Inspection Reports for Atria Carmichael Oaks
8350 Fair Oaks Blvd, Carmichael, CA 95608, United States, CA, 95608
Back to Facility ProfileInspection Report Summary
Most inspections found no deficiencies, showing the facility generally maintained a clean, safe, and well-managed environment. Several complaint investigations were unsubstantiated, indicating that many concerns raised were not confirmed. However, some deficiencies were noted over time, including improper resident placement in memory care despite updated diagnoses, delayed refund issuance to a resident, and a fire clearance violation related to non-ambulatory residents housed on an ambulatory-only floor. The most recent report from September 3, 2025, found a substantiated complaint where the facility did not accept a resident back from the hospital, posing potential health and personal rights risks. While issues have appeared intermittently, recent annual inspections have been free of deficiencies, suggesting some improvement in compliance.
Deficiencies per Year
4
3
2
1
0
Severe
High
Moderate
Low
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Complaint Investigation
Capacity: 95
Deficiencies: 1
Sep 3, 2025
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were not allowing a resident to return to the facility for re-entry.
Findings
The investigation found that the facility did not accept the resident back from the hospital, posing potential health, safety, and personal rights risks to residents. The allegation was substantiated based on documentation and interviews.
Complaint Details
The complaint alleged that staff were not allowing a resident to return to the facility for re-entry. The allegation was substantiated after investigation, with evidence showing the facility refused re-entry despite hospital and responsible party communications.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility did not accept resident (R1) back from the hospital, which poses a potential health, safety, and personal rights risk to residents in care. | Type B |
Report Facts
Facility capacity: 95
Plan of Correction due date: Sep 17, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angela Hood | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Kayla Davis | Executive Director | Met with Licensing Program Analyst during investigation and named in findings |
| Maribeth Senty | Licensing Program Manager | Named as Licensing Program Manager on report |
Inspection Report
Annual Inspection
Census: 64
Capacity: 95
Deficiencies: 0
Jul 24, 2025
Visit Reason
The inspection was a Required - 1 Year unannounced visit conducted to ensure compliance with Title 22 regulations for the care home.
Findings
The inspection found the facility to be in compliance with all applicable regulations, with no deficiencies cited. The facility was observed to be properly maintained, safe, and sanitary, with appropriate food supplies, medication storage, and emergency equipment.
Report Facts
Food supply: 2
Food supply: 7
Resident files reviewed: 6
Staff files reviewed: 6
Hot water temperature: 112.7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kayla Davis | Executive Director | Met with Licensing Program Analyst during inspection |
| Angela Hood | Licensing Program Analyst | Conducted the inspection |
| Maribeth Senty | Licensing Program Manager | Named in report header |
Inspection Report
Annual Inspection
Census: 68
Capacity: 95
Deficiencies: 0
Jun 11, 2024
Visit Reason
The inspection was a Required-1 Year unannounced visit conducted to ensure compliance with Title 22 regulations for the assisted living facility.
Findings
The inspection found the facility to be in compliance with all applicable regulations, with no deficiencies cited. The facility was observed to be properly maintained, safe, and sanitary, with appropriate food storage, medication security, and operational safety equipment.
Report Facts
Food supply: 2
Food supply: 7
Resident files reviewed: 6
Staff files reviewed: 6
Hot water temperature: 109.2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kayla Davis | Executive Director | Met with Licensing Program Analyst during inspection |
| Angela Hood | Licensing Program Analyst | Conducted the inspection |
Inspection Report
Complaint Investigation
Census: 66
Capacity: 95
Deficiencies: 0
Sep 7, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit conducted in response to allegations including staff not disclosing previous complaints, financial abuse of a resident, and mishandling of a resident's medical form.
Findings
The investigation found that the resident involved had never resided at the facility and that the allegations had already been investigated at another location, resulting in unsubstantiated findings. Therefore, all allegations were found to be unfounded and no deficiencies were cited.
Complaint Details
The complaint involved three allegations: staff did not disclose previous complaints filed, staff financially abused a resident, and staff mishandled a resident's medical form. All allegations were investigated and found to be unfounded or unsubstantiated, with no deficiencies cited.
Report Facts
Capacity: 95
Census: 66
Number of LIC602A forms: 5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Angela Hood | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Kayla Davis | Executive Director | Facility representative met during the investigation and involved in providing information |
| Maribeth Senty | Licensing Program Manager | Named in the report as Licensing Program Manager |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 95
Deficiencies: 1
Jul 11, 2023
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by an allegation that resident personal rights were violated by facility staff through improper placement in memory care.
Findings
The investigation found the allegation substantiated. The resident was initially placed in memory care due to a dementia diagnosis, but a later physician's report changed the diagnosis to resolved delirium. The resident's movement was restricted due to staff availability despite no longer having dementia, posing an immediate risk to personal rights. The resident has since moved from the facility.
Complaint Details
The complaint was substantiated based on evidence including resident records, interviews, and physician reports. The resident's personal rights were found violated due to improper placement and restricted movement in memory care after diagnosis changed. The investigation was conducted by Licensing Program Analyst Kevin Mknelly and Licensing Program Manager Maribeth Senty.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Care of Persons with Dementia (k) - The licensee did not meet requirements related to retaining residents with a primary diagnosis of a mental disorder unrelated to dementia, restricting resident movement due to staff unavailability despite updated diagnosis. | Type A |
Report Facts
Capacity: 95
Census: 69
Plan of Correction Due Date: 2023
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Mknelly | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Maribeth Senty | Licensing Program Manager | Oversaw the complaint investigation |
| Kimberly Hagen | Executive Director | Facility Executive Director involved in investigation |
| Christina Ortiz | Assistant Executive Director | Facility staff member met with Licensing Program Analyst during investigation |
Inspection Report
Complaint Investigation
Census: 69
Capacity: 95
Deficiencies: 0
Jul 11, 2023
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations that staff did not safeguard a resident's belongings.
