Atria Collwood

Licensing Program Analyst (LPA) Debbie Correia conducted a facility visit to conclude a complaint investigation. LPA gained access to the facility, identified herself and met with Resident Service Assistant (RSA) Sharmaine Osea to whom was explained the purpose of the visit. The Department’s investigation consisted of staff and resident interviews and a facility tour. It was alleged the facility staff did not provide a comfortable temperature for residents in care. An Interview conducted with the Executive Director revealed each resident room has their own Air Conditioning (AC) unit and the residents can control the temperature of their rooms. Interviews conducted with Staff 1 (S1) and Staff 2 (S2) both corroborated residents can control the temperature of their rooms. An interview conducted with Resident 1 (R1) also corroborated they had their own AC unit and can control the temperature of their room. The interview with R1 also revealed no issues with their AC unit. UnsubstantiatedRead the full finding— CDSS inspection report, August 30, 2024 · control 08-AS-20240826113532

Licensing Program Analyst (LPA) Debbie Correia conducted a facility visit to conclude a complaint investigation. LPA gained access to the facility, identified herself and met with Executive Director (ED) Julia Lopez to whom was explained the purpose of the visit. The Department’s investigation consisted of staff and resident interviews and a facility and resident records reviews. It was alleged that facility staff did not provide transportation to a resident in care. An Interview conducted with Resident 1 (R1) revealed on August 27, 2024, facility staff did not provide them with their transportation needs. The interview also revealed R1 needed transport that day but R1 was told there were no available staff and they would have to wait until the following day. An interview conducted with ED Lopez revealed on August 27, 2024, the driver was booked, and staff needed at least 24-hour notice for transport. An interview conducted with Staff 1 (S1) corroborated the facility has a sign-in scheRead the full finding— CDSS inspection report, August 29, 2024 · control 08-AS-20240827164134

Licensing Program Analyst (LPA) Daniel Pena conducted an unannounced complaint visit to open an investigation regarding the above mentioned allegation. LPA was greeted by and identified himself to Administrator, Julia Lopez. LPA explained the purpose of the visit and basic elements of the complaint. It was alleged that staff does not provide a comfortable temperature for residents in care. The Department's investigation consisted of facility inspection, LPA observation, record reviews and interviews with residents, staff, and pertinent outside sources. Based upon the information obtained during the investigation it is determined that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the violation occurred and is therefore UNSUBSTANTIATED. An exit interview was conducted with Julia Lopez, Administrator, whose signature below confirms receipt of a copy of this report and the Licensee Appeal Rights (LIC9058 3/22). UnsubstantiatedRead the full finding— CDSS inspection report, August 7, 2024 · control 08-AS-20240801100152

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced a follow up complaint investigation visit, and delivered complaint findings. The LPA introduced himself and disclosed the purpose of the visit to Executive Director Julia Lopez. Throughout the investigation, the Department secured records and conducted interviews with external and internal sources, including staff and residents. It was alleged staff did not treat a resident with dignity. On 7/26/24, it was reported to the Department a facility staff member had yelled at a resident. Interviews with internal and external sources did not reveal any concerns with staff and resident interactions, including staff raising their voice, nor yelling at residents. An interview with the staff who had allegedly yelled at a resident, recalled the incident in question, denied yelling at the resident, and instead noted the resident had yelled at staff. (See LIC 9099C for continuation of report.) UnsubstantiatedRead the full finding— CDSS inspection report, August 7, 2024 · control 08-AS-20240726170444

Licensing Program Analysts (LPAs) Nacole Patterson and Ryan Fulton conducted an unannounced 10-day visit to initiate a complaint investigation and deliver findings regarding the above mentioned allegations. LPAs introduced themselves and disclosed the purpose of the visit to Executive Director Julia Lopez. On 6/25/24 it was alleged that Licensee did not provide fresh fruit, and facility staff were unable to communicate residents needs due to language barrier. The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff, residents, and records review. Staff interviews revealed that during the timeframe of complaint, fresh fruit was offered and/or served during each meal. Staff informed that residents had the option to choose a different fruit offering such as apples, oranges, strawberries, blueberries, or canned fruit. Staff members advised that while there were specific residents with particular food preferences, dining staff were aware andRead the full finding— CDSS inspection report, July 3, 2024 · control 08-AS-20240625095223

