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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 342700579
Report Date: 09/20/2021
Date Signed: 09/20/2021 02:14:33 PM

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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, THEFACILITY NUMBER:
342700579
ADMINISTRATOR:MICHAEL TALANIFACILITY TYPE:
740
ADDRESS:641 FEATURE DRTELEPHONE:
(916) 921-1970
CITY:SACRAMENTOSTATE: CAZIP CODE:
95825
CAPACITY:143CENSUS: 69DATE:
09/20/2021
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Administrator, Mike TalaniTIME COMPLETED:
11:00 AM
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On 9/20/2021, Licensing Program Analyst (LPA) Tung Truong arrived at this facility unannounced to conduct a case management for an incident which occurred on 9/07/2021. LPA met with Administrator Mike Talani and explained the purpose of the visit. Incident report stated that resident R1’s coin purse went missing from R1’s apartment on 9/7/2021.

During today’s case management visit, LPA conducted interviews with the administrator and resident R1. LPA received a copy of the SOC 341 and an initial police report from the Administrator.

The administrator had taken all the proper steps with reporting, investigating and retrained staff. No deficiencies cited as a result of today's visit.

An exit interview was conducted with Administrator Mike Talani and a copy of this report was provided.
SUPERVISOR'S NAME: Czarrina A Camilon-LeeTELEPHONE: (916) 263-4723
LICENSING EVALUATOR NAME: Tung TruongTELEPHONE: (916) 201-7895
LICENSING EVALUATOR SIGNATURE:

DATE: 09/20/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/20/2021
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC809 (FAS) - (06/04)
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