342700579-8-1-2023-27-AS-CACL-CUQNJU-20230815103057

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700579
Report Date: 07/19/2023
Date Signed: 08/01/2023 10:05:52 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, 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
02/01/2023 and conducted by Evaluator Tung Truong

COMPLAINT CONTROL NUMBER: 27-AS-20230201161811

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: 87	DATE:	07/19/2023
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Elena Cuevas		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Due to staff neglect, resident sustained unstageable pressure injury while in care.
Facility staff did not meet resident's hygiene needs.
Facility staff did not ensure that resident received assistance with ADLs.

INVESTIGATION FINDINGS:

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*******Licensing Program Analyst Tung Truong arrived at the above facility unannounced to amend this report. LPA Truong met with Interim Administrator Elena Cuevas to Amend complaint. *******

Licensing Program Analyst (LPA) Tung Truong arrived at the facility unannounced on 7/19/2023 to conclude the investigation of the above allegations and to deliver the findings. LPA met with Interim Administrator Elena Cuevas and explained the purpose of the visit.

Throughout the course of the investigation, the Department conducted interviews and reviewed medical records. Regarding the allegation that due to staff neglect, resident sustained unstageable pressure injury while in care, the investigation revealed resident (R1’s) discharge notes from Whitney Oaks Care Center show that R1 has developed a moisture-associated skin damage with small opening on coccyx prior to returning to the facility. Facility staff performed a skin assessment of R1 the day after R1 returned to the facility on 1/31/2023 and observed an existing pressure wound.

Report continued on 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Czarrina A Camilon-Lee	TELEPHONE: (916) 263-4723
LICENSING EVALUATOR NAME: Tung Truong	TELEPHONE: (916) 201-7895
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2023

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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Control Number 27-AS-20230201161811

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: 07/19/2023

NARRATIVE

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Regarding the allegations of staff did not meet resident's hygiene needs and staff did not ensure that resident received assistance with activities of daily living (ADLs), it was determined that there is insufficient evidence to support the allegations. Based on the interviews conducted, 6 out of 7 residents stated staff will assist them with hygiene and ADLs if needed.

As a result of this investigation, the Department finds the allegations above to be UNSUBSTANTIATED- A finding that the complaint 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.

An exit interview was conducted and a copy of the report was provided.

*****This is an amended LIC 9099-C. *****

SUPERVISOR'S NAME: Czarrina A Camilon-Lee	TELEPHONE: (916) 263-4723
LICENSING EVALUATOR NAME: Tung Truong	TELEPHONE: (916) 201-7895
LICENSING EVALUATOR SIGNATURE:	DATE: 08/01/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 08/01/2023

LIC9099 (FAS) - (06/04)

Page: 2 of 3

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
02/01/2023 and conducted by Evaluator Tung Truong

COMPLAINT CONTROL NUMBER: 27-AS-20230201161811

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: 87	DATE:	07/19/2023
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Elena Cuevas		TIME COMPLETED:	12:00 PM

ALLEGATION(S):

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Facility staff did not maintain resident's room in a clean and sanitary condition.
Facility staff did not ensure that resident was fed while in care.
Facility staff did not ensure that resident's medication was properly administered.

INVESTIGATION FINDINGS:

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Licensing Program Analyst (LPA) Tung Truong arrived at the facility unannounced on 7/19/2023 to conclude the investigation of the above allegations and to deliver the findings. LPA met with Interim Administrator Elena Cuevas and explained the purpose of the visit.

Throughout the course of the investigation, LPA conducted interviews and reviewed records. Based on interviews and records review, it was determined that the allegations above were deemed unfounded. Regarding the allegation that staff did not maintain resident's room in a clean and sanitary condition. LPA Truong toured resident (R1’s) room on 2/2/2023 and observed the room was clean and sanitary. Based on interviews and records review, it was learned that medication was properly administered to R1 and meals were provided.

As a result of this investigation, LPA finds the allegation(s) above to be UNFOUNDED, meaning that the allegation was false, could not have happened and/or was without a reasonable basis.
An exit interview was conducted and a copy of the report was provided.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Czarrina A Camilon-Lee	TELEPHONE: (916) 263-4723
LICENSING EVALUATOR NAME: Tung Truong	TELEPHONE: (916) 201-7895
LICENSING EVALUATOR SIGNATURE:	DATE: 07/19/2023

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/19/2023

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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