Licensing Program Analyst (LPA), Debbie Correia, conducted a follow up visit to a complaint investigation. The LPA introduced herself to the facility Receptionist Griselda Pacheco then met with Maintenance Director (MD) Omar Zamudio and disclosed the purpose of the visit. The Department's investigation included staff and outside source interviews, and facility records reviews. It was alleged the facility does not keep their fire alarm system in good repair. A facility records review revealed on April 9, 2024, the facility underwent a fire inspection conducted by a contracted company. Records revealed the inspection yielded six deficiencies. An interview conducted with Outside Source1 (OS1) and a records review revealed the facility repaired two of the deficiencies identified during the inspection, however there were four other deficiencies the facility has not repaired. This is an amended version of the original report dated 5/29/24. SubstantiatedRead the full finding— CDSS inspection report, May 29, 2024 · control 08-AS-20240521140128

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver findings in the above complaint allegation. LPA identified herself and discussed the purpose of the visit with Maintenance Director Omar Zamudio. On January 23, 2024 Community Care Licensing (CCL) received a complaint alleging the facility plumbing is disrepair. During the investigation, LPA Domingo conducted a facility inspection, collected pertinent records, and conducted interviews. According to allegation received, Resident 1 (R1), (Please refer to LIC811 confidential names list), stated that the facility had no running water to wash resident hands after using the restroom. R1 was interviewed and R1 stated that the facility has poor plumbing. R1 was unable to provide dates of when R1 encountered the poor plumbing except for January 23, 2024. R1 stated that there was not any running water in R1's bathroom to wash R1's hands after using the bathroom. R1 was asked if an alternative room was made avaiRead the full finding— CDSS inspection report, May 17, 2024 · control 08-AS-20240123162901

Licensing Program Analyst (LPA) Amy Domingo conducted an unannounced visit to deliver findings in the above complaint allegation. LPA identified herself and discussed the purpose of the visit with Maintenance Director Omar Zamudio On January 23, 2024 Community Care Licensing (CCL) received a complaint alleging staff did not provide resident with water. During the investigation, LPA Domingo conducted a facility inspection, collected pertinent records, and conducted interviews. Continued on LIC9099C Unsubstantiated— CDSS inspection report, May 17, 2024 · control 08-AS-20240202104641

Licensing Program Analyst (LPA), Sabel Martinez, conducted an unannounced follow up complaint investigation visit, and delivered complaint findings. The LPA introduced himself and disclosed the purpose of the visit to Executive Director Julia Lopez. Throughout the investigation, the Department secured pertinent records and conducted interviews with external and internal sources. It was alleged staff did not meet a resident's needs. On 3/29/24, it was reported to the Department Resident # 1 (R1) asked staff to escort R1 to R1’s room, but staff was not available to assist with the escort. Review of records, including care plans, assessments, pre-appraisal, and invoices for services, revealed the following information. (See LIC 9099C for continuation of report.) UnsubstantiatedRead the full finding— CDSS inspection report, May 9, 2024 · control 08-AS-20240329084536

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit regarding the above mentioned allegations. LPA stated the purpose of the visit, was granted entry by and met with Patricia "Kitty" Totorica, Business Director. LPA briefly toured the facility, and obtained copies of pertinent facility records. LPA conducted interviews with staff and residents. It was alleged that the staff are not properly cleaning resident's restroom. Interviews revealed that Resident 1 (R1) gets their room cleaned weekly. This consists of the shower being cleaned, floors are being swept and mopped, and the sink is being cleaned. The bed sheets are usually changed once a week but for R1 they are usually changed every two weeks unless otherwise noted. The housekeeper also empties the trash and vacuums the room. Interviews did not provide supporting information that staff are not properly cleaning resident's restroom. UnsubstantiatedRead the full finding— CDSS inspection report, March 5, 2024 · control 08-AS-20240226111527

