Inspection Reports for Atria Walnut Creek

The inspection was an unannounced quarterly visit conducted to ensure compliance with the stipulation dated 11/29/2023.

The Licensing Program Analyst observed that the stipulation was properly posted, kitchen and dining area signage was in place, and staffing ratios met the required levels. All staff were trained as required, and no citations were issued during the visit.

The inspection was an unannounced quarterly visit conducted to ensure compliance with the stipulation dated 11/29/2023.

The Licensing Program Analyst observed that the stipulation was posted conspicuously, kitchen and dining area signage was properly displayed, and staffing ratios met the required levels for the 38 residents. The Quality Evaluation Committee completed the seventh quarterly audit with documentation reviewed for May, June, and July 2025. No citations were issued during the visit.

The inspection was an unannounced Required Annual Inspection conducted to evaluate the facility's compliance with licensing requirements.

The inspection found the facility to be in compliance with all licensing requirements, including adequate food supplies, secure medication storage, inaccessible dangerous objects, and up-to-date fire safety equipment. No citations were issued during the inspection.

The inspection was an unannounced quarterly visit conducted to ensure compliance with the stipulation dated 11/29/2023.

The Licensing Program Analysts observed that the stipulation was properly posted, kitchen and dining signage was in place, and staffing ratios met the required levels. Documentation review confirmed that new residents or their responsible parties acknowledged receipt of the stipulation, and relevant manuals were available to staff. No citations were issued during the visit.

The inspection visit was an unannounced Case Management visit concerning an incident report submitted regarding an allegation of sexual molestation by a caregiver during assistance with a shower.

The Executive Director reported findings from a police officer and an internal investigation concluding that no sexual molestation had occurred. No citations were issued during the inspection.

The visit was triggered by a complaint alleging that Resident R1 was sexually molested by caregiver Staff S1 during a shower, as reported by family member W1. The allegation was investigated and found to be unsubstantiated.

The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff did not ensure a resident's room was free of bed bugs and that the resident's air conditioning was not in disrepair.

The investigation found that staff acted to ensure the resident's room was free of bed bugs and that the HVAC system was fully operational, which did not confirm the allegations. Therefore, the complaint was unsubstantiated.

The complaint was unsubstantiated as there was not a preponderance of evidence to prove the allegations regarding bed bugs and air conditioning disrepair.

The unannounced visit was conducted to perform the quarterly inspection of the facility to ensure compliance with the stipulation dated 11/29/2023.

The inspection found that the stipulation was properly posted, kitchen and dining signage was in place, staffing ratios met the required levels, and documentation requirements were met. No citations were issued during the visit.

The inspection was an unannounced complaint investigation visit conducted to investigate allegations that staff did not ensure a resident was provided meals and that the admissions agreement was not being followed.

The investigation found that the resident was provided meals and the admissions agreement was being followed, which did not confirm the allegations. Therefore, the allegations were unsubstantiated.

The complaint alleged that staff did not ensure the resident was provided meals and that the admissions agreement was not being followed. After interviews and record reviews, the allegations were found unsubstantiated due to lack of preponderance of evidence.

An unannounced complaint investigation was conducted based on allegations that staff do not ensure the facility is maintained in good repair and sanitary conditions.

The investigation found no preponderance of evidence to substantiate the allegations. Interviews with the Executive Director, Maintenance Director, and Compliance Director confirmed ongoing efforts to maintain the facility in good repair and sanitary condition.

The complaint alleged that staff did not maintain the facility in good repair and sanitary conditions. The allegations were found to be unsubstantiated after investigation.

An unannounced complaint investigation was conducted in response to allegations that staff do not ensure the facility is maintained in good repair and sanitary conditions.

The investigation found no evidence to substantiate the allegations. Interviews with the Executive Director and Maintenance Director confirmed that repairs are made promptly and the facility is maintained in sanitary condition.

The complaint was unsubstantiated as there was not a preponderance of evidence to prove the allegations regarding facility maintenance and sanitation.