Findings
The investigation found that although a resident reported missing items and the resident's door was unlocked when they were not present, there was insufficient evidence to substantiate the allegation. The complaint was determined to be unsubstantiated.
Complaint Details
The complaint was unsubstantiated, meaning there was not a preponderance of evidence to prove the alleged violation occurred. The investigation included records review and interviews, and found no witnesses or suspects. A police report was filed after staff assisted the resident in searching their room.
Report Facts
Capacity: 95
Census: 69
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kevin Mknelly | Licensing Program Analyst | Conducted the complaint investigation and delivered findings |
| Kimberly Hagen | Administrator | Facility administrator mentioned in the report |
Inspection Report
Annual Inspection
Census: 70
Capacity: 95
Deficiencies: 1
Jun 28, 2023
Visit Reason
The inspection was an unannounced Required-1 Year Inspection conducted to evaluate the health, safety, and compliance of the facility using the CARE inspection tool.
Findings
The facility was found to be clean, safe, sanitary, and in good condition with no immediate health or safety violations observed in toured areas. However, two residents who are non-ambulatory were found residing on the third floor, which is designated for ambulatory residents only, constituting a fire clearance violation.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Two residents with non-ambulatory diagnosis resided on the third floor which has a fire clearance for ambulatory only, posing an immediate health, safety, or personal rights risk. | Type A |
Report Facts
Residents non-ambulatory on third floor: 2
Resident files reviewed: 7
Staff files reviewed: 7
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Hagen | Executive Director | Met with Licensing Program Analysts during inspection and reviewed report |
| Kevin Mknelly | Licensing Program Analyst | Conducted inspection and signed report |
| Maribeth Senty | Licensing Program Manager | Supervised inspection and signed report |
Inspection Report
Annual Inspection
Census: 75
Capacity: 95
Deficiencies: 0
Jul 22, 2022
Visit Reason
The inspection was an unannounced required annual visit conducted by the Licensing Program Analyst to evaluate compliance with licensing requirements.
Findings
The facility was observed to be clean, safe, and in good repair with no health or safety risks or personal rights violations. No deficiencies were found during the inspection.
Report Facts
Hospice waiver residents: 1
Memory care unit residents: 19
Memory care unit capacity: 20
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Barbara Fleck | Executive Director | Met with Licensing Program Analyst during inspection and provided proof of Administrator Certificate renewal |
| Cassie Yang | Licensing Program Analyst | Conducted the inspection visit |
Inspection Report
Routine
Census: 155
Capacity: 95
Deficiencies: 0
Apr 19, 2022
Visit Reason
The inspection was a scheduled case management visit focused on COVID-19 infection prevention protocols.
Findings
The facility was found to be practicing effective COVID-19 infection prevention protocols with suggestions to increase disinfection and mask changes. No deficiencies were issued during the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Hagen | Administrator | Facility Administrator met during the inspection. |
| Sabrina Calzada | Licensing Program Analyst | Participated in the inspection. |
| Alycia Berryman | Regional Manager | Participated in the inspection. |
| Kristy Trausch | CII | Provided assessment of COVID-19 infection prevention protocols. |
| Sheila Gonzaga | Sacramento County Public Health participant in the inspection. | |
| Maribeth Senty | Licensing Program Manager | Named in report header. |
Inspection Report
Annual Inspection
Census: 83
Capacity: 95
Deficiencies: 0
Jul 26, 2021
Visit Reason
The inspection was an unannounced Required 1-Year Inspection focusing on the infection control domain to ensure compliance with health and safety standards.
Findings
The facility was found to be in substantial compliance with no immediate health, safety, or personal rights violations observed. No deficiencies were cited as a result of the inspection.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Kimberly Hagen | Administrator | Met with Licensing Program Analyst during inspection |
| Jacob Williams | Licensing Program Analyst | Conducted the inspection |
| Anthony Perez | Licensing Program Manager | Named in report header |
Inspection Report
Complaint Investigation
Census: 157
Capacity: 95
Deficiencies: 1
Mar 3, 2021
Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 09/24/2020 alleging that the facility failed to provide a refund to a resident.
Findings
The investigation substantiated the allegation that the facility did not issue a refund within fifteen days as required after the resident's belongings were removed. The facility refunded the resident on 10/05/2020 but failed to meet the timely refund requirement, posing a potential personal rights risk.
Complaint Details
The complaint was substantiated based on records and interviews. The allegation that the facility failed to provide a refund to resident R1 was found valid by a preponderance of the evidence.
Severity Breakdown
Type B: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Failure to ensure the responsible party received a refund within 15 days after the resident's belongings were removed from the facility, violating Health and Safety Code section 1569.652(c). | Type B |
Report Facts
Census: 157
Total Capacity: 95
Refund Amount Charged: 6211
Correct Pro-rated Amount: 5190.01
Refund Date: Oct 5, 2020
Plan of Correction Due Date: Mar 17, 2021
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melana Llopis | Licensing Program Analyst | Conducted the complaint investigation and authored the report |
| Danielle Kocsis | Business Director | Facility representative interviewed during investigation |
| Maribeth Senty | Licensing Program Manager | Oversaw the complaint investigation |
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