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Executive Director Julia Lopez. On 2/23/24 it was alleged that staff did not provide resident with clean linens, and staff yelled at a resident. The Department’s investigation consisted of an unannounced facility visit, interviews with facility staff, resident, outside source, and records review. Regarding the allegation, "Staff did not provide resident with clean linens", staff members interviewed consistently informed that the resident in question had a preference that their sheets were to be washed upon request only. Staff interview revealed that staff attempted to change the bedding on the assigned day, but the resident did not inform them they wanted their bedding washed. Staff interview, corroborated by facility records, revealed that staff did change the resident's bedding tRead the full finding— CDSS inspection report, February 29, 2024 · control 08-AS-20240223150940

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced visit regarding the above mentioned allegations. LPA stated the purpose of the visit, was granted entry by and met with Executive Director Julia Lopez. LPA briefly toured the facility, and obtained copies of pertinent facility records. LPA conducted interviews with staff and residents. It was allleged that the facility gave resident an unlawful eviction. Interviews revealed the eviction is lawful and is still in effect as of today. The eviction was given to Resident 1 (R1) due to partial payments being made since R1 has been living at the facility. R1 was given an eviction back in May, 2023. The facility continued to accept partial payments and that voided the evictiion. The resident was given another eviction on January. 22, 2024 due to non payment again. On February 5, 2024, R1 attempted to make a partial payment and it was refused. Then R1 proceeded to make another partial payment at the front desk after havingRead the full finding— CDSS inspection report, February 14, 2024 · control 08-AS-20240208123756

Licensing Program Analyst (LPA) Nacole Patterson conducted an unannounced visit to deliver findings regarding the above complaint allegations. LPA introduced herself and disclosed the purpose of the visit to Executive Director Julia Lopez. On 1/2/24 it was alleged that staff handled resident(s) in a rough manner, and staff did not treat resident(s) with dignity. The Department’s investigation consisted of unannounced facility visits, review of facility and outside source records, interviews with facility staff, residents, outside sources, and LPA direct observations. Regarding the allegation, "Staff handled resident(s) in a rough manner", Staff interviews did not corroborate the allegation, staff members informed that they had never seen another staff assist a resident roughly or in a way that hurt a resident. No staff members interviewed had been informed by a resident or responsible party regarding rough handling. (Continued on LIC9099-C p.1) UnsubstantiatedRead the full finding— CDSS inspection report, February 12, 2024 · control 08-AS-20240102083619

On 2/6/2024 at about 10:30 AM, Licensing Program Analyst (LPA), Daniel Pena, conducted an unannounced visit to the facility. The purpose of the visit was to follow up on a complaint investigation. LPA spoke with Receptionist, Karen Eugene, and after identifying himself, was permitted into the facility. LPA met with Executive Director, Julia Lopez, and discussed the complaint. At the conclusion of today's visit, LPA delivered findings to Director Lopez. On 5/22/2023, the Department received a complaint alleging staff inappropriately spoke to and made false allegations against a resident in care. The investigation consisted of unannounced facility tours, record review and interviews with pertinent residents, staff, and outside sources. It was alleged that staff verbally assaulted Resident (R1). When asked how staff verbally assaulted R1 no details were provided. According to an interview with R1, staff said the resident was suicidal and implemented one on one supervision. R1 told facilitRead the full finding— CDSS inspection report, February 6, 2024 · control 08-AS-20230522153113

On 01/26/2024, at about 2:00 PM, Licensing Program Analyst (LPA) Daniel Pena conducted a complaint investigation visit to the facility. After identifying himself, and explaining the purpose of the visit, LPA was allowed inside the residence. LPA discussed the elements of the complaint with Executive Director, Julia Lopez. The Department's investigation included facility visits, interviews with pertinent staff and outside sources and review of facility and resident records. On 07/17/2023, the Department received a complaint alleging staff did not provide a resident’s personal care needs. Records and statements revealed that Resident 1 (R1) did not receive a shower on July 15, 2023. An outside source stated that on July 15, 2023, they went to the facility to visit R1. An outside source asked a staff member when R1 would receive a shower. Records indicate R1 was scheduled to receive a shower on that date. Staff confirmed to the outside source that they would assist R1 at their scheduled sRead the full finding— CDSS inspection report, January 26, 2024 · control 08-AS-20230717144036