The inspection was an unannounced complaint investigation visit triggered by an allegation that due to lack of supervision, a resident eloped from the facility resulting in death from the heat.

The investigation included interviews and record reviews, and found that the resident was independent and often declined assistance. Staffing levels were consistent with standards, and there was no preponderance of evidence to substantiate the allegation. The complaint was determined to be unsubstantiated.

The complaint alleged lack of supervision leading to resident elopement and death. The allegation was found to be unsubstantiated after investigation.

The unannounced visit was conducted to perform the quarterly inspection of the facility to ensure compliance with the stipulation dated 11/29/2023.

The inspection found that the stipulation was posted conspicuously, kitchen and dining area signage was properly displayed, and staffing ratios met the required standards. Documentation review confirmed that new residents or responsible parties acknowledged receipt of the stipulation, and relevant manuals were available to staff. No citations were issued during the visit.

An unannounced complaint investigation visit was conducted to investigate multiple allegations including failure to seek timely medical attention, inadequate temperature control, hydration issues, lack of resident privacy, and insufficient activities.

The investigation found all allegations to be unsubstantiated based on interviews, observations, and document reviews. The facility had adequate staffing, appropriate temperature and hydration measures, resident privacy was not violated, and a variety of activities were provided.

The complaint included nine allegations such as staff not seeking timely medical attention, inadequate temperature and hydration, lack of privacy, and no activities. Conflicting statements were received regarding medical attention. Observations and documentation supported that the facility met requirements. The allegations were unsubstantiated and no citations were issued.

The visit was an unannounced quarterly inspection to ensure that the requirements of the 11/29/2023 stipulation were being followed.

The inspection found that the stipulation was posted conspicuously, kitchen and dining area signage was properly displayed, and Life Guidance staffing ratios met the required levels. Documentation review confirmed compliance with stipulation requirements, including acknowledgment of stipulation receipt by new residents or responsible parties and availability of a Hazardous Materials and Policies and Procedures Manual to staff. No citations were issued during the visit.

The visit was an unannounced Case Management health and safety check related to the facility's air conditioning being inoperable since April.

The facility mitigated the broken air conditioning by purchasing fans, portable AC units, and renting commercial ACs, ensuring all resident rooms and common areas were at comfortable temperatures. Additional staff were hired to monitor room temperatures and water stations were added in hallways.

An unannounced Case Management visit was conducted regarding an incident reported to the Community Care Licensing Division on 2024-07-08 involving a resident who left the facility and was later found deceased.

The Licensing Program Analyst reviewed relevant documents including physician's report, police report, assessments, and staff schedules. No deficiencies were issued during the visit.

The visit was triggered by a complaint related to a resident who left the facility on 2024-07-04 and was subsequently found deceased nearby by police. The cause of death was unknown at the time of the visit.

An unannounced complaint investigation was conducted due to an allegation that the facility air conditioner was in disrepair.

The allegation that the facility air conditioner was in disrepair was substantiated. The air conditioner had been in disrepair since the end of May and was in the process of being fixed, with parts awaited from a third-party vendor. The thermostat on the first floor was observed at 89 degrees Fahrenheit, posing a potential health and safety risk to residents.

The complaint alleging that the facility air conditioner was in disrepair was substantiated based on interviews and observations during the investigation.

The unannounced visit was conducted to perform a quarterly inspection to ensure compliance with the stipulation dated 11/29/2023.

The inspection found that the stipulation was properly posted, kitchen and dining signage was in place, staffing ratios met the required levels, and documentation was reviewed and verified. No citations were issued during the visit.

The inspection visit was conducted as a continuation of the required annual inspection of the facility that began on 2024-04-24, to verify compliance with licensing requirements.

The Licensing Program Analysts, along with the Executive Director and Compliance Director, reviewed emergency supplies, staff training records, and resident and staff files. The annual inspection was completed with no citations issued.

The visit was an unannounced required annual inspection of the facility conducted by the Licensing Program Analyst.

