342700579-10-28-2024-27-AS-KHOS-DAYT5G-20241113132530

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700579
Report Date: 10/23/2024
Date Signed: 10/28/2024 03:44:38 PM

Substantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

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

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/25/2024 and conducted by Evaluator Kimberly Viarella

COMPLAINT CONTROL NUMBER: 27-AS-20240725145033

FACILITY NAME:	CHATEAU AT RIVER'S EDGE, THE		FACILITY NUMBER:	342700579
ADMINISTRATOR:	MARIANNE R RICHARDSON		FACILITY TYPE:	740
ADDRESS:	641 FEATURE DR		TELEPHONE:	(916) 921-1970
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95825
CAPACITY:	143	CENSUS: 81	DATE:	10/23/2024
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Marianne Richardson		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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- Staff does not ensure perishable food is properly stored at appropriate temperatures.
- Staff does not ensure kitchen equipment is in good repair.

INVESTIGATION FINDINGS:

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On 10/23/24, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to deliver the findings of this complaint investigation. LPA identified herself upon arrival, stated the purpose of the visit and asked to meet with the Designated Facility Administrator. LPA met with the Executive Director (ED) Marianne Richardson.

Regarding: "Staff does not ensure that food is stored at proper temperatures."

During the course of this investigation, this LPA conducted a review of records and interviews. Interviews with staff: (S1), (S3), and (S7) confirmed that the refrigerator had not been working properly at the time of the complaint and it did not maintain the required temperature of -45 degrees Fahrenheit (or below) to be in compliance. The new Executive Chef purchased a new one on 9/30/24. Prior to the Chef's arrival, the facility still used this refrigerator daily to store perishable food items. The standard for the preponderance of evidence has been met and the allegation, "Staff does not ensure that food is stored at proper temperatures," has been SUBSTANTIATED. This deficiency has been cited on the LIC9099D page.

Substantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Kimberly Viarella	TELEPHONE: (916) 809-5764
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024

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 7

Control Number 27-AS-20240725145033

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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
	VISIT DATE: 10/23/2024

NARRATIVE

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Regarding: "Staff does not ensure kitchen equipment is in good repair."

Based on interviews and a review of records, it was substantiated that the refrigerator at the facility was not functioning properly. This complaint was opened on 07/31/24 and the refrigerator was not replaced until 61 days later and cost $4,380.00. In addition to the malfunctioning refrigerator, a deli slicer was also sent out for repair. S1 stated that it would "jam up." This LPA learned by reviewing the repair invoice that the slicer had a bad knob and was missing feet (which aided in maintaining its stability during use.) The total repair cost $945.00. The standard for the preponderance of evidence has been met and the allegation, "Staff does not ensure kitchen equipment is in good repair," has been SUBSTANTIATED. According to the California Code of Regulations, Title 22, this deficiency has been cited on the LIC 9099D page.

A copy of this report was provided, along with APPEAL RIGHTS and an exit interview was conducted with the Designated Facility Administrator.

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Kimberly Viarella	TELEPHONE: (916) 809-5764
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024

LIC9099 (FAS) - (06/04)

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STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

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

This is an official report of an unannounced visit/investigation of a complaint received in our office on
07/25/2024 and conducted by Evaluator Kimberly Viarella

COMPLAINT CONTROL NUMBER: 27-AS-20240725145033

FACILITY NAME:	CHATEAU AT RIVER'S EDGE, THE		FACILITY NUMBER:	342700579
ADMINISTRATOR:	MARIANNE R RICHARDSON		FACILITY TYPE:	740
ADDRESS:	641 FEATURE DR		TELEPHONE:	(916) 921-1970
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95825
CAPACITY:	143	CENSUS: 81	DATE:	10/23/2024
		UNANNOUNCED	TIME BEGAN:	12:30 PM
MET WITH:	Marianne Richardson		TIME COMPLETED:	04:00 PM

ALLEGATION(S):

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- Staff does not ensure contaminated food is properly discarded.
- Staff does not ensure residents are spoken to in an appropriate manner.
- Staff does not ensure personal hygiene and food services sanitation practices are followed.
- Staff do not ensure infection control guidelines are being followed.

INVESTIGATION FINDINGS:

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On 10/23/24, Licensing Program Analyst (LPA) Kimberly Viarella made an unannounced visit to this facility to deliver the findings of this complaint investigation. LPA identified herself upon arrival, stated the purpose of the visit and asked to meet with the Designated Facility Administrator. LPA met with the Executive Director (ED) Marianne Richardson.

Regarding: "Staff does not ensure contaminated food is properly discarded."

This LPA inspected the kitchen on 10/01/24, 10/02/24, 10/16/24 and 10/23/24 and did not observe any contaminated foods being stored or discarded improperly. It was alleged that meat was left in a sink overnight to defrost. During the course of this investigation this LPA conducted staff interviews and 6 out of 6 individuals stated that they had never seen meat left out overnight to defrost. The standard for the preponderance of evidence was not met and this allegation was found to be UNSUBSTANTIATED.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Kimberly Viarella	TELEPHONE: (916) 809-5764
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024

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 7

Control Number 27-AS-20240725145033

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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
	VISIT DATE: 10/23/2024

NARRATIVE

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An unsubstantiated finding means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding: "Staff does not ensure residents are spoken to in an appropriate manner."

This LPA conducted interviews and 4 out of 4 of those interviewed stated that they had not seen or heard anything offensive. S6 stated that there was a server who said they liked to "treat the residents like family" and joke around with them. S6 went on to say that not everyone shares the same sense of humor and diners at other tables might not have appreciated how that server spoke to diners. S4, S6 and S7 all separately stated that the server wasn't offensive, just not very professional. The server was coached and counseled on best practices when communicating with residents in the dining room. The occurrence did not rise to the level of a Title 22 violation.

