Atria Del Rey

Allegation investigated: Resident sustained injuries and was not reported to family. Facility did not give/seek proper care. Facility charged resident family additional fees for next level care of service with out providing it.

On 07/03/2026, Licensing Program Analyst (LPA) Beena Singh arrived to the facility to conduct a complaint investigation and delivered the findings in regards to the above allegations. First Allegation:-Resident sustained injuries and was not reported to family. LPA Singh conducted interview with Denise Naulls-Jordan, facility Resident Service Director who stated that facility staff ensures that residents are immidiately given first aid care after a fall or injuries, and taken to hospital if they needed to, According to Denise, Resident service director, facility also informs POA or designated family member and reports incidents to Community Care Licensing department.(CCLD). LPA Singh observed that Resident#1 has not been identified in the complaint submitted to the department on 12/16/2025. Unsubstantiated Second Allegation:-Facility did not give/seek proper care. LPA Singh conducted interview with Denise Naulls-Jordan, facility Resident service Director who stated that facility staff ensures that residents are given proper care and supervision and also documented in needs and services logs. Third Allegation:-Facility charged resident family additional fees for next level care of service with out providing it. LPA Singh conducted interview with facility Resident Service Director who stated that facility staff follows the policies and procedures when a resident is assessed and level of care is determined keeping in mind change of condition, falls and activities of daily living(ADL's). According to Resident Service Director Denise Naulls-Jordan, Facility maintains complete transparency with the family and Power of Attorney(POA) for the resident. Discussions and meetings are held with the resident's Power of Attorney (POA) and family. The family are fully informed about the changes in the resident's condition and the necessity of upgrading their care. Residents families are in complete agreement with both the increased level of care and the financial adjustments before moving forward with resident's level of care and financial adjustments. Resident#1 has not been identified in the complaint submitted to the department so these allegations are Unsubstantiated. Based on the evidence found during the investigation, the allegations listed Resident sustained injuries and was not reported to family, Facility did not give/seek proper care and Facility charged resident family additional fees for next level care of service with out providing it, is deemed UNSUBSTANTIATED. A finding that the complaints are UNSUBSTANTIATED means although the allegation may have happened or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur. During today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC9099) was discussed and provided to Denise Naulls-Jordan-Resident Service Director, facility representative.the state’s words, verbatim · CDSS document, Jul 3, 2026 · control 56-AS-20251216091826

Allegation investigated: Staff not maintaining a comfortable room temperature for resident. Staff does not assist resident with feeding. Staff locks facility exit door.

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegations. LPA met with Executive Director Alondra Fuentes and explained the elements of the complaint. Allegation #1 - LPA Prieto and Executive Director Fuentes toured the facility and found the temperature to comfortable. LPA interviewed resident #1 (R1), R2, R3, R4 R5, R6 and R7, all stating that temperatures at the facility and in their rooms are comfortable. Allegation #2 - LPA interviewed R1, R2, R3, R4 R5, R6 and R7, all stating that the food at the facility is of good quantity and quality. None of these residents stated they need assisting with feeding. *** continued on LIC9099C*** Unsubstantiated Allegation #3 - LPA Prieto and Executive Director Fuentes toured the facility and observed that none of facility exit door are locked. Residents and staff are able to leave the facility safely. Based on the information obtained there is not enough evidence to support the allegations made in this complaint. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Executive Director Fuentes and a copy was left with the facility.the state’s words, verbatim · CDSS document, Nov 26, 2025 · control 56-AS-20230815121518

Allegation investigated: Resident sustained multiple falls resulting in injury due to lack of supervision. Facility staff does not ensure facility is kept in clean and sanitary at all times

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a complaint investigation regarding the above allegations. LPA Prieto met with Executive Director Alondra Fuentes and explained the elements of the complaint. Allegation #1 - LPA Prieto interviewed Executive Director Fuentes (S1) who produced Resident Functional Needs Assessment for resident #1 (R1) in question, and reveals the R1 requires a walker for assistance and can leave the facility unassisted, per Physician's order. Assessment reveals that R1 is not a fall risk. R1 requires minimal assistance with bathing, vision and continence care. R1 does not require assistance with transfers and escorting. Assessment reveal that R1 does not requires status checks. Recent fall for R1, dated 10/02/2025, was documented on resident notes and an incident report was sent to Licensing as required by Title 22 regulations. Fall did not appear to have occurred due to lack of care and supervision. Unsubstantiated Allegation #2 - LPA Prieto toured the facility with Executive Director Fuentes and found to be clean, sanitary and free from obstructions. LPA toured R1's room and found it to be clean and sanitary. LPA obtained the facility Housekeeping Cleaning Schedule and found that R1's room is cleaned weekly. The records show that recent cleaning dated for R1's room was on 10/01, 10/08, 10/15 and 10/22. Based on the information obtained there is not enough evidence to substantiate the allegations made in this complaint. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Executive Director Fuentes and a copy was left with the facility.the state’s words, verbatim · CDSS document, Oct 29, 2025 · control 56-AS-20251028103601