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced complaint visit. LPA gained access to the facility and met with Executive Director Julia Lopez and explained the purpose of the visit which was to deliver findings for the above allegation. The Department’s investigation consisted of a facility records reviews, interviews with staff, resident, and outside sources. It was alleged Resident 1 (R1) was unlawfully evicted from the facility. Interviews with staff and outside sources revealed that R1 had a change in health condition that required a higher level of care. A records review revealed the 30-day eviction notice, dated 10/20/2023, was in compliance with Title 22 mandate. UnfoundedRead the full finding— CDSS inspection report, November 29, 2023 · control 08-AS-20231115104846

*This is an amended report. Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to deliver findings on the above listed complaint allegation. LPA identified herself, was granted entrance, and discussed the purpose of the visit and the basic elements of the allegation mentioned above with (AED) April Princesa. The Department's investigation included a staff records review, and staff and outside source interviews. It was alleged that facility management retaliated against a staff member regarding reporting requirements. Interviews with facility staff revealed a colleague, Staff (S1), was retaliated against by facility management. A review of S1’s facility records revealed no corroborating evidence of retaliation. An interview conducted with S1 revealed there was a misunderstanding regarding the allegation and denied being retaliated against. An interview with facility management also revealed no corroborating evidence regarding the allegation. UnsubstantiatedRead the full finding— CDSS inspection report, July 6, 2023 · control 08-AS-20230504115823

Licensing Program Analyst (LPA) Marisela Garcia-Centeno conducted an unannounced visit to deliver investigative findings. LPA was granted entry into the facility after identifying herself. LPA met and disclosed the reason for the visit with Business Director, Maritza Maezze. The Department investigated the above listed complaint allegation. The investigation consisted of a tour of the facility, staff and resident interviews and records review. On May 24, 2023, Community Care Licensing (CCL) received a complaint alleging that resident (R1) [an LIC 811 Confidential Names List was provided to staff to identify the resident] food was not of quality. It was specifically alleged that on May 23, 2023, R1 was served a meal consisting of a quesadilla that was cold and had no cheese. The evidence provided by outside sources included a photograph of the meal in question. (Continue on LIC9099C) UnsubstantiatedRead the full finding— CDSS inspection report, June 7, 2023 · control 08-AS-20230524084730

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to deliver investigative findings on the above complaint allegations. LPA Correia met with Community Business Director (CDB) Maritza Maezze and Maintenance Director (MD) Omar Zamudio to whom was explained the purpose for the visit. The Department’s investigation included a review of facility, staff, and resident records, and outside source evidence, along with interviews of facility staff, residents and outside sources. It was alleged the facility had insufficient staffing to meet residents’ needs. A facility records review determined residents’ “levels of care” were determined by an assessment that calculated the hours of care each resident required per week, based on the resident’s needs. The levels of care ranged from 0-6, with a care level of ‘0’ meaning the resident did not require any care, up to a care level of ‘6’ for residents who required high amounts of care. SubstantiatedRead the full finding— CDSS inspection report, June 6, 2023 · control 08-AS-20230328090405

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to deliver investigative findings on the above listed complaint allegation. LPA Correia met with Community Business Director (CBD) Maezze, who was explained the purpose for the visit. The Department’s investigation consisted of staff, client, and outside source interviews, and a facility records review. It was alleged staff did not deliver mail in a timely manner. Interviews with an outside source revealed on May 1, 2023, Resident1 (R1) requested their mail to be delivered to their room and did not receive it until the following day, May 2, 2023. In addition, R1 requested a package be delivered by staff on May 14, 2023 and received it on May 15, 2023. Interviews conducted with facility staff, residents in care, and an outside source corroborated mail is delivered to the front desk receptionist and typically the residents, or their Responsible Party (RP), will pick it up. UnsubstantiatedRead the full finding— CDSS inspection report, May 30, 2023 · control 08-AS-20230502094615

