Atria Grass Valley

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Cassandra Mikkelson arrived unannounced and met with Executive Director Joanna Lehman to conduct an annual inspection. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA observed resident rooms, common area bathrooms, common areas, kitchen, dining rooms and perimeter of care facility. LPA observed rooms to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition and properly maintained. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two day perishable and (7) seven day non-perishable food supply on hand. Smoke detectors and carbon monoxide detectors are operational in the care home. Fire extinguishers and first aid kit are maintained and ready for emergency use. LPA checked medication storage and found medications to be locked away and inaccessible to the residents. LPA reviewed eight (8) resident files, five (5) staff files and resident medications. Facility has a current copy of certificate of liability insurance and LPA obtained a copy. As a result of this visit, no deficiencies were cited pursuant to California Code of Regulations, Title 22, Division 6, Chapter 8. Exit interview was conducted with Administrator.the state’s words, verbatim · CDSS document, Sep 3, 2026

Allegation investigated: Questionable Death Resident sustained multiple fractures due to lack of care from staff Staff touched resident inappropriately Insufficient staffing to meet the needs of residents in care

Licensed Program Analyst (LPA) Graham Gunby arrived at the facility unannounced and met with Joanna Lehman to deliver findings for the above complaint allegation. During the investigation, LPA conducted interviews, conducted a tour of the facility, and reviewed documentation pertinent to the investigation. The results of the investigation are as follows: *** Report continued on 9099-C*** Unsubstantiated Allegation 1: Unsubstantiated On 01/18/2025 R1 was found on the floor in their bedroom, conscious and complaining of pain to their hip and should areas. R1’s immediate cause of death was cardiopulmonary arrest. R1 did suffer from a hip fracture and shoulder dislocation, but was not an underlying cause of death. R1 had a history of falls and not following the directions of their POA and caregivers. R1 was properly trained on how to use the pendant and to use the transfer pole correctly. Non-slip mats were also provided. Caregivers correctly documented the fall, but it is unclear if their assessment of the injuries caused additional damage. The Department was unable to review R1’s medical records due to an objection filed by F1. Allegation 2: Unsubstantiated Staff reported that R1 valued their independence and preferred to do their activities of daily living (ADL) independently. R1 was oriented to themself, place, and time and lived in Assisted Living. R1 received several checks throughout the day for continence assistance. R1 was able to transfer into and use their walker and wheelchair. There is a record from staff with their attempts to educate R1 on how to appropriately use their call pendant. Outside physical therapy staff reported on 1/14/2025, “R1 was able to ambulate/transfer to and from their wheelchair, without their front wheeled walker.” Residents and staff who were interviewed had no concerns with lack of supervision. F1 had no concern with the care provided by staff. F1 was in agreeance with R1’s care plan despite their history of falls. Allegation 3: Unsubstantiated During the course of the investigation the department attempted to contact R2 and their POA. During this time R2’s POA refused to communicate with investigators and did not want R2 to comment. R2 had sores present on the genital area that S1applied medication to. It was reported R2 felt S1 applied the medication too aggressively. After the report staff and residents reported no other allegations of inappropriate behaviors by S1. Allegation 4: Unsubstantiated LPA and IB investigated the allegation that “Insufficient staffing to meet the needs of residents in care.” Through interviews, 2 of 3 staff members stated that they feel they could use more help. Care staff explained the recent departure of many coworkers due to pay. 1 out of 3 staff said they have not felt the burden from the other care staff leaving. Through interviews with residents 3 out of 3 were not concerned with the level of care they are receiving. Due to the information obtained, LPA finds allegation to be UNSUBSTANTIATED. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.the state’s words, verbatim · CDSS document, Sep 4, 2025 · control 59-AS-20250514143905

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Angela Hood arrived at the facility unannounced and met with the Executive Director, Joanna Lehman, to conduct a Required-1 Year Inspection. LPA conducted an inspection of the care home to ensure compliance with Title 22 regulations. LPA observed four (4) bedrooms in Assisted Living, two (2) bedrooms in Life Guidance Memory Care, and eight (8) common area bathrooms. LPA observed apartments to be properly furnished, with appropriate bedding and lighting. The bathrooms were in sanitary condition, properly maintained, and the hot water temperature was observed to be 109.5 degrees F. LPA checked the kitchen area for the ability to prepare and store food. Care home has required (2) two-day perishable and (7) seven-day non-perishable food supply on hand. LPA observed knives, cleaning products and other toxins to be locked away and inaccessible to residents. LPA observed the outdoor area and perimeter of the care home to be free of clutter and debris and there appeared to be no potential safety hazards to the residents in care. Smoke and carbon monoxide detectors are operational. Fire extinguishers and first aid kits are maintained and ready for emergency use. LPA checked medication storage and found medications to be locked away and inaccessible to the residents. LPA reviewed four (4) resident files and also reviewed four (4) staff files. As a result of this visit, no deficiencies were cited per California Code of Regulations, Title 22. Exit interview conducted and copy of report provided.the state’s words, verbatim · CDSS document, Sep 4, 2025

Type of visit: Required - 1 Year

Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday August 27, 2024 to conduct the unannounced annual inspection. During today's annual inspection, the Compliance and Regulatory Enforcement Tool was used. LPA reviewed resident (9) and staff (6) files. All resident files contained the required paperwork. All staff files contained the required paperwork and training. Facility was compliant with fire drills and an annual evacuation drill. LPA, Administrator, and Life Guidance Director toured the facility together to ensure the health and safety of residents in care. The areas toured included memory care apartments, memory care common areas, assisted living apartments, lobby, kitchen, and dining room. LPA observed the facility's emergency food, water storage and PPE. LPA observed all required postings. LPA observed emergency evacuation chairs in each stairwell. First aid kit was fully stocked. Fire Extinguishers had current inspection tags. Carbon monoxide detectors were observed in each hallway. In the areas toured, there were no health or safety violations observed. LPA obtained a copy of the facility's current liability insurance, LIC500, and LIC610E. No deficiencies cited. Exit interview conducted. A copy of this report was emailed to the Administrator.the state’s words, verbatim · CDSS document, Aug 27, 2024

Allegation investigated: Facility kitchen is unsanitary

LPA Parks arrived on Tuesday January 2, 2024, to conclude a complaint investigation regarding the above allegation. LPA met with Administrator Natasha and explained the purpose of the visit. Throughout the course of the investigation, LPA interviewed the Administrator, Director of Culinary Services, and various dietary staff. LPA reviewed cleaning schedules. Additionally, LPA reviewed current certification for staff (SERV safe and Food Handlers). The result of the investigation is as follows: Upon the initial complaint visit, LPA and Administrator toured the dining room and kitchen with the Director of Culinary Services. LPA observed the dining room to be clean and orderly. LPA observed the kitchen to be clean, well-organized, and following current regulations. Interviews revealed that staff are assigned certain tasks. According to interviews, staff follow this cleaning schedule. No interviews revealed that the facility is kept unsanitary or that cleaning duties are neglected. Unfounded Staff stated that, at times, they become busy or are behind schedule, but that they work together to accomplish assigned tasks. Additionally, LPA reviewed an internal audit conducted by the facility’s corporate office which shows 100% compliance. Based on the evidence provided, the preponderance of evidence standards was not met, therefore, the above allegation is found to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis. Exit interview conducted. A copy of this report was left at the facility.the state’s words, verbatim · CDSS document, Jan 2, 2024 · control 59-AS-20231211095430