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Paola Guerrero made an unannounced visit to the facility. The purpose of the visit was to conduct a required comprehensive annual inspection. LPA met with Facility Executive Director Alondra Fuentes and was granted entry to the facility. The facility is a Residential Care Facility for Elderly (RCFE) Licensed capacity is (145) current census (102). LPA was accompanied by Facility Facility Executive Director, to conduct a general overall inspection, which included, but was not limited to, the following: Physical Plant: The facility is operating in the capacity approved by Community Care Licensing (CCL). There are no obstructions to indoor and outdoor passageways. The facility is maintained at a comfortable temperature. LPA inspected resident’s bedrooms; they are equipped with required furniture such as: mattresses, nightstands, storage space, and sufficient lighting; bathrooms were clean, and appliances were operating appropriately. LPA observed sufficient furniture and lighting throughout the facility. The facility is equipped with an operating fire alarm system, carbon monoxide alarms, and fire extinguishers. Posters such as personal rights, the CCL complaint poster, and the disaster plan were posted in a common area. Cleaning supplies, toxins, sharps, and other dangerous items were kept inaccessible to residents in care. There was a designated storage space for resident/staff files. Medications are kept inside Med-Room inaccessible to residents in care. Overall, the facility is clean, in good repair, and operating in safe conditions for residents in care. Food Service: Non-perishable and perishable food supply is sufficient for number of residents in care. Care & Supervision: Facility has sufficient care staff for coverage 24 hours a day, 7 days a week. All staff members working in the facility have criminal record clearance through the department. Record Review: LPA reviewed six (6) resident files for admission agreements, updated physician reports, and needs and services plans. LPA also reviewed four (4) staff files for First Aid/CPR certification, criminal record clearance, training, and health screenings. Medications were audited at random and appeared to be dispensed appropriately by staff members. Based on the observations made during today’s visit, no deficiencies were cited per Title 22, Division 6, of the California Code of Regulations. An exit interview was conducted, and this report (LIC809) was discussed and provided toFacility Executive Director Alondra Fuentes.the state’s words, verbatim · CDSS document, Oct 23, 2025

Allegation investigated: Resident issued wrong medication. Residents blood pressure is not being taken daily per doctors order.

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to concluded a complaint investigation regarding allegations made in the complaint. LPA Prieto met with Executive Director Fuentes and explained the elements of the complaint. Allegation #1 - Facility documented an incident relating to resident #1 (R1) and medication that was in the R1's apartment while med tech was dispensing routine medications. Documentation reveals the all medication was dispensed as prescribed. LPA obtained R1's Medication Administration Record (MAR) log, resident notes and incident report sent to Licensing concurring that the medication that was not prescribed to R1 was not consumed. Allegation #2 - Resident notes reveal that blood pressure (BP) checks were conducted staff at the facility at least once a day. Calls made to R1's medical professsional concluded that the BP could be reduce to Unsubstantiated four times weekly. Executive Director documented a meeting to be had with staff and R1's family members to discuss a care plan meeting relating to R1 future care. R1 was not available for interview during time of inspection. Based on the information obtained there is not enough evidence to support the allegations made in this complaint. Therefore, the allegations are deemed UNSUBSTANTIATED at this time. This report was signed by LPA Prieto and Executive Director Fuentes and a copy was left with the facility.the state’s words, verbatim · CDSS document, Aug 28, 2025 · control 56-AS-20220506160555

Type of visit: Case Management - Other

Licensing Program Analyst (LPA) Javier Prieto arrived to the facility to conduct a case management visit relating the physical plant and any maintenance issues the facility may have. LPA Prieto met with Executive Director Suby Kumar and toured the facility. Tour of the facility was focused in the first floor, where the Executive offices, dinning room and kitchen, common bathrooms, lobby area, living room, med tech nurses office and residents rooms are located. Photos were taken of these areas and the area was found to be clean and free from odors and clutters pertaining to the common areas. An incident did occur in a residential room on the first floor on 08/13/2024, when the water line from a resident bathroom leaked at 3AM. Interview with resident stated the he went to bed around 1:30 in the morning. He also added that the leak affected the rooms next door that was vacant. This incident was reported to staff by resident and addressed by the Maintenance Director right away and the water was shut off to that specific bathroom. Contractors were called out to the facility, and repairs were completed within 2 hours. An invoice was obtained by LPA of this service. Follow up work was done in both rooms where the carpet and sections of dry wall was replaced. A copy of the invoice for these services were also obtained by LPA during this visit. Repairs were isolated to the residents rooms and did not effect or disrupt the offices, common bathrooms, lobby area, dinning area or kitchen area. Interview with resident in question, stated the leak was not due to negligence of staff and he was moved to another room for a temporary period of approximately 1 week. LPA interviewed resident in his room and took photos of the bathroom, bathroom walls, room entry area and adjacent areas outside the room. No evidence of damage was visible during this visit. Case management tour was concluded and LPA Prieto and Executive Director Kumar signed this report and a copy was left at the facility.the state’s words, verbatim · CDSS document, Oct 23, 2024