The Licensing Program Analyst inspected the physical plant, including kitchens, dining areas, restrooms, community living spaces, resident rooms, and storage. No citations were issued during the inspection, and the annual inspection was not complete at the time of the report, with a return visit planned to complete it.

The inspection was an unannounced complaint investigation visit conducted in response to allegations received on 12/20/2022 regarding staff neglect resulting in a resident sustaining a fracture and failure to seek timely medical attention for a resident.

The investigation found the allegation of staff neglect resulting in a resident sustaining a fracture to be unsubstantiated due to lack of preponderance of evidence. The allegation that facility staff did not seek timely medical attention was found to be unfounded based on evidence including 911 call records and staff interviews. No citations were issued during the visit.

The complaint alleged staff neglect causing a resident's fracture and failure to seek timely medical attention. The investigation included interviews with staff and review of multiple records. The fracture allegation was unsubstantiated, and the medical attention allegation was unfounded.

The inspection was an unannounced complaint investigation visit triggered by allegations that staff did not follow the resident's care plan and did not do a proper assessment of the resident.

The Licensing Program Analyst reviewed relevant care plans, assessments, resident notes, physician reports, and task lists, and interviewed witnesses and facility staff. The analysis showed that staff were following the resident's care plan and conducting proper assessments. The allegations were determined to be unsubstantiated due to lack of preponderance of evidence.

The complaint alleged that staff did not follow the resident's care plan and did not do a proper assessment of the resident. After investigation, the allegations were found to be unsubstantiated.

The visit was conducted to deliver an updated license including probationary status and to perform the initial inspection of the facility after a stipulation went into effect on 11/29/2023.

The Licensing Program Analyst observed compliance with stipulation posting, staff-to-resident ratios, and documentation requirements including staff training, Quality Evaluation Committee formation, and audit reporting. No citations were issued during the visit.

An unannounced complaint investigation visit was conducted in response to an allegation that staff do not ensure a comfortable living environment for residents due to noise caused by a resident's pet.

The investigation found that although the allegation may have occurred, there was insufficient evidence to prove that staff failed to ensure a comfortable living environment. The complaint was therefore unsubstantiated.

The complaint alleged that staff did not ensure a comfortable living environment due to noise from Resident 2's pet. The pet was brought without notification and the responsible party did not disclose it at lease signing. The Executive Director has been working to remove the pet since the disturbance was first reported on 11/21/2023. The allegation was unsubstantiated.

An unannounced complaint investigation was conducted due to an allegation that the facility did not issue a refund to a resident in care.

The investigation substantiated the allegation that the facility failed to issue a refund of $1,278.00 to Resident 1 after departure. The facility corrected the deficiency during the visit by issuing a refund of $2,186.63, which was $908.63 more than required.

The complaint was substantiated. The allegation was that the facility did not issue a refund to a resident in care. The facility issued the refund during the investigation.

The inspection was an unannounced complaint investigation visit triggered by allegations that staff changed a resident's service plan without consent and that a resident was billed for services not rendered.

The investigation found that the facility acted in the best interest of the resident regarding the service plan changes, and the billed services were verified as provided. There was no preponderance of evidence to substantiate the allegations, and the complaint was unsubstantiated.

The complaint was unsubstantiated. Allegations included unauthorized changes to a resident's service plan and billing for services not rendered. Documentation and reports reviewed confirmed the facility's compliance.

An unannounced complaint investigation visit was conducted in response to allegations that the facility did not have a certified administrator and that the facility administrator was not qualified.

The investigation found that although the allegations may have happened or are valid, there was not a preponderance of evidence to prove the alleged violations did or did not occur; therefore, the allegations were unsubstantiated.

The complaint was unsubstantiated due to insufficient evidence to prove the alleged violations regarding the certification and qualification of the facility administrator.

The visit was an unannounced Case Management inspection concerning 5 Unusual Incident Reports of 5 unwitnessed falls occurring on the same day, 10/06/2023, including two falls involving the same resident.

The Licensing Program Analyst interviewed the Resident Services Director and Executive Director, who explained that all events were managed in accordance with Title 22 regulations. No citations were issued during the visit.

