342700579-1-29-2021-27-AS-KHOS-BXUM32-20210202081422

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700579
Report Date: 01/29/2021
Date Signed: 01/29/2021 01:37:53 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/30/2020 and conducted by Evaluator Danyle Wolter

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20200730115038

FACILITY NAME:	CHATEAU AT RIVER'S EDGE, THE		FACILITY NUMBER:	342700579
ADMINISTRATOR:	MICHAEL TALANI		FACILITY TYPE:	740
ADDRESS:	641 FEATURE DR		TELEPHONE:	(916) 921-1970
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95825
CAPACITY:	143	CENSUS: 78	DATE:	01/29/2021
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Michael Talani, Executive Director		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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staff not providing assistance to resident in a timely manner

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Wolter contacted the facility on 1/29/2021 to deliver complaint findings for the allegations listed above, due to COVID-19 and precautionary measures the findings were delivered via telephone. LPA spoke to Executive Director (ED) Michael Talani and explained the purpose of the call.

Throughout the course of the investigation the department conducted interviews and reviewed documentation relevant to the allegation: staff not providing assistance to resident in a timely manner. The department reviewed pendant response times for June and July 2020 and found that there were instances where residents waited for an extended period, forty or more minutes, for their pendants to be cleared. Interview with ED revealed that pendant response times are reviewed, and outliers are examined to discover the reason for the delay in care and then addressed appropriately to correct the problem.

Report continued on LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Danyle Wolter	TELEPHONE: (916) 708-5307
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2021

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 4

Control Number 27-AS-20200730115038

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

FACILITY NAME: CHATEAU AT RIVER'S EDGE, THE	FACILITY NUMBER: 342700579
	VISIT DATE: 01/29/2021

NARRATIVE

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Interviews with residents revealed that in the evening, PM and NOC shifts, there are times when they wait longer for assistance from staff but that their pendants are eventually responded to and assistance is received. In interviews with staff the department was told that pendants are responded to as soon as possible but there are times when another resident is being assisted and that can cause a delay in response times.

Due to this information the department finds the allegation to be UNSUBSTANTIATED. A finding that the allegation is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred.

Exit interview conducted and copy of report emailed to ED, ED to return a signed copy to Community Care Licensing by either fax, e-mail, or USPS. A signed copy should also be maintained for facility records.

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Danyle Wolter	TELEPHONE: (916) 708-5307
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2021

LIC9099 (FAS) - (06/04)

Page: 2 of 4

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/30/2020 and conducted by Evaluator Danyle Wolter

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20200730115038

FACILITY NAME:	CHATEAU AT RIVER'S EDGE, THE		FACILITY NUMBER:	342700579
ADMINISTRATOR:	MICHAEL TALANI		FACILITY TYPE:	740
ADDRESS:	641 FEATURE DR		TELEPHONE:	(916) 921-1970
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95825
CAPACITY:	143	CENSUS:	DATE:	01/29/2021
		UNANNOUNCED	TIME BEGAN:	01:15 PM
MET WITH:	Michael Talani, Executive Director		TIME COMPLETED:	01:45 PM

ALLEGATION(S):

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staff not responding to residents call button
residents room carpet is dirty
resident sustained pressure sore while in care

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Wolter contacted the facility on 1/29/2021 to deliver complaint findings for the allegations listed above, due to COVID-19 and precautionary measures the findings were delivered via telephone. LPA spoke to Executive Director (ED) Michael Talani and explained the purpose of the call.

Throughout the course of the investigation the department conducted interviews, toured the facility virtually, and reviewed documentation relevant to the allegations: staff not responding to residents call button, residents room carpet is dirty, and resident sustained pressure sore while in care. The department reviewed end of shift notes from May, June and July of 2020, as well as pendant response times from June and July of 2020. End of shift notes revealed that if staff notices a skin concern on a resident it is documented on end of shift notes and med-techs are notified. End of shift notes also revealed that if a scheduled service is missed for a resident it is documented and the reason why it was missed is also documented.

Report continued on LIC 9099-C

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Danyle Wolter	TELEPHONE: (916) 708-5307
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2021

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

Page: 3 of 4

Control Number 27-AS-20200730115038

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833

FACILITY NAME: CHATEAU AT RIVER'S EDGE, THE	FACILITY NUMBER: 342700579
	VISIT DATE: 01/29/2021

NARRATIVE

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Interviews with staff revealed that if a resident has a pressure sore that an outside agency, either home health or hospice provides the care and the facility continues to monitor the resident for any changes. Interviews conducted with residents revealed that their pendants are responded to but there are times they wait longer for assistance. In interviews with staff the department was told that residents pendants are never ignored but there are times they may be assisting other residents which can cause a delay. Virtual tour of the facility was conducted on 1/22/2021 and rooms 132, 137, and 140 were toured, as well as common areas in the facility, carpets were observed to be clean at that time. The department was told in interviews with staff that there are some rooms that have stained carpets but the carpets are not dirty with debris.

Due to this information the department finds the allegations to be UNFOUNDED - A finding that the allegation is unfounded means that the allegation is false, could not have happened, and/or is without a reasonable basis.

SUPERVISOR'S NAME: Laura Munoz	TELEPHONE: (916) 263-4743
LICENSING EVALUATOR NAME: Danyle Wolter	TELEPHONE: (916) 708-5307
LICENSING EVALUATOR SIGNATURE:	DATE: 01/29/2021

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2021

LIC9099 (FAS) - (06/04)

Page: 4 of 4