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to commence and conclude a complaint investigation. LPA was granted entry after identifying herself. LPA discussed the purpose of the visit and the basic elements of the allegation mentioned above with Executive Director (ED) Lopez. The Department's investigation included a review of residents records and a resident interview and LPA observation. It was alleged staff did not ensure resident records and personal information remained confidential. An interview with an Outside Source (OS1), revealed Resident1(R1) was given another Resident's documents containing confidential information. LPA conducted a record review that confirmed the violation occurred. SubstantiatedRead the full finding— CDSS inspection report, May 25, 2023 · control 08-AS-20230519100835

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to initiate a complaint investigation. LPA identified herself and discussed the basic elements of the complaint with Executive Director (ED) Julia Lopez. On May 8, 2023, Community Care Licensing (CCL) received a complaint alleging facility is in disrepair. It was reported to CCL that Resident 1’s (R1) heating, ventilation, and air conditioning (HVAC) system was not working and at times being too hot or too cold. During investigation, LPA Strong collected pertinent resident records as well as facility documentation and conducted interviews. According to interviews with staff, facility heating, and cooling systems are independent room to room. Interview with Maintenance Director revealed that when HVAC systems are not working a work-order is created and followed up with. Records collected revealed there were two work orders for HVAC in question, one on February 24, 2023, and another on March 31, 2023. UnsubstantiatRead the full finding— CDSS inspection report, May 12, 2023 · control 08-AS-20230508153605

Licensing Program Analyst (LPA) Iby Strong conducted an unannounced visit to open an investigation on the above-mentioned allegation. LPA identified herself and discussed the purpose of the visit with Business Director Maritza Maezee. On April 12, 2023, Community Care Licensing (CCL) received a complaint alleging facility shower did not have a non-skid mat. During the investigation, LPA Strong collected pertinent facility records, conducted interviews, and conducted a facility inspection. During facility inspection conducted on April 20, 2023, LPA Strong observed two resident showers without non-skit mats. Interview with residents of those rooms revealed that the showers have never had non-skid mats or strips. Interview with staff revealed that facillity does not provide non-skid mats to residents in care. SubstantiatedRead the full finding— CDSS inspection report, April 20, 2023 · control 08-AS-20230412163216

Licensing Program Analyst (LPA) Dawn Segura conducted a visit to conclude a complaint investigation. LPA was granted entry into the facility and met with Julia Lopez, Executive Director, to whom she disclosed the purpose of the visit. Community Care Licensing (CCL) has investigated the above listed complaint allegation. The investigation consisted of a review of facility records and interviews with facility residents, staff, and outside source. It was alleged that the facility did not assist Resident 1 (R1) with obtaining medical and dental care. It was reported that R1 had not seen a doctor, dentist, or optometrist in three years. LPA discovered during the investigation that toward the end of R1’s time in the facility, R1 had been assessed and diagnosed with having dementia. Following the diagnosis of dementia, R1 moved out of the facility and into a facility that could provide a higher level of care. Evidence obtained during the investigation revealed that, prior to the dementia diagRead the full finding— CDSS inspection report, February 16, 2023 · control 08-AS-20211117163255

Licensing Program Analyst (LPA) Debbie Correia conducted an unannounced visit to deliver investigative findings on the above listed complaint allegations, LPA was met and granted entry into the facility by Executive Director (ED) Julia Lopez to whom was explained the purpose for the visit. The Department's investigation consisted of facility staff and outside source interviews, as well as facility, resident, and medical record reviews. It was alleged facility staff failed to address Resident’s1 (R1's) case of scabies. In May of 2019 a facility record review revealed R1 developed a rash and was being treated with a steroid cream for Dermatitis. A review of medical records corroborated R1 was receiving treatment for Dermatitis, the records also revealed the treatment was administered through the end of July 2019. Further review of medical records, as well as a interview with an outside source (OS1) revealed R1’s rash was misdiagnosed. OS1 revealed requesting facility staff to have R1's rRead the full finding— CDSS inspection report, April 27, 2022 · control 08-AS-20200312094050