An unannounced complaint investigation was conducted in response to allegations regarding the facility's air conditioning being in disrepair and staff not maintaining a comfortable room temperature for residents.

The HVAC system did require repair starting on 08/06/2023, but this was not considered a long-term neglectful act. Staff acted quickly to maintain a comfortable room temperature by providing approximately 50 air conditioning units or fans. Some residents acted contrary to staff instructions, affecting room temperatures. No citations were issued and the allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint investigation was unsubstantiated. Although the allegations may have happened or be valid, there was insufficient evidence to prove the alleged violations did or did not occur.

The visit was a continuation of the Annual Inspection that began on 06/21/2023, conducted to evaluate the facility's compliance and operations.

During the inspection, the Licensing Program Analyst toured the facility, reviewed resident and staff files, and interviewed residents and staff. No citations were issued during this inspection.

The inspection was an unannounced Required - 1 Year Inspection conducted to evaluate the facility's compliance with licensing requirements.

The inspection was stopped early due to the size of the facility and recent administrative changes, with no citations issued during this visit.

Unannounced Case Management visit to follow-up on the accusation document provided to the facility.

The Licensing Program Analyst toured the facility, confirmed that written notice regarding the accusation was posted and residents received the notice. No deficiencies were issued during the visit.

This was a Case Management visit conducted as a follow-up on a case management citation related to a questionable death of a resident due to inadequate supervision and staff competency.

The investigation determined that the facility failed to adequately supervise a resident (R1) who ingested a caustic liquid cleaning agent, resulting in injury and death. The facility also failed to have competent staff to meet residents' needs and violated regulations regarding storage of toxic substances and personnel requirements.

The visit was complaint-related due to a questionable death of resident R1 who ingested a caustic liquid cleaning agent. The complaint was substantiated based on autopsy and investigation findings.

The inspection visit was conducted as an unannounced complaint investigation related to failure to submit reports for a resident's fall incident and concerns about facility maintenance.

The facility failed to submit required incident reports for a resident's fall in 2015 and had an old mattress in a resident's room for over a year, posing potential safety and personal rights risks. Deficiencies were cited under Title 22 California Code of Regulations.

Complaint Control # 15-AS-20210323144314 regarding failure to submit reports for resident R1's fall and maintenance issues with an old mattress in the resident's room.

Unannounced complaint investigation visit conducted due to allegations including resident sustaining a fractured leg, multiple falls, pressure injury, unlawful eviction, and insufficient staffing to meet resident needs.

The investigation substantiated allegations that Resident R1 sustained multiple injuries including fractures and pressure injuries while in care, the facility issued an unlawful eviction notice related to dietary needs, and the facility was short-staffed impacting resident care. Another allegation regarding failure to provide resident's authorized representative with records was unsubstantiated.

The complaint investigation was substantiated for allegations that Resident R1 sustained a fractured leg, multiple falls, pressure injuries, unlawful eviction, and insufficient staffing. The allegation that facility staff did not provide the resident's authorized representative with a copy of the resident's records was unsubstantiated.

Unannounced case management follow-up visit regarding a questionable resident death on 2022-08-31 due to inadequate supervision leading to ingestion of chemical substances.

Investigation substantiated that staff failed to adequately supervise resident R1, resulting in ingestion of toxic cleaning chemicals and subsequent death. Deficiencies were cited related to improper storage of toxic substances and insufficient staffing.

The visit was a follow-up investigation related to a substantiated complaint regarding the death of resident R1 due to staff failing to supervise, resulting in ingestion of chemical substances.

The visit was an unannounced Case Management visit conducted to deliver an Immediate Exclusion letter and verify that the excluded individual was no longer present or working at the facility.

No deficiencies were cited during the visit. The Immediate Exclusion letter was delivered to the Assistant Executive Director, and an exit interview was conducted.

The visit was an unannounced Case Management visit conducted to review compliance related to an incident reported on 8/24/2022 and follow up on appraisal needs and services plan for a resident.

