342700583-5-19-2022-27-AS-KHOS-CF8HU7-20220609062952

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700583
Report Date: 05/19/2022
Date Signed: 05/19/2022 09:33:33 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
05/16/2022 and conducted by Evaluator Avelina Martinez

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20220516113902

FACILITY NAME:	CHATEAU ON CAPITOL AVENUE, THE		FACILITY NUMBER:	342700583
ADMINISTRATOR:	TYLER BARNES		FACILITY TYPE:	740
ADDRESS:	2701 CAPITOL AVENUE		TELEPHONE:	(916) 447-4444
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95816
CAPACITY:	81	CENSUS: 9	DATE:	05/19/2022
		UNANNOUNCED	TIME BEGAN:	08:38 AM
MET WITH:	Dan Williams and Raina Smith		TIME COMPLETED:	09:45 AM

ALLEGATION(S):

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Facility air conditioner is not in working condition.

INVESTIGATION FINDINGS:

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On 05/19/2022 at 8:33 am, Licensing Program Analyst (LPA) Avelina Martinez arrived at the facility unannounced to open and deliver complaint findings. LPA met with Dan Williams and Raina Smith and explained the purpose of today's visit.

Through out the course of the investigation, LPA Martinez toured the facility. LPA Martinez inspected the air conditioning unit with Marty Cole and Raina Smith. During the inspection, LPA observed the AC unit to be in good working repair. LPA Martinez also inspected four rooms on two different floors of this facility. LPA Martinez was informed by staff and residents that AC unit was working and had no concerns. LPA Inspected common area thermometers, and they were in good working repair. LPA Martinez was informed by Maintenance staff that the facility has a software program that controls all residents rooms and room temperatures can be adjusted. LPA Martinez also observed the software program. Additionally, the AC unit pressure system was being adjusted, however, it was not broken. Due to the above noted information, 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, and therefore the allegation is unsubstantiated. An exit interview was conducted, and a copy of this report was provided to the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Czarrina A Camilon-Lee	TELEPHONE: (916) 263-4723
LICENSING EVALUATOR NAME: Avelina Martinez	TELEPHONE: (916) 431-8935
LICENSING EVALUATOR SIGNATURE:	DATE: 05/19/2022

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/19/2022

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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