Atria Senior Homes

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Ruth Martinez is conducting this unannounced visit for the purpose of completing an annual required inspection. LPA arrived at the facility and was greeted and granted entry by staff. LPA met with Albert Dahbour, Administrator explained the nature of the visit. There are five (5) residents at the facility and there is two (2) residents receiving hospice services currently. LPA accompanied by Administrator began the tour of the inside and outside of the facility. LPA observed required department postings throughout the facility. Facility stays within the capacity limitations. There is a minimum of one week of non-perishables foods and two days of perishables foods available. There is additional food storage in a spare refrigerator in the garage. The facility is maintained at a comfortable temperature. LPA inspected that medication is centrally stored in a safe locked storage cabinet located in the kitchen. LPA reviewed medication and observed medication was labeled and stored inaccessible to residents in care. LPA observed the first aid kit . LPA inspected the facility bathrooms and LPA measured the hot water temperature which measured 107.9 Fahrenheit degrees. All bathrooms observed to have a supply of soap, toilet paper and towels. Bathrooms are equipped with required safety measures such as non-skid mats and grab bars. Lighting is sufficient to ensure safety and comfort. The facility is equipped with sufficient hand hygiene, cleaning, and disinfecting supplies. LPA observed that toxic chemicals, cleaning solutions and disinfectants are stored locked underneath kitchen sink and locked storage cabinet in the garage. The facility has an available clean supply of linens. LPA inspected residents’ bedrooms which has sufficient lighting to ensure the safety and comfort. All bedrooms observed to have all required components. Storage space is provided for residents in their bedroom. Smoke detectors/carbon monoxide detectors were tested and found Continued LIC809-C to be operational. LPA toured the outside of the facility and observed outdoor passageways are free of obstructions. LPA observed there are shaded seating areas for residents’ enjoyment in the front yard as well as the backyard of the facility. LPA observed a fire extinguisher with service date of September 11, 2026, charged and mounted in the kitchen. Fire drills are conducted every three months, LPA verified fire drill logs are kept and last drill was conducted August 17, 2026. LPA began review of records. LPA reviewed three resident records. All the required documentation was present and current in the residents’ files reviewed. LPA reviewed two employee records. All employees present have a criminal record clearance and are associated to the facility. LPA observed records reviewed have a current First Aid certificate. LPA as a reminder provided annual fee dues information. Based on the observations made during today’s visit, no deficiencies were noted today in the areas inspected per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the Administrator, and a copy of this report was provided to the facility.the state’s words, verbatim · CDSS document, Sep 3, 2026

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Jessica Cho arrived at the facility unannounced for the purpose of conducting the Required 1-Year annual evaluation using the CARE Inspection Tool. LPA was greeted and granted entry by Caregiver Bonifacio Mercado and explained the reason for the visit. Administrator (Admin) Rowena Carillo arrived approximately 12pm. LPA observed two caregivers on duty providing care to six residents of which three are under hospice care. The Administrator's Certificate for Rowena Carillo expires on June 24, 2027 and June 3, 2027 for Administrator Angeline Delos Reyes. The following was observed during the inspection: This is a single story structure located in a residential neighborhood. Facility operates within the conditions and limitations specified on the license. There are six private resident bedrooms and four resident bathrooms. All common areas were inspected including the attached two car garage. The residents' bedrooms were appropriately furnished. Beds and bedding supplies were in good condition, adequate lighting was provided, sufficient storage space for each residents' personal belongings were observed. Bathrooms were found to be in compliance, clean, and operational. The hot water temperature measured at 109.5,107.7, 105.0, and 107.4 degrees Fahrenheit in the resident bathrooms. Toxins, disinfectants, sharps, and medications were secured and inaccessible. LPA observed sufficient two-day supply of perishables and seven-day supply of non-perishable food. LPA toured the exterior portion of the facility. LPA observed the outdoor passageway is free of obstruction. The shed stores mattresses which is inaccessible to the residents. The two exit gates were operational and there were sufficient seating and shading. The fire extinguisher was purchased on today's date per review of the receipt. The auditory devices in two residents' rooms, Resident #1 (R1) and Resident #6 (R6) were not operational. The dual functioning smoke/carbon monoxide detectors were tested and operational. LPA observed the emergency food/water in the garage. Emergency evacuation drills are being conducted quarterly with the last date on July 15, 2025. LPA observed the required 'See Something, Say Something' (PUB475) poster posted in the entry way. LPA conducted interviews and audited six residents' files and two personnel files in which no discrepancies were found with the exception of a missing Physician's Report (LIC602) for R1. Medications were audited for two out of six residents. No discrepancies found. The following was advised: to ensure the facility is in good repair at all times, to repair or replace the auditory devices on the sliding doors of bedrooms R1 and R6, to ensure all documents are readily available for the licensing agency to review and to avoid any future delays, and to ensure the Physician's Report (LIC602) is complete and maintained. Based on the observations made during today's visit, a deficiency is being cited and Advisory Notes are being issued. An exit interview was conducted with Administrator Rowena Carillo, and a copy of this report including the LIC811, LIC9102s, and the appeal rights were provided at the end of the visit.the state’s words, verbatim · CDSS document, Sep 11, 2025

The state marks this report as 6 pages; the online copy we transcribed has 4. You can request the full file from the county licensing office.

