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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 577000881
Report Date: 07/09/2025
Date Signed: 07/09/2025 03:46:48 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/01/2025 and conducted by Evaluator Jill Nakagawa
COMPLAINT CONTROL NUMBER: 21-AS-20250701115424
FACILITY NAME:ATRIA COVELL GARDENSFACILITY NUMBER:
577000881
ADMINISTRATOR:CAROL DOWELLFACILITY TYPE:
740
ADDRESS:1111 ALVARADO AVETELEPHONE:
(530) 756-0700
CITY:DAVISSTATE: CAZIP CODE:
95616
CAPACITY:210CENSUS: 142DATE:
07/09/2025
UNANNOUNCEDTIME BEGAN:
09:22 AM
MET WITH:Karrie Silvey, Executive DirectorTIME COMPLETED:
03:46 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff did not ensure a resident's room is properly operating
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
Licensing Program Analyst (LPA) Jill Nakagawa arrived unannounced to initiate a complaint investigation regarding the above allegation and delivered findings. LPA met with Karrie Silvey, Executive Director, to discuss.

LPA made an inspection of the resident's (R1) room and found the air conditioning unit to be inoperable. R1 stated that they had reported the broken unit to facility multiple times but unit had not yet been repaired. Front desk received a call from R1 on 6/9/25, and a work order was filed. Facility did provide R1 a portable unit to use as a temporary measure until repairs can be made. LPA reviewed maintenance and staff records and found that facility was in the process of making repairs. A private repair company did inspect the unit on 06/09/2025. Parts were submitted for approval, ordered and upon receipt a repair date was scheduled for 07/10/2025. Based on review of documentation the allegation that Staff did not ensure a resident's room is properly operating is unsubstantiated. Although the allegation may have happened there is not a preponderance of evidence to substantiate the allegation therefore the allegation is unsubstantiated.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:

DATE: 07/09/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/09/2025
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
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