-AS-20250724103019

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1515 CLAY STREET, STE. 310
OAKLAND, CA 94612

FACILITY NAME: ATRIA WALNUT CREEK	FACILITY NUMBER: 075600352
	VISIT DATE: 07/30/2025

NARRATIVE

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***report continues from LIC9099***

Allegation: Staff did not provide adequate supervision resulting in resident falling.

W1 stated that she felt that if there were more staff in the Memory Care Unit her mother she wouldn’t have fallen. S1 stated that the staffing ratio in Memory Care is sufficient to meet the needs of the residents. LPA toured the Memory Care Unit and observed that staff were engaged with the residents. The unit was nicely decorated and free of odor. Review of R1’s Resident Functional Needs Assessment dated 2/06/25 documented that R1 was at a low risk for falls. Further review of R1’s file found that R1 had 2 falls in October 2024 and 1 in March 2025. This allegation is unsubstantiated.

Allegation: Staff is overcharging resident.

W1 feels that she shouldn’t have been charged six days in June. W1 voluntarily paid for April and May even though R1 was in the hospital because she wanted to keep R1’s room available to her if she recovered enough to return to the facility. At the end of May W1 decided R1 would not be returning to the facility but didn’t remove R1’s furniture from her apartment until 6/06/25. LPA reviewed the facility’s admission agreement with S1. The admission agreement states that “you will be responsible for payment of all charges…until you have removed all your possessions from the Community.” This allegation is unsubstantiated.

Allegation: Staff did not safeguard resident's personal belongings

W1 stated that when R1 was admitted to the facility she was wearing a diamond ring and at some point, the ring went missing. S1 stated that when a resident is transferred to Memory Care it is recommended to families to remove all valuable items for the safety of the residents. This allegation is unsubstantiated.

This agency has investigated the above complaints. We have found that the complaints are unsubstantiated. Although the allegations may have happened or is valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegation is UNSUBSTANTIATED

Exit interview conducted, a copy of this report provided.

SUPERVISORS NAME: Yvonne Flores-Larios
LICENSING EVALUATOR NAME: Gregory Clark
LICENSING EVALUATOR SIGNATURE:	DATE: 07/30/2025

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/30/2025

LIC9099 (FAS) - (06/04)

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