Atria Evergreen Valley

Allegation investigated: Facility calling 9-1-1 for a lift assistance even if there is no need for emergency services

Licensing Program Analyst (LPA) Mita Partoza conducted an unannounced visit to deliver the findings of the complaint investigation. LPA met with Executive Director/ Administrator (ED/ADM) Maddalena Chavez and stated the purpose of the visit. On 01/21/2026, the Department received a complaint alleging the facility contacted 911 multiple times per day for lift assists that did not constitute medical emergencies. LPA conducted interviews with the reporting party, witnesses, staff, residents, and reviewed the facility’s 911 call logs and incident reports for the period of 08/01/2025 up to 01/31/2026. page 1 of 3 Substantiatedthe state’s words, verbatim · CDSS document, Apr 8, 2026 · control 26-AS-20260121163506

Allegation investigated: Facility Administrator is not consistently present to supervise and direct the facility's daily operations. Facility staff did not have direct supervision for 3 months causing delays in medication administration.

Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted an unannounced visit to deliver the findings of the complaint investigation. LPA met with Executive Director/Administrator Maddalena Chavez and stated the purpose of the visit. On 09/05/25, the Department received a complaint with the above allegations. On 09/11/25, 09/18/25, and 10/07/25, the Department continued with the investigation, conducted interviews and observations. LPA conducted a phone interview with Witness 1 (W1), who stated that the facility does not have an administrator, at least 80% of the time. W1stated that he/she met the Regional Vice President (RVP); however, RVP is not at the facility every day and staff did not have direct supervision for 3 months when the facility administrator and Resident Service Director (RSD) left early July of 2025. W1 stated that R1 was given a medication that belongs to another resident. W1 stated that the trainee no longer works at the facility after the incident. Page 1 ofthe state’s words, verbatim · CDSS document, Dec 22, 2025 · control 26-AS-20250905092711

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff unlawfully evicted a resident.

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced investigation visit to deliver the investigation finding and met with Business Director Shay Arias (BD). On 05/12/2025, the Department received a complaint with the allegation that staff unlawfully evicted a resident. On 05/13/2025, the Department conducted an initial investigation visit. LPA interviewed previous Executive Director (PED) and previous Resident Service Director (PRSD). LPA requested resident R1's physician report, appraisal needs and service plan , and R1's resident notes. Continue on LIC9099-C. Page 1 of 4. Unfoundedthe state’s words, verbatim · CDSS document, Sep 4, 2025 · control 26-AS-20250512094949

Allegation investigated: Facility took medications away from a resident

Licensing Program Analyst (LPA) David Marrufo conducted an unannounced complaint investigation visit and met with Felicia Barkley, Administrator (ADM). On 04/13/2023, the department received a complaint with the above allegation. On 04/19/2023, LPA David Marrufo conducted an initial complaint investigation visit. On 09/04/2024, LPA Mita Partoza conducted an additional complaint investigation visit. On 04/12/2023, the facility submitted two Unusual Injury/Incident Reports (IRs) to the department. The IRs reported an incident involving two residents, resident R1 and resident R2. The incident occurred on 04/12/2023. The IRs state that a facility staff found a pill of medication M1 in R2’s living unit. The IRs state that R2 told the staff that R2 had a headache and R1 gave two pills of M1 to R2. R2 stated to have consumed one of the pills. Facility staff confiscated the other pill of M1. The IRs state that R1 stated that R2 complained of a headache and R1 gave R2 two tablets of M1. See LICthe state’s words, verbatim · CDSS document, May 30, 2025 · control 26-AS-20230413113300

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff changed the resident's service plan without the consent of the resident's authorized person.

Licensing Program Analyst (LPA) Steve Chang conducted an unannounced investigation visit to deliver the investigation finding and met with Executive Director (ED) Felicia Barkley . On 2/15/2024, the Department received a complaint that staff changed the resident's service plan without the consent of resident's authorized person. On 2/22/2024, the Department conducted an initial investigation visit. LPA interviewed 2 staff and 4 residents. LPA requested residents Appraisal Needs and Service Plan, physician report, pre-admission assessment, communication log, and incident reports. Continue on LIC9099-C. Page 1 of 3. Unsubstantiatedthe state’s words, verbatim · CDSS document, Nov 15, 2024 · control 26-AS-20240215155626

Allegation investigated: Facility staff are verbally abusing resident. Facility staff pushed resident to the toilet seat Staff wrapped resident's undergarment too tightly which caused constriction of blood circulation Facility staff physically abusing resident by splashing water on resident's face.

Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted an unannounced visit to deliver a complaint investigation findings and met with administrator Felicia Barkley. On 12/28/2023 The Department received a complaint alleging the facility staff are verbally abusing resident, facility staff pushed resident to the toilet seat. Staff wrapped resident's undergarment too tightly which caused constriction of blood circulation, facility staff physically abusing resident by splashing water on resident's face. On 1/2/2024 - LPAs Simi Rai and Maria (Mita) Partoza, conducted interviews of staff (S1 to S6) inspected 5 resident bedroom, interview 5 residents in the memory care and requested physician's report, resident roster, staff roster and staff schedule. page 1 of 4 see LIC 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 2, 2024 · control 26-AS-20231228164703

Allegation investigated: Staff did not respond to residents’ requests for assistance in a timely manner

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced visit to deliver the finding of the complaint investigation received by the department. LPA with executive director/administrator Felicia Barkley and stated the purpose of the visit. On 4/16/2024 - The Department received a complaint allegiing that staff did not respond to residents’ requests for assistance in a timely manner. On 4/23/2024 - LPA Partoza, conducted the initial investigation and requested pendant call logs and Physician's Report (LIC 602) of residents and interviewed ED/ADM and the Facility Maintenance Director (FMD). page 1 of 3, see LIC 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 2, 2024 · control 26-AS-20240416110730

Allegation investigated: Facility did not identify resident's need prior to admission that resulted to eviction.

Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted an unannounced visit to deliver the complaint findings and met with executive director/administrator (ED/ADM) Felicia Barkley and stated the purpose of the visit. On 8/27/2024, the Department received a complaint alleging the facility did not identify resident's need prior to admission that resulted to eviction. On 8/29/2024, LPA Partoza, conducted an initial investigation, interviewed staff, residents and requested for documents. Page 1 of 2, see LIC 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 2, 2024 · control 26-AS-20240827103323

Allegation investigated: Facilty staff did not provide a resident a bathe for at least two months. Faclity hired a private caregiver for a resident without resident's DPOA's consent.

Licensing Program Analyst (LPA) Maria (Mita) Partoza, conducted an unannounced visit to deliver complaint findings. LPA Met with Executive Director/Administartor (ED/ADM) Felicia Barkley. On 4/23/2024 - The department received a complaint alleging the facility staff did not provide a resident a bathe for at least two months and facility hired a private caregiver for a resident without the resident's DPOAs consent. On 4/23/2024, LPA Partoza conducted an initial complaint investigation and requested for documents from the facility such as but not limited to physician's report and admission agreement. A complaint was filed on 2/15/2024 for the 2nd allegation complaint #26-AS-20240215155626. page 1 of 2, See LIC 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Oct 2, 2024 · control 26-AS-20240423154553

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff cut resident hair without consent. Staff provided a massage to a resident, which caused the resident neck pain. Staff are retaliating against residents

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced visit to continue the investigation of the above allegation and met with current Executive Director Felicia Barkley. On 10/31/2023, the Department received a complaint stating that the staff cut the resident hair without consent, staff massage the resident which caused neck pain and staff are retaliating against the resident. On 11/09/2023 - LPA conducted a complaint investigation, requested for documents to be reviewed and conducted interviews with staff and resident. page 1 of 4 see LIC9099C Unfoundedthe state’s words, verbatim · CDSS document, Sep 4, 2024 · control 26-AS-20231031153118

Allegation investigated: Facility is overcharging resident for services

Licensing Program Analyst (LPA) Maria (Mita) Partoza conducted an unannounced visit to continue the investigation of the above allegation and met with current Executive Director Felicia Barkley. On 10/13/2023, the Department received a complaint that the facility is overcharging the resident (R1) for services. On 5/12/2023, resident (R1) was admitted to the facility with a level 2 care for his/her neurocognitive disorder. On 7/1/2023, R1 was found at the parking lot and was looking for his/her car placing himself/herself in danger, 911 was called and prompted the facility to make a determination to increase R1s level of care. page 1 of 2 see LIC 9099C Unsubstantiatedthe state’s words, verbatim · CDSS document, Sep 4, 2024 · control 26-AS-20231013103238

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Allegation investigated: Staff did not resolve noise disturbance from another resident.

Licensing Program (LPA) Steve Chang conducted an unannounced investigation visit to deliver the investigation finding and met with Maintenance Director (MD) JR Gracia. On 11/29/23, the Department received an allegation that the facility did not resolve a resident's concern regarding a noise from another resident's bedroom which prevent residented (referred to as R1) from resting and/or sleeping. On 12/06/2023, the Department conducted an initial investigation visit. LPAs interviewed Executive Director/administrator (ED/ADM), 4 staff, and 2 residents. LPAs toured the 2nd floor and visited the resident apartments, and other possible sources of noise, like the activity area, and the medication Continue on LIC9099-C. Page 1 of 2. Unfoundedthe state’s words, verbatim · CDSS document, Feb 12, 2024 · control 26-AS-20231129142215

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.

Report on file with the state — no findings text was published for this visit. The complete document is on the state’s site.