Inspection Reports for
Atria Willow Glen

The investigation confirmed that staff members mistakenly took resident R1 to resident R2's immunization due to similar names. Both staff were counseled and assigned additional training. No deficiencies were cited, but a technical violation was provided.

The complaint investigation addressed allegations that staff handled residents roughly, did not accord residents dignity, neglected residents' activities of daily living, and failed to report incidents to CDSS. Interviews with residents, staff, and administrators, as well as records review, led to findings that these allegations were unsubstantiated or unfounded.

The investigation involved interviews with residents, staff, and administrators, as well as records review. Despite some staff allegations of rough handling and disrespectful behavior by a specific staff member (S7), the overall findings were that the allegations were unsubstantiated or unfounded due to lack of sufficient evidence. The department found no preponderance of evidence to prove the allegations occurred.

The complaint involved an incident where staff S1 allegedly grabbed resident R1 by the left arm and yelled at them. Interviews with staff yielded mixed observations about S1's behavior. The Licensing Program Analyst assessed the resident and found no marks or bruises. The allegation was found unsubstantiated.

The allegation of verbal and physical abuse by staff S1 towards resident R1 was determined to be unsubstantiated. No injuries were noted and no deficiencies were cited during the visit.

The Licensing Program Analyst observed staff training records including elopement drills, interventions for wandering behaviors, and quarterly safety training. No deficiencies were cited during this visit.

The Licensing Program Analyst determined that the incident requires further investigation, but no deficiencies were cited at this time as per California Code of Regulations Title 22.

The complaint alleged that staff were not meeting residents' hygiene needs. Interviews with 10 residents and 6 staff members, along with observations, found no residents in an unkempt or dirty state and confirmed staff assistance with hygiene needs. The complaint was found to be unfounded.

Based on interviews with residents, staff, and the administrator, as well as a facility tour, the department found no evidence supporting the allegations. The complaint was determined to be unfounded.

The complaint investigation addressed allegations including a resident's toilet in disrepair, neglect/lack of supervision resulting in resident eloping, facility door alarm in disrepair, failure to notify responsible parties about elopement, failure to follow eviction procedures, and staff not following a licensed physician's order. All allegations were found to be unfounded or unsubstantiated based on interviews and evidence.

The investigation found all allegations to be unfounded or unsubstantiated after interviews, observations, and records review. Issues such as a resident's toilet disrepair, neglect resulting in elopement, door alarm malfunction, failure to notify responsible parties, eviction procedures, and medication administration were examined and found without sufficient evidence of violations.

The complaints investigated included allegations that staff did not provide housekeeping, did not assist residents with grooming, locked residents inside their living units, did not meet residents' incontinence needs, and did not monitor residents for changes in condition. After interviews and observations, all allegations were found to be unfounded or unsubstantiated.

The investigation included interviews with residents and staff, observations of resident bedrooms, and review of records. The department found all allegations to be unfounded or unsubstantiated, meaning the complaints were either false or lacked sufficient evidence to prove occurrence.

The visit was complaint-related due to a resident elopement incident. The incident involved resident R1 exiting through a delayed egress door and being found on a bus. The complaint is under further investigation with no substantiation or deficiencies cited yet.

The Licensing Program Analyst conducted interviews and requested documentation related to the incident. No deficiencies were cited at this time, but the incident requires further investigation.

The inspection included a tour of the facility, review of food supplies, medication storage, and safety equipment. No deficiencies were cited during the visit.

The complaint alleged that staff inappropriately touched resident R1 during bathing. Interviews with six staff and six residents, including R1, and review of R1's physician report and Needs and Services Plan indicated no substantiation of the allegation.

After interviews with staff and residents, and review of medical and service records, the allegations were found to be unsubstantiated due to lack of preponderance of evidence.

The facility was toured including assisted living and memory care areas, with observations of resident activities and safety measures. The kitchen and medication storage were inspected and found adequate. No deficiencies were cited during the visit.

The facility was found to be clean, well maintained, and compliant with all regulations. No deficiencies were cited. The facility has a 100% COVID-19 vaccination rate for residents and staff, and all safety equipment was observed to be in proper working order.

The inspection found that COVID-19 safety protocols were in place, exits were unobstructed, emergency contacts were up to date, and medicine cabinets were locked. No citations were issued during this visit.

The complaint alleging a cockroach infestation was investigated and found to be unfounded based on interviews with 9 staff and 5 residents denying infestation, and pest control records indicating no pest activity.

The investigation found no corroborating evidence of a cockroach infestation based on interviews with staff and residents, and a review of pest control records showing no pest activity. The complaint was determined to be unfounded.

The facility had sufficient COVID-19 signage, maintained restrooms with hand washing supplies, available hand sanitizing for staff and residents, PPE supplies, and staff observed wearing face masks. Housekeepers were observed cleaning with EPA approved disinfectants. Staff encouraged social distancing and designated seating throughout Assisted Living. No recommendations were made at this time.

The facility had sufficient COVID-19 signage, maintained restrooms with hand washing supplies, available hand sanitizing, PPE supplies, and staff wearing face masks. Housekeepers were observed cleaning with EPA approved disinfectants. Recommendations were made to increase temperature checks, improve signage visibility, and increase designated seating posters for social distancing.

The facility's Memory Care building completed its isolation period with no active positive COVID-19 cases, allowing removal of the outdoor donning and doffing tent and moving the screening area indoors. Facility staff may use KN95 masks instead of N95 masks as long as no active positive cases are present. Clarification was received that COVID+ residents returning from doctor's visits or hospitalization do not need to complete another 14-day isolation/quarantine period.

The report documents a joint conference call with public health officials and facility representatives to clarify COVID-19 related protocols including communal dining in the Memory Care Unit, daily line list monitoring, and twice daily symptom checks for residents.

The facility demonstrated compliance with strict entrance screening protocols, symptom checking twice daily for residents and staff, and implemented recommendations such as replacing trash bins with covered, foot-pedal bins. Communal dining was initially discontinued but later permitted as a cohort when all residents tested positive. Hand hygiene stations were provided, though hand sanitizers were not accessible in the Memory Care unit due to resident needs and regulations.

The facility had sufficient COVID-19 signage, clean restrooms with paper towels, hand sanitizing stations, ample PPE, and staff wearing face masks. Housekeepers were observed cleaning with EPA approved disinfectants. Food was served in disposable containers and social distancing was encouraged. Staffing levels were adequate with no issues reported.