Atria Tamalpais Creek.

05/19/2026, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility and met with Executive Director, Corrine Tanchoco. There are currently 103 residents in care. Out of 103 residents, 86 residents are in Assisted Living and 17 are in Memory Care. Facility has an approved fire clearance for 180 non-ambulatory of which 5 may be bedridden. Facility has a hospice waiver approved for 20. LPA and Executive Director toured the building and grounds. The facility was found to be at a comfortable temperature. Facility has multiple activity rooms, a salon, media room, and a gym. LPA observed a list of dietary restrictions for residents in the kitchen that is updated monthly and/or when a new resident moves in. Emergency food supplies were found to be sufficient. Activities for residents are posted monthly with sign up sheets for residents who wish to participate. Water temperature in sinks accessible to residents in care were measured in both Assisted Living and Memory Care and were found to be within range of 105 to 120 degrees F. LPA observed evacuation chairs at each stairwell. Fire extinguishers were last inspected 01/2026. Facility has fire alarms that are hard wired to the fire department and were last inspected on 05/06/2026. Facility conducts monthly fire drills with the last one being conducted 4/18/2026. Chemicals and toxins were found to be secured in a locked room. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Log. continued on LIC809D 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA conducted a review of 8 resident records, 4 in Assisted Living and 4 in Memory Care. All records had the required documentation. LPA conducted review of 8 staff records/training. Upon a review of staff records, LPA found all staff to have required annual and initial training as well as current 1st Aid & CPR certification on file. No deficiencies cited during today's inspection. Updated copies of the following documents were requested and are to be submitted to CCL by 06/19/2026: LIC500- Personnel Report LIC308- Designation of Responsibility Updated Certification of Liability Insurance Emergency Disaster Plan (review, update if needed) Exit interview conducted with Executive Director and a copy of this report was provided.

Licensing Program Analyst (LPA) Loera arrived unannounced to conduct a Case Management - Incident visit and met with Resident Services Director, Jocelyn Vahle. The purpose of the visit was to follow up on a self-reported incident that was submitted to Community Care Licensing (CCL). CCL received an incident report on 10/27/2025. Report states on 10/20/2025 staff observed an opening on resident (R1) buttocks. Kaiser home health came out on 10/22/2025 and determined R1 has a stage 2 pressure sore. LPA obtained medical documentation. Exit interview conducted. Copy of report and LIC811 (Confidential Names) discussed and provided to Resident Services Director .

Licensing Program Analyst (LPA) Loera arrived unannounced to conduct a Case Management - Incident Visit and met with Resident Services Director, Jocelyn Vahle. The purpose of the visit was to follow up on self-reported incidents that were submitted to Community Care Licensing (CCL). Incident Report 1: CCL received an incident report on 07/07/2025. Report states on 07/04/2025 at approximately 5:30PM resident (R1) had a severe fall when visiting their home with a friend outside of the community. R1 had fell hitting their head. They called 911 and R1 was admitted to the hospital for further evaluation. Per conversation with Resident Services Director, R1 sustained a subdural hematoma and needed a Gastrostomy tube. R1 is no longer at facility as they required higher care. Incident Report 2: CCL received an incident report on 07/07/2025. Report states resident (R2) had an unwitnessed fall and was found on the floor besides their bed. Staff member helped R2 up and to the bathroom where she noticed a bruise on the side of her left eye. 911 was called, as well as R2s daughter, who suggested that R2 did not go to the hospital but to call hospice instead. Per conversation with Resident Services Director, R2s family refused for R2 to be transported to the emergency room. The hospice nurse came to check on R2 with no concerns. R2 is currently still on hospice. No Deficiencies Cited during visit. Exit interview conducted. Copy of report and LIC811 (Confidential Names) discussed and provided to Resident Services Director.