The licensee failed to ensure that Resident 1's appraisal needs and services plan was updated and signed by the resident's representative, which posed an immediate health and safety risk. This deficiency was cited under California Code of Regulation, Title 22.

An unannounced Case Management visit was conducted regarding a prior incident that was reported to the Community Care Licensing Division (CCLD).

During the visit, the Licensing Program Analyst interviewed five staff members and collected the staff schedule for memory care to gather information about the prior incident. An exit interview was conducted and a copy of the report was provided.

The inspection visit was conducted as a result of a Priority 2 complaint to perform a health and safety check at the facility.

The Licensing Program Analysts toured the facility and found that the facility temperature, hot water temperature, food supplies, medication storage, smoke and carbon monoxide detectors, first-aid kit, and fire extinguisher were all in compliance. No citations were issued.

The visit was triggered by a Priority 2 complaint. No citations or deficiencies were issued, indicating no substantiated violations.

An unannounced Case Management visit was conducted to review the facility's Emergency and Disaster Plan update and the reporting of Unusual Incidents to the Regional Office.

The facility was advised to update its Emergency and Disaster Plan from the 2003 to the 2019 version and to improve the timeliness and completeness of Unusual Incident Reports. No citations were issued during the inspection.

An unannounced Case Management visit was conducted by Licensing Program Analyst L. Hall to review requested documents and assess compliance.

The Licensing Program Analyst requested and obtained documents from facility leadership via email and telephone during the visit. An exit interview was conducted and a copy of the report was provided.

An unannounced Case Management visit was conducted regarding an incident reported to the Community Care Licensing Division on 08/30/2022 involving a resident found walking unattended outside the community.

The Licensing Program Analyst met with the Resident Services Director to discuss the incident involving resident R1, who has mild dementia and is able to leave the facility unassisted. The facility responded by returning the resident to the community after being found by a bus driver.

The visit was triggered by a complaint incident reported on 08/30/2022 concerning resident R1 walking unattended outside the community on 08/29/2022. The incident was investigated and discussed with facility staff.

An unannounced Case Management visit was conducted regarding an incident reported to the Community Care Licensing Division on 2022-08-24 involving a resident who experienced a choking incident and subsequent death.

The incident involved a resident taken to the emergency room due to choking on 2022-08-23, with the facility submitting a death report on 2022-08-31. The Assistant Executive Director provided information about the incident and communication with hospital staff and family.

The visit was triggered by a complaint related to a choking incident resulting in a resident's death. The facility was not aware of the resident's death until the coroner arrived on 2022-08-31.

The inspection was an unannounced complaint investigation visit triggered by allegations received on 2020-11-25 regarding resident care, staffing, accommodations, and pest infestation at the facility.

The investigation found that the facility was scheduling an appropriate number of staff and conducting regular pest control visits. However, there was insufficient evidence to substantiate the allegations, and therefore the complaint was unsubstantiated.

The complaint included allegations that residents were not receiving assistance with activities of daily living, insufficient staff to meet resident needs, unsafe and uncomfortable accommodations, and rodent infestation. The investigation concluded these allegations were unsubstantiated due to lack of preponderance of evidence.

The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2020-12-10 alleging issues such as no activity director and insufficient food service personnel.

Based on records review and staff interviews, the facility was delivering meals to rooms following current COVID guidelines, with care staff assisting dining staff. There was insufficient evidence to substantiate the allegations, so the complaint was unsubstantiated.

The complaint was unsubstantiated due to lack of preponderance of evidence to prove the alleged violations did or did not occur.

An unannounced complaint investigation visit was conducted in response to an allegation that a resident caused injuries to other residents in care.

The investigation found that the facility properly attended to the rights, needs, and safety of all residents. The allegation was determined to be unsubstantiated as there was not a preponderance of evidence to prove it did or did not occur.

The complaint alleged that a resident caused injuries to other residents. The investigation was unsubstantiated based on the evidence reviewed and interviews conducted.

