342700579-10-7-2021-27-AS-TTRG-C7KVXA-20211007164914

Community Care Licensing

FACILITY EVALUATION REPORT

Facility Number: 342700579
Report Date: 10/07/2021
Date Signed: 10/07/2021 04:49:26 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, 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: 74	DATE:	10/07/2021
TYPE OF VISIT:	Case Management - Incident	UNANNOUNCED	TIME BEGAN:	01:30 PM
MET WITH:	Executive Director, Michael Talani		TIME COMPLETED:	05:00 PM

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	On 10/07/2021 at 1:30 PM, Licensing Program Analyst (LPA) Tung Truong arrived at this facility unannounced to conduct a case management visit regarding three incident reports which were submitted to the Department on 10/05/2021 and 10/07/2021. LPA met with Executive Director (ED) Michael Talani and explained the purpose of the visit. The following incidents were reported on three separate incident report: 1. On 9/28/2021, it was reported by resident R1’s son-in-law that $600 was taken from an envelope in R1’s apartment, room 219 Assisted Living sometime between 9/23/2021 and 9/28/2021. 2. On 9/30/2021, resident (R2) reported that approximately $720 was missing from R2’s apartment. 3. On 10/5/2021, resident (R3) reported to ED Michael Talani that in mid-August R3’s prescription sunglasses valued at $600 were stolen. During today’s case management visit, LPA conducted interviews with ED Michael Talani, resident R1 and R2. Resident R3 was not interviewed to due being tired from lack of sleep the night before. LPA reviewed Physician’s Report for resident R1, R2, and R3. Report continued on 809-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: 10/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2021

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

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 10/07/2021

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

ED Michael Talani had taken all the proper steps with reporting to Licensing and to Ombudsman, Ron Carrera. Police report for all incidents was filed online. ED Michael Talani has conducted interviews with the residents and assisting staff with searching in the residents’ apartment. The facility has conducted internal investigation, retrained staff on mandated reporting and held meeting with the resident council. No deficiencies cited as a result of today's visit.

An exit interview was conducted with Executive Director Michael Talani and a copy of this report was provided.

SUPERVISOR'S NAME: Czarrina A Camilon-Lee	TELEPHONE: (916) 263-4723
LICENSING EVALUATOR NAME: Tung Truong	TELEPHONE: (916) 201-7895
LICENSING EVALUATOR SIGNATURE:	DATE: 10/07/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/07/2021

LIC809 (FAS) - (06/04)

Page: 2 of 2