Inspection Reports for Atria Tamalpais Creek

The visit was an unannounced Case Management - Incident visit to follow up on self-reported incidents submitted to Community Care Licensing.

Two incident reports were reviewed involving resident falls, with one resident requiring higher care and the other on hospice. No deficiencies were cited during the visit.

An unannounced Annual Required – 1 year inspection visit was conducted to evaluate compliance with licensing requirements and facility operations.

The facility was found to be in compliance with all licensing requirements with no deficiencies cited. The facility has appropriate emergency and infection control plans, proper medication storage, and all resident and staff records reviewed were complete and up to date.

The visit was conducted as a Case Management - Incident Visit to follow up on a self-reported incident submitted to Community Care Licensing regarding a resident who left the memory care area unaccompanied.

The investigation found that the resident exited the memory care area during a staff shift change but was safely returned without harm or need for medical attention. The facility made all appropriate notifications and no deficiencies were cited during the visit.

The complaint involved a resident who was observed walking outside the community and exiting the memory care area unaccompanied. The incident was substantiated as the resident did leave the area but was safely returned and no harm occurred.

The inspection was an unannounced complaint investigation visit triggered by an allegation that staff were not properly supervising a resident, resulting in multiple hip dislocations at the facility.

The investigation found contradictory information and a lack of corroborating evidence to support the allegation. Medical records showed the resident had a history of hip dislocations unrelated to staff neglect, and the allegation was determined to be unsubstantiated.

The complaint alleged staff were not properly supervising a resident, resulting in multiple hip dislocations. The allegation was unsubstantiated due to insufficient evidence and medical records indicating the dislocations were non-trauma related and not caused by staff neglect.

The visit was an unannounced Case Management - Incident Visit to follow up on self-reported incidents submitted to Community Care Licensing.

Two incidents were reviewed: one involving a resident found on the ground who did not require hospitalization, and another involving a resident hospitalized for a urinary tract infection. The facility made all appropriate notifications per regulation. No deficiencies were cited during the visit.

The inspection visit was an unannounced continuation of an annual inspection initiated on 2024-07-07, conducted to evaluate compliance with regulations at the facility.

Medications and medication records were reviewed and found to be documented as per regulation. Residents were observed engaged in various activities. No deficiencies were cited during the inspection.

The inspection was an unannounced annual required inspection conducted to evaluate compliance with licensing regulations at the facility.

The facility was found to be generally compliant with regulations including environmental safety, food storage, medication security, and staff training. However, the Executive Director's Administrator Certificate had expired and was on the department's pending list. The inspection was not completed and will be resumed at a later date.

The inspection was an unannounced case management visit to follow up on incident reports from 03/08/2024 and 03/14/2024, as well as a self-reported suspected dependent adult/elder abuse (SOC341) from 02/28/2024.

The facility had incidents involving resident agitation and physical aggression, a missing wallet with cash stolen by a caregiver who was subsequently terminated, and a resident exiting the memory care unit unassisted. The facility was found noncompliant with regulations requiring auditory or staff alert devices to monitor exits in the memory care unit.

The visit was complaint-related, following up on incidents including a resident punching staff due to agitation and hallucinations, a missing wallet with $300 cash stolen by a caregiver who was terminated, and a resident found outside the memory care unit unassisted. The complaint was substantiated by the findings.

The inspection was an unannounced case management visit to follow up on an Incident Report from 08/16/2023 and a self-reported SOC341 (Suspected Dependent Adult/Elder Abuse) from 12/24/2023.

The report detailed two incidents: Resident 1 was found injured and transported to the hospital, ultimately returning to family care; Resident 2 exhibited aggressive behavior towards Resident 3, which was linked to a urinary tract infection and improved after treatment and medication adjustments.

The visit was complaint-related, following up on an incident involving Resident 1's injury and a suspected abuse incident involving Residents 2 and 3. The aggressive behavior complaint was substantiated by medical findings and subsequent treatment.

The visit was an unannounced Annual Continuation Visit conducted by the Licensing Program Analyst to evaluate the facility's compliance and care standards.

The annual inspection was completed with no deficiencies cited. The Licensing Program Analyst conducted staff and resident interviews and a walk-through of the facility.

The visit was an unannounced Case Management - Incident inspection to follow up on a self-reported incident involving a resident who fell and was hospitalized.

The facility appropriately responded to the incident, made all required notifications, and communicated with the resident's responsible party and physician. No deficiencies were cited during the visit.

The visit was an unannounced Annual Continuation Visit conducted to evaluate the facility's compliance with regulatory requirements.

