Inspection Reports for Chateau Jesadean
5633 N. Maroa Ave, Fresno, CA 93704, CA, 93704
Back to Facility ProfileInspection Report Summary
Most inspections before October 2, 2025, found multiple deficiencies related to environment and safety, documentation, and resident care, including issues with expired food, unlocked hazardous items, incomplete staff records, and missing care plans. Several complaint investigations were substantiated, such as a resident being confined in bed unsafely and a staff member lacking required fingerprint clearance, which resulted in immediate civil penalties. The facility received a $500 fine on October 2, 2025, for failing to provide adequate supervision when a resident went AWOL, posing an immediate health and safety risk. The most recent report from October 2, 2025, showed this serious deficiency and enforcement action, indicating ongoing challenges with staffing and supervision. While some earlier reports showed minor or isolated issues, the pattern of deficiencies and penalties suggests concerns have persisted over time.
Deficiencies per Year
20
15
10
5
0
High
Moderate
Unclassified
Census Over Time
Census
Capacity
Inspection Report
Follow-Up
Census: 5
Capacity: 6
Deficiencies: 1
Oct 2, 2025
Visit Reason
The visit was conducted to address incidents where resident R1 went AWOL from the facility on 09/29/2025, and staff was unaware of R1's whereabouts until found nearby.
Findings
The facility was cited for a deficiency due to failure to provide adequate care and supervision when R1 went AWOL, posing an immediate health and safety risk. An immediate civil penalty of $500 was issued.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Facility personnel were not sufficient in numbers and competent to provide necessary services, resulting in failure to provide care and supervision when R1 went AWOL on 09/29/25. | Type A |
Report Facts
Civil penalty amount: 500
Deficiency count: 1
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shailesh Patel | Administrator | Met during inspection and received report |
| Mai Yang | Licensing Program Analyst | Conducted the case management-deficiency visit |
Inspection Report
Annual Inspection
Census: 5
Capacity: 6
Deficiencies: 19
Sep 30, 2025
Visit Reason
The inspection was an unannounced required annual visit to evaluate compliance with licensing requirements for the facility.
Findings
The facility was generally clean and in good repair but had multiple deficiencies including non-operational carbon monoxide detector, unlocked knives and chemicals accessible to residents, expired food, lack of current CPR/First Aid certifications for some staff, medication storage and documentation issues, fire safety violations including blocked exit and lack of fire clearance for bedridden resident, and incomplete staff records and training documentation.
Severity Breakdown
Type A: 7
Type B: 11
Deficiencies (19)
| Description | Severity |
|---|---|
| Carbon monoxide detector was not operating during visit. | Type A |
| Knives removed from unlocked dishwasher and chemicals unlocked in bathroom and garage accessible to residents. | Type A |
| Expired perishable foods observed. | Type A |
| Staff files lacked current First Aid/CPR certification for A1, S2, and S3. | Type A |
| Medication Vitamin C bottle stored unlocked in kitchen drawer. | Type A |
| Facility exit 5 in room 5 blocked by metal lever rod preventing sliding door from opening. | Type A |
| No fire clearance for bedridden resident R1 residing in room 1. | Type A |
| Restricted health condition care plan missing for resident R1 with catheter care needs. | Type B |
| No reappraisal completed for resident R1 after change from nonambulatory to bedridden status. | Type B |
| No physician's order for half rails on hospital bed for resident R1. | Type B |
| Written incident reports not submitted within 7 days for hospitalizations of residents R1 and R2. | Type B |
| Last emergency disaster drill was completed in 02/2025 and not recorded. | Type B |
| Mold observed under bathroom sink in resident's bathroom. | Type B |
| Personnel file for A1 not maintained at facility. | Type B |
| Staff files lacked proper documentation of staff training details. | Type B |
| S2 and S3 lacked TB test results and/or good health screening documentation. | Type B |
| Resident R2's PRN medications not recorded in MAR and centrally stored medication list. | Type B |
| Hole observed in parlor room wall; walls and electrical outlets in disrepair in multiple rooms. | Type B |
| No home health care plan on file for residents R2 and R3 currently receiving home health services. | Type B |
Report Facts
Capacity: 6
Census: 5
POC Due Date: 10
Fire extinguisher last serviced date: Sep 11, 2025
Last fire drill date: 202502
Hot water temperatures: 114.9
Hot water temperatures: 110.1
Hot water temperatures: 103.9
Refrigerator temperature: 40
Freezer temperature: 0
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Minakshi Roychoudhury | Licensee / Administrator | Licensee and Administrator involved in inspection and findings |
| Shailesh Patel | Administrator | Administrator involved in inspection and findings |
| Mai Yang | Licensing Program Analyst | Conducted the inspection and signed the report |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 0
Jul 14, 2025
Visit Reason
The inspection visit was an unannounced case management health check conducted to evaluate the health and safety conditions of the facility.
Findings
The Licensing Program Analyst toured the facility, observed residents, verified food service, and checked safety measures such as locked cleaning supplies and fire exits. Four of six residents were receiving home health services, and no deficiencies were explicitly noted in the report.
Report Facts
Residents receiving home health: 4
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shawna Doucette | Licensing Program Analyst | Conducted the health and safety check during the inspection visit |
| Angel Hocog | House Lead | Met with the Licensing Program Analyst during the inspection |
| Minakshi Roychoudhury | Administrator/Director | Facility Administrator to whom the report was provided |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
Apr 11, 2025
Visit Reason
An unannounced complaint investigation visit was conducted in response to allegations received on 2025-04-04 regarding resident confinement and inadequate food service.
Findings
The allegation that a resident was confined in their bed by staff was substantiated, with observations of unsafe bed positioning and items used to prevent falls. The allegation regarding inadequate food service was unsubstantiated due to insufficient evidence.
