Chateau Jesadean

Type of visit: Case Management - Deficiencies

On 10/02/25, Licensing Program Analyst (LPA) M. Yang conducted case management- deficiency visit to the facility. LPA introduce self, stated the purpose of the visit and met Administrator (A1) Shailesh "Steve" Patel. The purpose of the visit is to address incidents that had occurred where R1 went AWOL from the facility on 09/29/25. Staff was unaware of R1’s whereabouts until R1 was found around the corner from the facility. Therefore, as mentioned, R1 went AWOL from facility. As a result, a deficiency is being cited, per California Code of Regulations, Title 22, Division 6, see attached Lic 809D. An immediate civil penalty of $500.00 was issued, see Lic 421IM. An exit interview was conducted. A copy of this report and appeal rights was provided to Administrator, whose signature confirms receipt of this report.the state’s words, verbatim · CDSS document, Oct 2, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87411(a) · Plan of correction due date: Oct 3, 2025

87411(a)Facility personnel shall at all times be sufficient in numbers, and competent to provide the services necessary to meet resident needs…. This requirement is not met as evidenced by: Based on interviews and records review, staff did not provide care and supervision when R1 went AWOL on 09/29/25, and facility was not aware until a short period after. R1 went AWOL, which poses/posed an immediate health and safety risks to persons in care.the state’s words, verbatim · CDSS document, Oct 2, 2025

Plan of correction: AWOL policy and procedures shall be in place to ensure the requirements are met and submit to Fresno CCL by POC due date 10/03/25.

Type of visit: Required - 1 Year

On 09/30/25, Licensing Program Analyst (LPA) M. Yang arrived unannounced to conduct required Annual visit. LPA introduced self, stated the purpose of the visit, and was greeted by staff Angel Hocog. Four residents were present during inspection. Licensee (L1) Minakshi Roychoudhury and Administrator (A1) Shailesh "Steve" Patel was called. LPA spoke with L1 via telephone until A1 arrived. A1 arrived shortly during inspection. LPA toured facility with A1. One resident left during inspection. The facility is a 6 Bedroom and 3 Bathroom home with a fire clearance granted for 6 residents of all residents may be Non-Ambulatory. The facility was observed to be at a comfortable temperature, clean, in good repair, and no passageway obstructions or fire hazards were observed inside or outside. At approximately 08:58AM, LPA observed S1 removing knives from unlocked dishwasher to locked kitchen shelf over the stove. LPA observed S1 operating dishwasher during visit. At approximately 09:07AM, LPA and S1 observed a medication bottle unlock in the kitchen drawer. Medications observed kept locked in medication cabinet. Medications were checked, Centrally stored medications list and MARs were reviewed. Fire extinguisher was observed in the kitchen cabinet with last serviced date of 09/11/25. L1 stated last fire drill completed on 02/2025. An adequate supply of perishable and non-perishable food was observed. Expired perishable foods were observed. Refrigerator temperature maintained at 40 degrees F and freezer temperature at 0 degrees F. Chemicals observed locked in laundry shelf and under kitchen sink. A hole was observed on the wall in the parlor room. Lic 809 continues. All bedrooms were observed to have the required furnishings and adequate lighting. Hot water temperature was tested at 114.9 degrees F in bathroom 1, 110.1 degrees F in master bathroom, and 103.9 degrees F in bathroom 2. Toilet observed functional. At approximately 10:35AM, LPA and A1 observed a chemical bottle unlock on the bathroom 1 on the bathroom tub. Mold was observed under bathroom sink in the master bedroom. Extra linens and towels were observed in hall closet and laundry room. At approximately 10:49AM, LPA and A1 observed facility exit 5 in room 5 blocked by a metal lever on the bottom the sliding door. Wall outlet was observed disrepair in room 5 and room 6. Bedridden resident was observed lying in bed with half rails in room 6. Washer and dryer observed functional and operational during inspection. Chemicals were observed stored and unlocked in garage cabinet. A gardening tool was observed stored unlocked in garage shelf. Outside of the facility toured and observed to be free of debris. The side gate observed clear of obstruction. Adequate outdoor seating observed for clients. All residents and staff files reviewed. Smoke detectors observed operational during inspection. Carbon monoxide was observed not operational during inspection. A deficiency and an immediate Civil Penalty were assessed. See Lic 421IM is being cited on the attached Lic 809D in accordance to California Code of Regulations, Title 22, Division 6 see attached 809D. Exit Interview conducted. The following documents are requested and submitted to Fresno CCL by: 10/06/25. Forms requested: Lic 308, Lic 500, Lic 610E, Lic 9020, current administrator certificate, and current liability insurance. A copy of this report and appeal rights was provided to Administrator, whose signature on this form confirms receipt of this report.the state’s words, verbatim · CDSS document, Sep 30, 2025