The standard for the preponderance of evidence was not met, and the Department found the allegation was UNSUBSTANTIATED. An unsubstantiated finding means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding: "Staff does not ensure personal hygiene and food services sanitation practices are followed."

LPA Arvin Villanueva inspected the kitchen on 07/31/24 and this LPA made observations on 10/01/24, 10/02/24, 10/16/24 and 10/23/24. On each occasion, this LPA found staff to be complying with personal hygiene and proper food sanitation practices. All required staff had their hair secured and was wearing gloves when handling food. LPA reviewed documentation of Safe-Serve sanitation training for kitchen staff. LPA also conducted interviews and 6 out of 6 of those interviewed stated that sanitation practices were followed.

The standard for the preponderance of evidence was not met, and the Department found the allegation was UNSUBSTANTIATED. An unsubstantiated finding means although the allegation may have happened or is

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Kimberly Viarella	TELEPHONE: (916) 809-5764
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024

LIC9099 (FAS) - (06/04)

Page: 4 of 7

Control Number 27-AS-20240725145033

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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
	VISIT DATE: 10/23/2024

NARRATIVE

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valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

Regarding: Staff do not ensure infection control guidelines are being followed.

During the course of this investigation, this LPA reviewed the following documents: the facility's infection control plan, dated 06/20/22, the email correspondence and direction provided by Sacramento County Public Health, the email sent out to all of the residents' responsible parties, and the newsletter that went out to the residents in care. This LPA also conducted interviews and 5 out of 6 staff interviewed stated that the infection control plan was followed. During the course of these interviews, this LPA learned that separate dining tables were set up at the end of the hallway on the second and third floors so that Covid positive residents could leave their rooms and have a different environment during their meals. This LPA also learned that most of the time, the Covid positive residents ate their meals in their rooms. The Designated Facility Administrator, Marianne Richardson, provided this LPA with a record of the meal delivery slips for all of the residents during this time period.

Public Health provided the following recommendations in an email to Marianne Richardson dated 5/28/24:

"1.Stay home if you have Covid 19 symptoms, until you have not had a fever for 24 hours without using fever reducing medications AND other Covid 19 symptoms are mild and improving. If you do not have symptoms, you should follow the recommendations below to reduce exposure to others.
2. Mask when you are around other people for 10 days after you become sick or test positive (if no symptoms). You may remove your mask sooner if you have 2 sequential negative tests at least 1 day apart. Day 0 is symptom onset date or positive test date.
3. Avoid contact with people at higher-risk for severe COVID-19 for 10 days. Higher risk individuals include the elderly, those who live in congregate care facilities, those who have immunocompromising conditions, and that put them at higher risk for serious illness.
4. Seek treatment if you have symptoms, particularly if you are at higher risk for severe Covid 19."

There were additional details provided in these emails, and this LPA reviewed them in their entirety.

Based on a record review and the information obtained from interviews, the standard for the preponderance

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Kimberly Viarella	TELEPHONE: (916) 809-5764
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024

LIC9099 (FAS) - (06/04)

Page: 5 of 7

Control Number 27-AS-20240725145033

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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
	VISIT DATE: 10/23/2024

NARRATIVE

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of evidence was not met and the Department found this allegation to be UNSUBSTANTIATED.
An unsubstantiated finding means although the allegation may have happened or is valid, there is not a preponderance of evidence to prove the alleged violation did or did not occur, therefore the allegation is UNSUBSTANTIATED.

According to The California Code of Regulations, Title 22, no deficiencies were observed or cited during this visit. A copy of this report was provided along with APPEAL RIGHTS.

Exit interview.

SUPERVISOR'S NAME: Stephen Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Kimberly Viarella	TELEPHONE: (916) 809-5764
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024

LIC9099 (FAS) - (06/04)

Page: 6 of 7

Control Number 27-AS-20240725145033

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION 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: 10/23/2024

Deficiency Type POC Due Date / Section Number	DEFICIENCIES		PLAN OF CORRECTIONS(POCs)
Type B 10/23/2024 Section Cited CCR 87555(b)(21)	1 2 3 4 5 6 7	General Food Service Requirements: (b) The following food service requirements shall apply: (21)...(-17.7 degrees C), and refrigerators of adequate size shall maintain a maximum temperature of 40 degrees F (4 degrees C)...	1 2 3 4 5 6 7	As this appliance has already been replaced, this replace and a new plan for monitoring kitchen equipment is part an additional POC, this POC has been cleared.
	8 9 10 11 12 13 14	The facility did not comply with the above regulation as evidenced by: Based on interviews S1, S3 and S7 stated the refrigerator was not working properly and the new Executive Chef replaced it on 9/30/24. This poses/posed a potential health and safety risks to resident in care.	8 9 10 11 12 13 14
Type B 10/30/2024 Section Cited CCR 87303(a)	1 2 3 4 5 6 7	Maintenance and Operations 87303(a) (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.	1 2 3 4 5 6 7	The Administrator will submit a letter to Community Care Licensing at Kimberly.viarella@dss.ca.gov. by 10/30/24 that will address monitoring schedule kitchen equipment for repair on a regular basis.
	8 9 10 11 12 13 14	The facility did not comply with the above regulation as evidenced by: Based upon a record review and interviews, the facility continued to use a broken deli slicer and a malfunctioning refrigerator. This poses/posed a potential health and safety risks to resident in care	8 9 10 11 12 13 14

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 Richardson	TELEPHONE: (916) 263-4746
LICENSING EVALUATOR NAME: Kimberly Viarella	TELEPHONE: (916) 809-5764
LICENSING EVALUATOR SIGNATURE:	DATE: 10/23/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/23/2024

LIC9099 (FAS) - (06/04)

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