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Javier Prieto conducted an unannounced annual required visit. LPA was greeted and granted entry to the facility by Executive Director Kumar. LPA explained the nature of today's visit. . LPA accompanied with MS Kumar, conducted a general overall inspection, which included, but was not limited to the following: Physical Plant: The facility was not operating over capacity or beyond any conditions and limitations on the license. Facility is being maintained at a comfortable temperature for residents. All outdoor and indoor passageways are kept free of obstruction. Hot water temperature was measured at resident bathrooms are within regulation. There are grab bars for each toilet, bathtub and shower used by residents. Smoke detectors and carbon monoxide devices were tested by the Fire Department and found to be in working order. Inspection document was obtained. Facility sprinkler and kitchen sprinkler / extinguisher systems were tested and found to be in working order. Food Service: There is a minimum of one week supply of nonperishable foods and 2 days of perishable foods. Kitchen is well staff and aware of resident's specific dietary needs. Kitchen area is clean and sanitary. Care and Supervision: The facility has ensured sufficient and competent staff to provide the services needed to meet resident needs. The facility is appropriately staff during night shift hours. Administration: The last disaster drill was conducted on 2/15/2024. LPA did not observe any excluded individuals on the premises at time of visit. The Administrator appears to be on the premises a sufficient number of hours to manage and oversee the business operation. Medical Related Services: Prescriptions and non-prescription PRN medications contain a signed and dated written order from a physician. Medications are centrally locked in the staff office and inaccessible to residents in care. Medications are being administered as prescribed by physician's directions. No deficiencies cited. An exit interview was conducted where this report was provided and discussed with MS Kumar.the state’s words, verbatim · CDSS document, Aug 15, 2024

Allegation investigated: Staff are not adhering to the resident's doctor's order. Staff are not meeting the needs of the resident.

Licensing Program Analyst (LPA), Kathleen Banrasavong made an unannounced visit to the facility to deliver findings on a complaint investigation regarding the allegation listed above. LPA met with Resident Service Director, Nicole Stinson and explained the purpose of the visit and the elements of the allegation. LPA Banrasavong conducted the investigation which consisted of observations, interviews with staff members and residents, and record review. On 12/15/2020, Community Care Licensing (CCL) received a complaint that alleged staff are not adhering to the resident's doctor's order and staff are not meeting the needs of the resident. In regards to the allegations that the staff are not adhering to the resident’s doctor’s orders, it was alleged that R1 was given an order for Intravenous to be given to R1 due to dehydration and diarrhea. During the course of the investigation, LPA reviewed interviews from 2020 with Resident 1 (R1). Unsubstantiated R1 stated she provided the orders and prescriptions to Staff 1 (S1). S1 is no longer an employee at the facility and was unable to interviewed. During the initial complaint visit on 12/24/2020, the doctor’s order was not obtained. LPA Banrasavong asked the current Executive Director, Subashani Kumar, if the facility retained doctor’s orders for the Intravenous Therapy (IV), for R1. Kumar stated that she could not provide those documents to the LPA, because the document was not retained in R1’s files. It was also advised that there were no records for Resident #1 on the facility database. Executive Director, Kumar further stated that the facility, does not have a registered nurse who works at the facility. Therefore, an appropriate skilled professional was not readily available to assist R1. Staff 2 (S2), who was a staff member during the 2020 year, indicated that during the 2020 year, Covid protocols were being implemented. The facility offered to have R1 get sent out to the emergency room to get Intravenous therapy, but R1 refused. This information was documented in R1’s notes dated 12/15/2020 and 12/16/2020. In regards to the allegation that staff are not meeting the needs of the resident, it was stated by R1 that R1 made the request for facility staff to administrate the IV, however there were no doctor’s order that were able to be obtained during the course of this investigation. During the investigation, it was revealed that the facility stated they were not going to administer the IV solution due to what the Executive Director stated was Licensing’s regulations. The alternative solution presented to R1 was to have the resident leave the facility and get IV administer at the hospital. R1 refused to go to the hospital due to the Covid restrictions at the time of the complaint. This information was documented on the Resident #1s notes on 12/15/2020. Based on LPA’s observations and interviews which were conducted and record review(s), the above allegation(s) is found to be unsubstantiated. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated. An exit interview was conducted and a copy of this report, along with appeal rights was given to the Resident Service Director, Nicole Stinson as evidenced by her signature.the state’s words, verbatim · CDSS document, Feb 7, 2024 · control 18-AS-20201215113529