The state marks this report as 15 pages; the online copy we transcribed has 14. You can request the full file from the county licensing office.

Type of visit: Case Management - Health Checks

Licensing Program Analyst (LPA) Shawna Doucette arrived at the facility unannounced to conduct a health and safety check. LPA was granted entry into the facility by Sajel Sajel. LPA met with House Manager Angel Hocog. LPA toured the facility. LPA observed 4 out of 6 residents. House Lead stated 2 of 6 residents were at the doctor. LPA checked the the food. Residents had french toast and eggs for breakfast. Cleaning supplies were locked in a cabinet in the laundry room. Every room has a fire exit. There are 4 out of 6 residents receiving home health. A copy of this report was provided to the Administrator.the state’s words, verbatim · CDSS document, Jul 14, 2025

Allegation investigated: Resident is confined in their bed by staff

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. Substantiatedthe state’s words, verbatim · CDSS document, Apr 11, 2025 · control 24-AS-20250404103622

From the deficiency page — Deficiency type: Type A · Section cited: HSC 87468.1(a)(2) · Plan of correction due date: Apr 12, 2025

(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 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 placethe state’s words, verbatim · CDSS document, Apr 11, 2025

Plan of correction: 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.

Type of visit: Case Management - Deficiencies

On 4/11/2025, Licensing Program Analysts (LPAs) M. Medina and J. Duarte arrived to facility to conduct an unannounced Complaint Visit. During complaint investigation, LPA found the following, staff 1 (S1) on shift is not fingerprint cleared. Based on observation, interviews, and records review deficiencies have been cited on the attached 809-D in accordance with the California Code of Regulations, Title 22. Immediate Civil Penalties assessed. Exit interview conducted and a copy of report provided for facility records.the state’s words, verbatim · CDSS document, Apr 11, 2025

From the deficiency page — Deficiency type: Type A · Section cited: CCR 87355(e)(2) · Plan of correction due date: Apr 12, 2025

(e) All individuals subject to a criminal record review pursuant to Health and Safety Code Section 1569.17(b) shall prior to working, residing or volunteering in a licensed facility: (2) Obtain a California clearance or a criminal record exemption as required by the Department or ***This was not met as evidenced by staff 1 (S1) on shift is not fingerprint cleared. Immediate civil penalty assessedthe state’s words, verbatim · CDSS document, Apr 11, 2025

Plan of correction: Staff will be fingerprinted and will not return to work or be present in facility until fingerprints are cleared.