The Licensing Program Analyst reviewed staff and resident files, medication records, and conducted a facility walkthrough and interviews. No deficiencies were cited during the visit, but the Annual Inspection was not completed and will be continued at a later date.

The visit was an unannounced Required 1 Year Visit to evaluate the facility's compliance with regulations.

The facility was found clean, with appropriate temperature, unobstructed exits, sufficient food and supplies, and proper storage of toxins. No deficiencies were cited during the visit. The annual inspection was not completed and will continue at a later date.

Unannounced complaint investigation visit conducted due to an allegation of neglect/lack of supervision resulting in a resident sustaining severe injuries and hospitalization.

The investigation found conflicting statements regarding the resident's use of a walker at the time of the fall. The resident sustained multiple fractures and underwent surgery. The complaint allegation was determined to be unsubstantiated due to lack of preponderance of evidence. No deficiencies were cited during the visit.

Complaint allegation of neglect/lack of supervision resulting in resident sustaining severe injuries and hospitalization was unsubstantiated.

The visit was an unannounced Case Management - Incident inspection to follow up on self-reported incidents submitted to Community Care Licensing.

Two incidents were reviewed involving residents: one elopement where a resident left the facility unassisted and was reassessed for higher care needs, and another where a resident was found on the floor with a fractured vertebra from a prior injury. The facility took appropriate actions including notifications, reassessments, medication management, and increased monitoring. No deficiencies were cited during the visit.

The visit was complaint-related, following up on two incident reports involving Resident 1's elopement and Resident 2's fall resulting in a fractured vertebra. The fractured vertebra was reported to have occurred prior to Resident 2's admission. Both incidents were substantiated by facility reports and physician documentation.

Licensing Program Analysts conducted an unannounced Annual Required – 1 Year Infection Control inspection to the facility.

The facility was found clean, with proper temperature control, unobstructed exits, operational fire safety equipment, sufficient food supplies, and proper storage of toxins and medications. Staff followed infection control protocols including temperature checks and PPE use. No deficiencies were cited at this time.

An investigation regarding a Suspected Dependent Adult/Elder Abuse incident on 2022-05-16 was conducted. Staff member S1 was suspended pending investigation. Police were contacted and have conducted an investigation. Staff S1 has no prior abuse episodes and has worked at the facility since 2016.

Unannounced investigation of a complaint alleging unlawful eviction and personal rights violations received on 04/06/2021.

The investigation found that the complaint was unfounded; the resident was not evicted, and no violations of personal rights were identified. No citations were issued.

Complaint was found to be unfounded, meaning the allegation was false, could not have happened, and/or was without a reasonable basis.

An unannounced Annual Required – 1 year Infection Control inspection was conducted to assess compliance with health and safety regulations.

The facility was found to be clean, with all exits unobstructed, operational smoke and carbon monoxide detectors, and proper food storage. Hot water temperatures were within acceptable ranges, and PPE supplies and infection control measures were in place. No deficiencies or citations were issued.

The inspection was conducted as a complaint investigation regarding an allegation that staff handled a resident roughly, causing injury.

The investigation was unannounced and conducted primarily by telephone due to COVID-19. After reviewing documentation, interviews, and observations, the allegation was found to be unsubstantiated as there was insufficient evidence to prove or disprove the claim.

The complaint allegation was that staff handled a resident roughly, causing injury. The investigation included interviews and review of a police report filed on 11/7/2020. The police report and facility investigation concluded there was no proof that staff inflicted unjustifiable physical pain. The resident had a diagnosis of Mild Cognitive Impairment and had moved out prior to the investigation closure. The allegation was deemed unsubstantiated.

The inspection was an unannounced complaint investigation conducted due to allegations that facility staff fed resident foods that did not follow the resident's dietary restrictions and other care-related complaints.

The complaint investigation found the allegations regarding dietary restrictions to be unfounded and other allegations related to care plan adherence, interaction with residents, hygiene supplies, safeguarding personal belongings, denture care, and temperature taking to be unsubstantiated. No deficiencies were cited during the inspection.

The complaint investigation was initiated based on allegations received on 10/30/2020. The investigation included interviews and documentation review. The dietary restriction allegation was found to be unfounded, meaning it was false or without reasonable basis. Other allegations were unsubstantiated due to insufficient evidence to prove or disprove them.

The inspection was an unannounced tele-visit conducted in response to an exemption denial notice dated 09/08/2020.

The Licensing Program Analyst verified that the individual in question was not present, employed, or residing at the facility and advised the licensee to disassociate the individual from their roster and submit an updated LIC 500. No citations were issued during the visit.