The visit was an unannounced complaint investigation triggered by allegations received on 2022-05-04 regarding staff not meeting residents' hygiene needs, not noticing change of condition in a resident, and not providing an authorized representative a refund.

The investigation found that the facility properly attended to the resident's needs. Based on interviews and record reviews, the allegations were unsubstantiated due to lack of preponderance of evidence.

The complaint was unsubstantiated after investigation, meaning there was insufficient evidence to prove the allegations occurred.

The inspection was an infection control annual inspection conducted as a required one-year unannounced visit to evaluate the facility's infection control practices.

The facility has an infection control plan in place and is following it, including universal entry screening, daily cleaning and sanitation, and COVID-19 signage. No deficiencies were cited during this visit.

The visit was an unannounced complaint investigation triggered by an allegation that residents were being overcharged for services.

The investigation found that although residents received a rate increase notification with reasons and history of rate changes, there was no preponderance of evidence to substantiate the allegation of overcharging. Therefore, the complaint was unsubstantiated.

The complaint alleged that residents were being overcharged for services. The investigation included review of admission agreements and rate increase notifications. The allegation was found to be unsubstantiated due to lack of sufficient evidence.

The visit was conducted as a case management incident investigation concerning errors in the delivery of medications on 12/05/21 and 12/06/21 to two different residents by medical technicians.

The investigation found that the medication errors were related to new medical technicians lacking sufficient support and training. Retraining was provided to all med techs, one med tech resigned, and another is being shadowed to complete training. No deficiencies were cited during this visit.

The visit was triggered by medication delivery errors reported for two residents. The complaint was investigated and found to be related to training and support issues for new medical technicians. No deficiencies were cited.

The visit was an unannounced complaint investigation conducted in response to an allegation that staff did not safeguard a resident's personal property.

The investigation found the complaint to be unfounded, meaning the allegation was false or without reasonable basis. No deficiencies were cited.

The complaint alleged that staff did not safeguard resident R1's personal property, specifically an auditory device. The investigation reviewed medical and facility records and found no evidence of loss or theft. The complaint was dismissed as unfounded.

The visit was an infection control annual inspection conducted to evaluate COVID-19 mitigation practices and overall infection control compliance at the facility.

The facility was found to be in compliance with COVID-19 infection control practices, including mask usage, symptom screening, social distancing, and vaccination of all staff and residents. No deficiencies were cited during the visit.

The inspection was conducted as a result of a complaint received by the Department (Control # 15-AS-20210323144314). Due to management directive to telework, the inspection was done via video conference.

The Licensing Program Analyst inspected various areas including living and dining rooms, activity area, and resident apartments in assisted living and memory care units. Hallways were observed free of obstructions and an evacuation chair was noted on the stairwell. No citations were issued during this inspection.

Inspection was triggered by a complaint (Control # 15-AS-20210323144314). No citations were issued, indicating no substantiated deficiencies.

An unannounced continuing complaint visit was conducted by telephone due to the State’s Shelter-in-Place order, to investigate a subject resident issued a 30-day letter for altercations with other residents.

The investigation found that the altercations did occur but were not solely due to the subject resident, who was assumed to be the perpetrator. The facility's evaluation shortly before the incidents showed the resident did not have behavioral concerns. A deficiency was cited related to personal rights violations.

The visit was complaint-related, investigating a subject resident's 30-day letter for altercations. It was determined the resident was not solely responsible, and the deficiency was cited accordingly.

Unannounced complaint investigation visit conducted due to multiple allegations including resident injury and failure to seek timely medical attention.

The investigation substantiated that a resident sustained an injury which was not observed or timely addressed by staff, supported by photo evidence and hospital records. Other allegations related to sanitation and resident care were unsubstantiated due to insufficient evidence.

The complaint investigation was substantiated for allegations that a resident sustained injury while in care and staff failed to seek medical attention in a timely manner. Other allegations including resident locked in restroom, unsanitary conditions, failure to respond to call button, failure to meet hygiene needs, failure to provide safe environment, and illegal eviction were unsubstantiated.