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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 577000881
Report Date: 04/17/2026
Date Signed: 04/17/2026 11:49:25 AM

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
03/23/2026 and conducted by Evaluator Jill Nakagawa
PUBLIC
COMPLAINT CONTROL NUMBER: 21-AS-20260323111345
FACILITY NAME:ATRIA COVELL GARDENSFACILITY NUMBER:
577000881
ADMINISTRATOR:KARRIE SILVEYFACILITY TYPE:
740
ADDRESS:1111 ALVARADO AVETELEPHONE:
(530) 756-0700
CITY:DAVISSTATE: CAZIP CODE:
95616
CAPACITY:210CENSUS: 143DATE:
04/17/2026
UNANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Rick Dulay, AdministratorTIME COMPLETED:
11:50 AM
ALLEGATION(S):
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Staff did not remove expired food from refrigerator or freezer
INVESTIGATION FINDINGS:
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On 04/17/2026, Licensing Program Analyst (LPA) Nakagawa arrived unannounced to complete an investigation and deliver findings regarding the above allegation and met with the new Administrator Rick Dulay.

The complaint alleges that “Staff did not remove expired food from refrigerator or freezer”. RP reported that resident (R1) has a lot of old food in refrigerator and freezer, some of it dating back months. LPA and Administrator inspected the apartment of R1 with their consent on 03/26/2026 and 04/17/2026.

Continued on 9099-C....
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 2
Control Number 21-AS-20260323111345
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)
CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1450 NEOTOMAS AVENUE, STE. 100
SANTA ROSA, CA 95405
FACILITY NAME: ATRIA COVELL GARDENS
FACILITY NUMBER: 577000881
VISIT DATE: 04/17/2026
NARRATIVE
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Continued from 9099....

LPA found a number of boxes stacked around the apartment; but clean and no food remnants. The kitchen was clean and organized, with counters and sink free of old food or food trays/plates from past meals. There were multiple containers of food stored in the refrigerator and freezer but they were wrapped securely and dated. LPA did not observe anything that smelled bad nor see anything that appeared spoiled. On 03/26/2026 LPA asked R1 if they needed help with food storage and R1 stated they were independent and capable of managing their food; sometimes choosing to order room service rather than going to the dining room for meals. The Physician’s Report for R1 states they are independent. The Care Plan does not list any needs regarding meal service and R1 receives regular housekeeping and laundry services. Based on interview with R1, their personal rights and review of documents, the allegation that Staff did not remove expired food from the refrigerator and freezer is UNSUBSTANTIATED. Although the allegation may have occurred there is not a preponderance of evidence therefore the allegation is UNSUBSTANTIATED.

No deficiencies were cited.

Exit interview conducted with Administrator.

SUPERVISORS NAME: Kimberley Mota
LICENSING EVALUATOR NAME: Jill Nakagawa
LICENSING EVALUATOR SIGNATURE:

DATE: 04/17/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/17/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 2