342700579-12-1-2022-27-AS-KHOS-CLWSSG-20221208130756

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700579
Report Date: 12/01/2022
Date Signed: 12/01/2022 04:07:38 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, 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
11/08/2022 and conducted by Evaluator Christopher Hopkins-Clarke

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20221108153050

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: 70	DATE:	12/01/2022
		UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Mike Talani		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

-Staff did not ensure facility was free from bed bugs
-Residents are not showered
-Residents are left in soiled diapers
-Residents are left in dirty clothes
-Staff did not ensure faciltiy was free from rats
-Resident missed meals
-Staff do not meet residents needs timely

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

On December 1, 2022 at 12:10PM Licensing Program Analyst (LPA) Chris Hopkins arrived at this facility unannounced to conduct a complaint investigation regarding the above allegations. LPA met with Administrator Mike Talani and explained the purpose of the visit.

Regarding the allegation of Staff did not ensure facility was free from bed bugs, the Department found the following; based on interview and record review, it was determined the facility did not have bed bugs. LPA reviewed Orkin documents stating there was no live evidence or active infestation of bedbugs.

Regarding the allegation of Residents are not showered, the Department found the following; based on interview, it was determined that residents do get showers. When they refuse, staff do change of face to get them to shower. Residents on hospice are given bed baths by home health with assistance from caregivers.

Report continued on LIC9099-C...

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Czarrina A Camilon-Lee	TELEPHONE: (916) 263-4723
LICENSING EVALUATOR NAME: Christopher Hopkins-Clarke	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2022

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-20221108153050

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: 12/01/2022

NARRATIVE

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

Regarding the allegation of Residents are left in soiled diapers, the Department found the following; based on interview and observation, it was determined that incontinent residents are on 2 hour checks. LPA observed an incontinent resident's room and did not smell any foul odors or did not see any soiled diapers laying around.

Regarding the allegation of Residents are left in dirty clothes, the Department found the following; based on interview, it was determined that residents are not left in the same clothes for weeks. If residents refuse to change their clothes caregivers either come back and ask again or do a change of face. Residents on hospice get their clothes changed as often as the resident allows. Resident 1 (R1) is on hospice and has muscle atrophy so sometimes it has hard to change his/her clothes daily, but R1 does at the least, get changed when they receive their bed baths twice a week.

Regarding the allegation of Staff did not ensure facility was free from rats, the Department found the following; based on interview, observation, and record review it was determined that the facility does have a problem with rats due to the facility being right by the river, but Administrator has been taking the necessary actions to try to prevent them from entering the facility. LPA observed several traps and reviewed Orkin documents.

Regarding the allegation of Resident missed meals, the Department found the following; based on interview, it was determined that Resident 2 (R2) has not missed meals due to neglect. R2 stated to LPA that sometimes he/she doesn't want to eat but staff try to encourage. LPA observed R2 eating lunch today in the dining area.

Regarding the allegation of Staff do not meet residents needs timely, the Department found the following; based interview, it was determined that Resident 3 (R3) had an allergic reaction to something he/she ate. Emergency Medical Services was called immediately. R3 does have an EpiPen as well.

Although the allegations may have happened and/or are valid, there is not a preponderance of evidence to prove the alleged violations did or did not occur, therefore the allegations are UNSUBSTANTIATED.

Exit interview conducted with Administrator Mike Talani. A copy of this report was left with Administrator upon exit.

SUPERVISOR'S NAME: Czarrina A Camilon-Lee	TELEPHONE: (916) 263-4723
LICENSING EVALUATOR NAME: Christopher Hopkins-Clarke	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2022

LIC9099 (FAS) - (06/04)

Page: 4 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
11/08/2022 and conducted by Evaluator Christopher Hopkins-Clarke

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20221108153050

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: 70	DATE:	12/01/2022
		UNANNOUNCED	TIME BEGAN:	12:10 PM
MET WITH:	Mike Talani		TIME COMPLETED:	04:15 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

-Residents sustained pressure injuries due to staff neglect
-Staff did not provide medical attention to resident

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Czarrina A Camilon-Lee	TELEPHONE: (916) 263-4723
LICENSING EVALUATOR NAME: Christopher Hopkins-Clarke	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2022

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

LIC9099 (FAS) - (06/04)

Page: 2 of 4

Control Number 27-AS-20221108153050

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: 12/01/2022

NARRATIVE

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

Regarding the allegation of Staff did not provide medical attention to resident, the Department found the following; based on interview and record review, it was determined that Resident 4 (R4) suffered a change in mentation, slurred speech, and facial drooping. Emergency Medical Services was called immediately. LPA also reviewed Incident Report for this incident.

Based on record review and interview, these allegations are determined to be without a reasonable basis and is determined to be UNFOUNDED.

Exit interview conducted with Administrator Mike Talani. A copy of this report was left with Administrator upon exit.

SUPERVISOR'S NAME: Czarrina A Camilon-Lee	TELEPHONE: (916) 263-4723
LICENSING EVALUATOR NAME: Christopher Hopkins-Clarke	TELEPHONE: (916) 263-4700
LICENSING EVALUATOR SIGNATURE:	DATE: 12/01/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 12/01/2022

LIC9099 (FAS) - (06/04)

Page: 3 of 4