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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700579
Report Date: 01/25/2024
Date Signed: 01/25/2024 03:43:50 PM


Document Has Been Signed on 01/25/2024 03:43 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827



FACILITY NAME:CHATEAU AT RIVER'S EDGE, THEFACILITY NUMBER:
342700579
ADMINISTRATOR:MUNDAY, PAMELAFACILITY TYPE:
740
ADDRESS:641 FEATURE DRTELEPHONE:
(916) 921-1970
CITY:SACRAMENTOSTATE: CAZIP CODE:
95825
CAPACITY:143CENSUS: 76DATE:
01/25/2024
TYPE OF VISIT:Case Management - DeficienciesUNANNOUNCEDTIME BEGAN:
02:30 PM
MET WITH:Marianne Richardson, Executive Director TIME COMPLETED:
04:00 PM
NARRATIVE
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On 1/25/2024 at 2:30PM Licensing Program Analyst (LPA) Arvin Villanueva arrived at this facility unannounced to conduct a case management visit. LPA met with Marianne Richardson, current Executive Director (ED) and explained the purpose of this visit. During the course of the investigation into complaint control number 27-AS-20231206120154, a deficiency was identified which is being addressed by this case management.

During the course of the investigation for the above listed complaint, facility observations, record reviews and interviews were conducted. During an unannounced visit on 12/13/23, this LPA and another LPA inspected the following apartments, #312, #314 and #316. The interim administrator informed LPAs that these 3 apartments are currently being used as storage. LPAs observed these apartments to be locked and not accessible to residents living in the building. Once inside, LPA observed evidence of vermin droppings in apartments #312 and #316 (photos taken). Per interim administrator, these apartments have not been used in years but unable to determine how long these droppings have been in these apartments. Although the licensee has addressed vermin issues in the facility and the interim administrator has provided proof of on-going pest control contracted services dated 1/4/2023 to address rats and mice and that these apartments are kept locked and inaccessible to residents in the building, the licensee did not ensure these apartments were cleaned and free of vermin droppings which can still pose potential health and safety risks to residents and staff in the building.

The following deficiencies were observed (see LIC 9099D) and cited from the California Code of Regulations, Title 22, and California Health and Safety Code. An immediate civil penalty in the amount of $250 is assessed in addition to the citations issued due to repeat violation.This incident is currently under review and a future civil penalty may apply based on 1569.49(f) H&S. Failure to correct the deficiencies may also result in civil penalties.


An exit interview was conducted with Marianne Richardson and a copy of this report and appeal rights were provided.

SUPERVISOR'S NAME: Stephen RichardsonTELEPHONE: (916) -26-4700
LICENSING EVALUATOR NAME: Arvin VillanuevaTELEPHONE: 916-558-2130
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 01/25/2024 03:43 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827


FACILITY NAME: CHATEAU AT RIVER'S EDGE, THE
FACILITY NUMBER: 342700579

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/25/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
02/01/2024
Section Cited
CCR
87303(a)

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87303 Maintenance and Operation (a) The facility shall be clean, safe, sanitary and in good repair at all times. Maintenance shall include provision of maintenance services and procedures for the safety and well-being of residents, employees and visitors.

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Licensee to ensure facility is clean, safe, sanitary and in good repair at all times even in areas that are not being used by residents.

Licensee to clean the apartment units #312, 314, and 316.
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This requirement is not met as evidenced by:
Based on observation and interview, the licensee did not ensure the facility is clean, safe and sanitary as evidenced of vermin droppings in two apartments. This poses/posed a potential health and safety risk to residents in care.
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Licensee to submit a decleration of understading of the CCR 87303 Maintenance and Operation to the Department by POC due date of 2/1/2024.

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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Stephen RichardsonTELEPHONE: (916) -26-4700
LICENSING EVALUATOR NAME: Arvin VillanuevaTELEPHONE: 916-558-2130
LICENSING EVALUATOR SIGNATURE:
DATE: 01/25/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/25/2024
LIC809 (FAS) - (06/04)
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