Type of visit: Required - 1 Year

On 12/19/2024 at 10:30 AM, Licensing Program Analyst LPA) Jose Calderon conducted an unannounced annual inspection visit at the Atria Senior Homes Facility. LPA Calderon was allowed entry into the facility by Administrator Rowena Carrillo. Administrator Carrillo asked infection control questions and took LPA Calderon temperature prior to entrance into the facility. The facility is licensed to operate 6 ambulatory and 1 bedridden resident 60 and older. Currently, there are six (6) residents residing in the facility, 60 and older. LPA Calderon explained to Administrator Carrillo, the purpose of the one-year Annual Inspection visit, and escorted LPA Calderon on a tour of the entire inside and outside facility grounds. As part of the inspection, LPA Calderon reviewed: Six (6) client service records, six (6) client medication records (MAR), three (3) staff records, and inspected the inside facility and outside grounds. The facilities’ last fire drill was conducted on 09/12/2024. The one-story residential home consists of six (6) client bedrooms, five (5) client bathrooms, living room, dining room, kitchen, staff room, office area, attached garage with washer and dryer/ storage area, backyard with table and chairs. No weapons are stored in the premises. Kitchen was inspected and observed to be clean and operational. A two-day supply perishable and seven-day supply of non-perishable foods are present in the facility. Emergency Water Storage is in the kitchen area. LPA Calderon observed that all facility rooms are clean and in good repair. A comfortable temperature was observed, and the facility has central air and heating. LPA Calderon observed the following during inspection of client’s rooms: mattresses are in good condition, adequate lighting present, plenty of dresser/closet space is present, and all bed linens present. All bedrooms contain furniture, lighting fixtures and personal storage space as required, all beds have the required amount of linen and mattress covers, LPA Calderon observed fully stocked closet with bedding, towels, and toiletries supplies. Bathroom fixtures are clean, in good repair, and working properly and contain the required nonskid mats and grab bars. LPA Calderon observed bathrooms were found to be within Title 22 regulation. Bathroom #1 hot water temperature properly measured at 105 degrees Fahrenheit, bathroom #2 hot water temperature properly measured at 107 degrees Fahrenheit, bathroom #3 hot water temperature properly measured at 106 degrees Fahrenheit, bathroom #4 hot water temperature properly measured at 107 degrees Fahrenheit, and bathroom #5 hot water temperature properly measured at 102 degrees Fahrenheit. Kitchen hot water temperature properly measured at 108 degrees Fahrenheit. Facility (2) Carbon Monoxide and (10) Smoke Detectors hard wired operated and connected were tested and are working properly. The facility two (2) Fire Extinguishers was checked and found to be fully charged and accessible. All exit doors in the facility have alarm systems. The facility has a working landline telephone. All toxins and knifes are locked/secured and inaccessible to clients. Medications are centrally stored and in a locked storage cabinet. Facility 2 first aid kit is fully stocked with manuals was checked and in order. All Exits/ Walkways around the home were free of debris and hazards. Outside patio accessible to clients. Six (6) client files were reviewed and found to be complete. LPA Calderon reviewed six (6) resident medications (MAR) and they were all found to be administered according to doctor's orders. Three (3) staff files were checked and have the required documents. LPA Calderon noted the Administrator Rowena Carrillo Certification # 6004604740 expiration date of 06/24/2025 was valid at time of inspection. The facility does not handle client's money/cash resources and no surety bond is needed. Commercial General Liability Policy #PCI4083277301 policy period from 04/26/2024 to 04/26/2025 underwritten by Primary Care Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. Administrator Carrillo to email LPA Calderon a full copy of the commercial insurance policy including all endorsements no later than 01/10/2025. All the required documents are posted in the facility in a clearly visible area. During the visit, LPA observed the facility infection control practices. LPA observed screening protocols for visitors, staff, and clients, sanitizing stations (Located in common areas and restrooms). LPA observed staff and clients were NOT wearing face coverings. LPA observed the facility has a 30-day supply of Personal Protective Equipment (PPE). LPA Calderon advised the Administrator Carrillo to continuously monitor the Centers for Disease Control (CDC) website and Community Care Licensing Provider Informational Notices (PIN) for any updates relating to COVID-19 guidance. According to the California Code of Regulations (Title 22, Division 6, Chapter 8), LPA Calderon did not observe deficiencies therefore no citations were issued at this time. Annual Licensing Fee is CURRENT. An exit interview was conducted, and a copy of the Facility Evaluation Report was provided to Administrator Rowena Carrillo.the state’s words, verbatim · CDSS document, Dec 19, 2024