<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 107209370
Report Date: 04/11/2025
Date Signed: 04/11/2025 11:12:09 AM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/04/2025 and conducted by Evaluator Melinda Medina
COMPLAINT CONTROL NUMBER: 24-AS-20250404103622
FACILITY NAME:CHATEAU JESADEANFACILITY NUMBER:
107209370
ADMINISTRATOR:ROYCHOUDHURY, MINAKSHIFACILITY TYPE:
740
ADDRESS:5633 N MAROA AVENUETELEPHONE:
(559) 499-8229
CITY:FRESNOSTATE: CAZIP CODE:
93704
CAPACITY:6CENSUS: 6DATE:
04/11/2025
UNANNOUNCEDTIME BEGAN:
08:07 AM
MET WITH:Angel HocogTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Resident is confined in their bed by staff
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/11/2025, Licensing Program Analysts (LPAs) M. Medina and J. Duarte conducted an unannounced Complaint visit. LPAs introduced self, presented identification and allowed entrance by Direct Care staff. Administrators Minakshi Roychourdhury and Shailesh "Steve" Patel contacted by telephone and arrived a short time later to conduct complaint visit with LPAs.

LPAs toured facility, reviewed resident files, and conducted interviews during complaint visit. During facility tour LPAs observed R1's bed to be situated in the corner of the room against the wall, with full bed rails. LPAs observed a twin mattress on its side pushed up against bed with a chair and wheelchair keeping mattress in place. During interviews, it was stated that they were in place to prevent resident from potential falls and/or injury from falls. Items were removed during complaint visit.

The preponderance of evidence standard has been met; therefore, the above allegation is found to be Substantiated. Per California Code of Regulations, Title 22, Division 6, Chapter 8, a deficiency is being cited on the attached 9099-D.

Exit interview conducted and a copy of report provided for facility records.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2025
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 3
Control Number 24-AS-20250404103622
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710

FACILITY NAME: CHATEAU JESADEAN
FACILITY NUMBER: 107209370
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 04/11/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
04/12/2025
Section Cited
HSC
87468.1(a)(2)
1
2
3
4
5
6
7
(a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. **This was not met as evidenced by LPAs observed R1s bed to
1
2
3
4
5
6
7
Items were removed from around R1's bed during complaint visit. Licensee/Administrator will submit written plan and provide additional training with staff and submit to Department by POC due date.
8
9
10
11
12
13
14
be situated in the corner of the room against the wall, with full bed rails. LPAs observed a twin mattress on its side pushed up against bed with a chair and wheelchair keeping mattress in place
8
9
10
11
12
13
14
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
FRESNO RO, 1314 E SHAW AVE
FRESNO, CA 93710
This is an official report of an unannounced visit/investigation of a complaint received in our office on
04/04/2025 and conducted by Evaluator Melinda Medina
COMPLAINT CONTROL NUMBER: 24-AS-20250404103622

FACILITY NAME:CHATEAU JESADEANFACILITY NUMBER:
107209370
ADMINISTRATOR:ROYCHOUDHURY, MINAKSHIFACILITY TYPE:
740
ADDRESS:5633 N MAROA AVENUETELEPHONE:
(559) 499-8229
CITY:FRESNOSTATE: CAZIP CODE:
93704
CAPACITY:6CENSUS: 6DATE:
04/11/2025
UNANNOUNCEDTIME BEGAN:
08:07 AM
MET WITH:Angel HocogTIME COMPLETED:
11:15 AM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Staff are not providing adequate food service
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 4/11/2025, Licensing Program Analysts (LPAs) M. Medina and J. Duarte conducted an unannounced Complaint visit. LPAs introduced self, presented identification and allowed entrance by Direct Care staff. Administrators Minakshi Roychourdhury and Shailesh "Steve" Patel contacted by telephone and arrived a short time later to conduct complaint visit with LPAs.

During complaint investigations, LPAs toured facility, reviewed resident files, and conducted interviews. During interviews it was stated that dinner was being served to residents at 3:30 PM This department had insufficient information regarding the allegations listed above. Although the allegations may have happened or are valid, there is not a preponderance of evidence to prove or disprove that the allegations occurred therefore the allegations are UNSUBSTANTIATED.

No deficiencies issued during this complaint visit . Exit interview conducted. A copy of this report was provided to Administrator for facility records
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Alexandria Walton
LICENSING EVALUATOR NAME: Melinda Medina
LICENSING EVALUATOR SIGNATURE:

DATE: 04/11/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/11/2025
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 3