05/15/2025, Licensing Program Analyst (LPA) Loera conducted an unannounced Annual Required – 1 yr. inspection visit for this facility and met with Executive Director, Corrine Tanchoco and Resident Services Director, Jocelyn Vahle. Facility has an emergency disaster plan as required. Facility has an infection control plan as required. There are currently 108 residents in care. Out of 108 residents, 91 residents are in Assisted Living and 17 are in Memory Care. Facility approved/cleared for 180 non-ambulatory which 5 may be bedridden and hospice waiver approved for 20. LPA and Executive Director toured the building and grounds. The facility was found to be at a comfortable temperature. LPA observed a 2 day supply of perishable and 7 day supply of non-perishable food. LPA observed a list in the kitchen of residents who have food dietary restrictions. All rooms were furnished per regulation. Water temperature in sinks accessible to residents in care were measured and found to be within the range of 105 to 120 degrees F. Fire extinguishers were last inspected 01/2025. Facility has fire alarms that are hard wired to the fire department and were last inspected on 05/05/2025. Facilities smoke detectors were last inspected on 05/05/2025. Facilities last fire/disaster drill was conducted on 05/08/2025. Facility has multiple activity rooms, a salon, and a gym. All are accessible to residents. Medications were found to be centrally stored. LPA conducted spot medication count and found all prescription medication to be properly recorded on the Centrally Stored Medication Record. continued on LIC809-C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPA conducted a review of 10 resident records (5 Assisted Living and 5 Memory Care). All records had the required documentation. LPA conducted review of 10 staff records/training. Upon a review of staff records, LPA found all staff to have required training and current 1st Aid & CPR certification on file. No deficiencies cited during today's inspection. Updated copies of the following documents were requested for facility file and are to be submitted to CCL by 06/16/2025: LIC500- Personnel Report LIC308- Designation of Responsibility Updated liability Insurance Exit interview conducted with Executive Director and a copy of this report was provided .

At approximately 1:40PM, Licensing Program Analysts (LPAs) Loera and Deniz arrived unannounced to conduct a Case Management - Incident Visit and met with Administrator, Corrine Tanchoco. The purpose of the visit was to follow up on self-reported incident that was submitted to Community Care Licensing (CCL). CCL received an incident report on 11/20/2024. Report stated that on 11/19/2024, Business Office Director observed resident 1 (R1) walking in front of community and alerted Executive Director. Executive Director then escorted R1 back into the community and into memory care. Upon investigation R1 had gone out the back door of memory care around 1:55pm and was still observed in the camera at approximately 2pm. R1 was last seen making a right into the memory care backyard. R1 was not harmed or needing medical attention. Based on conversation with Administrator, R1 went out the back door of memory care while staff were outside in the parking lot during a shift change and observed R1 to open the door in the backyard of memory care, staff then assisted R1 back into the memory care building. Facility made all appropriate notifications per regulation. No Deficiencies Cited during visit. Exit interview conducted. Copy of report and LIC811 (Confidential Names) discussed and provided to Administrator.

R1’s physician’s report (602) (dated 05/29/2024) mentions hip dislocation under diagnoses. This Department’s Program Clinical Consultant reviewed medical records from Marin General Hospital that show R1 had surgery on 08/18/2024 to correct the problem. Medical records revealed that after surgery on 08/19/2024 R1’s hip was corrected. Review of medical records show R1 sustained hip dislocations while doing day to day activities (walking, bending forward to pick something off floor, waking-up and trying to walk), all were non-trauma related. Medical Records also show per R1’s history, R1 underwent hip replacement surgery on 08/10/2016 after suffering a left femur fracture. R1’s hip dislocations cannot be attributed from staff neglect. Although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation(s) did or did not occur, therefore the allegation is unsubstantiated.

At approximately 12:40PM, Licensing Program Analysts (LPAs) Loera and Felias arrived unannounced to conduct a Case Management - Incident Visit and met with Executive Director, Corrine Tanchoco, and Resident Services Director, Jocelyn Vahle. The purpose of the visit was to follow up on self-reported incidents that were submitted to Community Care Licensing (CCL). Incident Report 1: CCL received an incident report on 08/15/2024. Report stated that on 08/15/2024, facility staff observed Resident 1 (R1) on the ground. Facility notified emergency personnel who determined that R1 did not need to go to the hospital. Facility made all appropriate notifications per regulation. Per conversation with Executive Director, R1 was on a respite plan with facility for 30 days, and has since moved out of the community. Incident Report 2: CCL received an incident report on 08/15/2024. Report stated that on 08/15/2024, Resident 2 (R2) called emergency services to be evaluated. Facility staff notified R2's responsible party. R2 was admitted to the hospital for a urinary tract infection (UTI) and received antibiotics. Facility made all appropriate notifications per regulation. Per conversation with Resident Services Director, R2 has been observed to be at baseline. No Deficiencies Cited during visit. Exit interview conducted. Copy of report and LIC811 (Confidential Names) discussed and provided to Executive Director and Resident Services Director. Signature on form confirms receipt of documents.

Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 1:15PM to continue an annual inspection that was initiated on 07/07/2024. LPA was greeted by Resident Service Director (RSD), Jocelyn Vahle. LPA and RSD discussed the purpose of the visit. Medications and medication records were reviewed during visit. Medications were documented as per regulation. LPA observed residents engaged in various activities throughout the inspection. No deficiencies cited during inspection. Exit interview conducted. Copy of report discussed and provided to RSD. Signature on form confirms receipt of documents.

Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced at approximately 9:00AM to conduct an Annual Required inspection and was greeted by Executive Director, Corrine Tanchoco. There are currently 17 residents in Memory Care and 75 residents in Assisted Living. LPA and Executive Director initiated a tour of the facility around 9:30AM and made the following observations: Facility was a comfortable temperature and passageways were free from obstructions. Resident rooms were furnished per regulation. LPA measured water temperatures in 8 sinks accessible to residents and all were within the range of 105 to 120 degrees F allowed per regulation. Extra hygiene products and linens were available. Cabinets containing cleaning supplies were locked. Facility has at least two days of perishable and one week of non-perishable foods which were of quality and stored per regulation. Medications were centrally stored and locked. Fire extinguishers were last serviced 01/25/2024. Facility has fire alarms that are hard wired to the fire department and were last inspected on 04/03/2024. Facilities smoke detectors were last inspected on 04/16/2024. Carbon monoxide detectors located throughout the facility were tested and operational during visit. Most recent disaster drill was conducted on 02/21/2024. Facility conducts fire drills monthly. 10 AL and 5 MC files were reviewed. Reviewed files contained required documents. 10 staff records were reviewed. Staff have required First Aid and CPR certificates. Training records were reviewed. Staff have required training. Administrator Certificate for Executive Director, Corrine Tanchoco (6003554740) expired on 02/26/2024 and is now on the departments pending list. LPA unable to complete inspection at this time. LPA to return at a later date to complete inspection.

At approximately 2:00PM Licensing Program Analyst (LPA) Helena Rummonds arrived unannounced to conduct a case management inspection. LPA followed up on an Incident Report that occurred on 08/16/2023 and a self reported SOC341 (Suspected Dependent Adult/ Elder Abuse) that occurred on 12/24/2023. LPA met with Resident Service Director (RSD), Jocelyn Vahle, and discussed the purpose of the visit. Incident Report dated 08/16/2023: Incident Report states that Resident 1 (R1) was found on the floor by staff with a firm art piece next to them. R1's right wrist appeared to be cut in a horizontal direction and there were blood stains on their sleeve close to the wound. Facility called the paramedics and the police department followed. R1 was then transported to the hospital. Per conversation with RSD, after R1 arrived at the hospital they were evaluated by a psychiatrist and they were not placed on a 5150 hold as they did not meet the criteria. RSD had a conversation with R1s family about options for bringing R1 back to the facility with a 1:1 or bringing the resident back to live with their family. Ultimately, family decided to bring R1 back to their family home. R1 did not return to the facility. SOC341 dated 12/24/2023: SOC341 states that Resident 2 (R2) and Resident 3 (R3) are live in partners in the facilities Memory Care unit. R2 was observed to hit R3 with a closed fist on R3's left shoulder. R2 was upset that R3 did not want to get coffee with them. R2 became agitated when staff attempted to redirect them. R2 and R3's families were notified of the incident. Per conversation with RSD, R2 came into the facility with aggressive behaviors that were difficult for staff to manage. After the incident, R2 was taken to the physician by their daughter and it was found that R2 had a Urinary Tract Infection (UTI). R2 then had multiple medication adjustments and staff has seen a decline in aggressive behaviors since their medications have been adjusted and their UTI was treated. R2 has not been observed to be engaging in any inappropriate behavior towards R3 since the incident. Exit interview conducted. Copy of report, LIC811 (Confidential Names), discussed and provided to RSD. Signature on form confirms receipt of documents.