Type of visit: Office

On this date, an Informal Office Meeting was conducted at the Regional Office with the Administrator and Licensee to address concerns regarding facility operations. Present during the meeting were: See Moua, Licensing Program Manager I Alexandria Walton, Licensing Program Manager I Mary Garza, Licensing Program Analyst Licensee, Rajat Roychoudhury Administrator, Minakshi Roychoudhury Administrator, Shailesh Patel The following were discussed and explained: - Compliance does not mean just completing POCs after the Department issue citations. The facility should aim and be proactive in making sure its operation meets Title 22 regulations. The Department is transparent that the regulations and CARE Tools are available. - The Licensee has declined TSP services. TSP is not mandatory. By declining, the licensee communicates that it can be compliant. Although the LPA has a consultative role, the Administrator by maintain an active certificate, understand all the laws, regulations, and Title 22 to operate. - Clearing Proof of Corrections – Clearing the POC is the responsibility of the LPA. The LPA was there during the inspection. The facility should communicate with the LPA when there are questions regarding the POC. - Administrative Actions - Continued non-compliance means the Department may take Administrative Action. This includes any of the following: revocation of the licensee, exclusion of staff, Administrator certificate de-cert, etc. The inimical conduct of any staff, administrator and licensee, including false statements to the LPA or Department, falsifying records and jeopardizing the health and safety of the residents, may result in Administrative Actions. - ALW Program and Hospice – residents being in the ALW Program, on Hospice, or Home Health does not negate the facility and its staff of the responsibility for providing care and supervision.the state’s words, verbatim · CDSS document, Jan 27, 2025

Type of visit: Office

On 10/09/2024, a scheduled informal office meeting was conducted. The purpose of the informal meeting was to discuss recently identified issues associated with the operation of the facility and to provide support on the subject matter. Present at the informal meeting: Licensee, Rajat Roychoudhury Administrator, Minakshi Roychoudhury Administrator, Shailesh Patel Licensing Program Analyst, Alexandria Walton Licensing Program Manager, See Moua This meeting was called to discuss the issues and deficiencies issued during the annual inspection regarding hospice care. The Licensee was informed of Technical Support Program resources and a referral will be made on behalf of the facility. Exit interview conducted. A copy of this report was discussed and provided to Administrator, Minakshi Roychoudhury, whose signature on this form confirm receipt of this document.the state’s words, verbatim · CDSS document, Oct 9, 2024

Type of visit: Required - 1 Year

On 09/17/2024, Licensing Program Analyst (LPA) Walton arrived unannounced to conduct an annual inspection. LPA introduced self, stated the purpose of the visit, requested to meet with the Administrator, and was granted entry to the facility. LPA met with Administrator, Shailesh Patel. LPA reviewed resident and personnel records. LPA found that 2 out of 2 residents receiving hospice services do not have hospice care plan on file. Upon review of personnel files, LPA found that S1 did not have a file on site and S2 did not have a health screen on file. LPA conducted a tour of the facility with Administrator. LPA toured the facility kitchen. The kitchen appeared to be clean and safe for food preparation. LPA observed an adequate food supply. Knives are kept locked and inaccessible to clients in care, in a cabinet above the stove. The fire extinguisher was observed and was last serviced on 04/10/2023. Resident bedrooms were toured and observed to have the required furnishings. Resident bathrooms were toured and found to be operational during the inspection. Hot water measured at 122.7 degrees F. Common areas were observed to be furnished with adequate seating and lighting. All passageways were clear from obstructions. The facility appeared to be clean and odor free. Smoke detector and carbon monoxide detector observed to be operational. Exterior tour conducted. LPA did not observe any fire clearance issues during today's inspection. Side gate was observed to be self-latching. Deficiencies are being cited in accordance to California Code of Regulations, Title 22, Division 6 on the attached 809D. Exit interview conducted and a plan of correction was reviewed and developed. A copy of this report was discussed and provided to Administrator, Shailesh Patel, whose signature on this form confirms receipt of this document. LPA is requesting the following documents be submitted to the Fresno CCL office by 10/01/2024: Current copy of Administrator Certificate, Designation of Facility Responsibility (LIC308), Administrator Organization (LIC 309), Affidavit regarding Client/Resident Cash Resources (LIC 400), Liability Insurance, Emergency and Disaster Plan (LIC 610E), Personnel Report (LIC500), Register of Facility Clients/Residents for (LIC9020A), Surety Bondthe state’s words, verbatim · CDSS document, Sep 17, 2024

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.