Complaint Details
The complaint investigation was substantiated for the allegation that a resident was confined in their bed by staff. The allegation that staff were not providing adequate food service was unsubstantiated due to lack of sufficient evidence.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Residents in all residential care facilities for the elderly shall have safe, healthful and comfortable accommodations, furnishings and equipment. This was not met as evidenced by LPAs observed R1's bed situated in the corner of the room against the wall with full bed rails and a twin mattress on its side pushed against the bed with a chair and wheelchair keeping mattress in place. | Type A |
Report Facts
Capacity: 6
Census: 6
Plan of Correction Due Date: Apr 12, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Melinda Medina | Licensing Program Analyst | Conducted complaint investigation and authored report |
| Minakshi Roychourdhury | Administrator | Facility administrator contacted during complaint visit |
| Shailesh Patel | Facility administrator contacted during complaint visit |
Inspection Report
Complaint Investigation
Census: 6
Capacity: 6
Deficiencies: 1
Apr 11, 2025
Visit Reason
The inspection was an unannounced complaint visit conducted to investigate allegations regarding staff fingerprint clearance.
Findings
During the complaint investigation, it was found that staff 1 (S1) on shift was not fingerprint cleared, resulting in deficiencies cited and immediate civil penalties assessed.
Complaint Details
The visit was triggered by a complaint. The deficiency related to fingerprint clearance was substantiated, and immediate civil penalties were assessed.
Severity Breakdown
Type A: 1
Deficiencies (1)
| Description | Severity |
|---|---|
| Staff 1 (S1) on shift is not fingerprint cleared as required by Health and Safety Code Section 1569.17(b). | Type A |
Report Facts
Capacity: 6
Census: 6
Plan of Correction Due Date: Apr 12, 2025
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shailesh Patel | Met with during inspection | |
| Melinda Medina | Licensing Program Analyst | Conducted the complaint investigation |
| J. Duarte | Licensing Program Analyst | Conducted the complaint investigation |
| Alexandria Walton | Licensing Program Manager | Named in report |
Inspection Report
Capacity: 6
Deficiencies: 0
Jan 27, 2025
Visit Reason
An Informal Office Meeting was conducted at the Regional Office with the Administrator and Licensee to address concerns regarding facility operations and compliance with Title 22 regulations.
Findings
The meeting emphasized that compliance requires proactive adherence to regulations beyond just completing Plans of Correction. The Licensee declined TSP services but must maintain compliance. Continued non-compliance may result in administrative actions including license revocation or exclusion of staff.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Minakshi Roychoudhury | Administrator | Met with during the inspection and discussed compliance and facility operations. |
| Rajat Roychoudhury | Licensee | Present during the meeting addressing facility operations. |
| Shailesh Patel | Administrator | Present during the meeting addressing facility operations. |
| Melinda Hoffmann | Licensing Program Manager | Named as Licensing Program Manager in the report. |
| Alexandria Walton | Licensing Program Analyst | Named as Licensing Program Analyst and present during the meeting. |
| See Moua | Licensing Program Manager I | Present during the meeting addressing facility operations. |
| Mary Garza | Licensing Program Analyst | Present during the meeting addressing facility operations. |
Inspection Report
Census: 6
Capacity: 6
Deficiencies: 0
Oct 9, 2024
Visit Reason
A scheduled informal office meeting was conducted to discuss recently identified issues associated with the operation of the facility and to provide support on the subject matter, specifically addressing issues and deficiencies issued during the annual inspection regarding hospice care.
Findings
The meeting focused on discussing issues and deficiencies related to hospice care identified during the annual inspection. The Licensee was informed of Technical Support Program resources and a referral will be made on behalf of the facility.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Minakshi Roychoudhury | Administrator | Met with during the informal meeting and recipient of the report |
| Rajat Roychoudhury | Licensee | Present at the informal meeting |
| Shailesh Patel | Administrator | Present at the informal meeting |
| Alexandria Walton | Licensing Program Analyst | Present at the informal meeting |
| See Moua | Licensing Program Manager | Present at the informal meeting |
Inspection Report
Annual Inspection
Census: 6
Capacity: 6
Deficiencies: 4
Sep 17, 2024
Visit Reason
The inspection was an unannounced annual inspection conducted to evaluate compliance with applicable regulations and licensing requirements.
Findings
The inspection identified deficiencies including hot water temperature exceeding the allowed maximum, an outdated fire extinguisher service date, incomplete personnel records for two staff members, and missing hospice care plans for two residents receiving hospice services.
Deficiencies (4)
| Description |
|---|
| Hot water measured at 122.7 degrees F, exceeding the maximum allowed temperature of 120 degrees F. |
| Fire extinguisher was last serviced on 04/10/2023, which is not compliant with safety requirements. |
| Personnel records were incomplete: one staff member did not have a file on site and another lacked a health screen on file. |
| Facility did not have hospice care plans on file for 2 out of 2 residents receiving hospice services. |
Report Facts
Capacity: 6
Census: 6
Hot water temperature: 122.7
Fire extinguisher last serviced: Apr 10, 2023
Residents without hospice care plan: 2
Staff without complete personnel records: 2
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Shailesh Patel | Administrator | Met with Licensing Program Analyst during inspection and acknowledged receipt of report |
| Alexandria Walton | Licensing Program Analyst | Conducted the inspection and authored the report |
| Melinda Hoffmann | Licensing Program Manager | Supervisor overseeing the inspection |
Inspection Report
Original Licensing
Census: 6
Capacity: 6
Deficiencies: 0
Oct 3, 2023
Visit Reason
The inspection was conducted as an announced Pre-Licensing / Component III inspection for a change of ownership and to verify that the facility meets all pre-licensing requirements.
Findings
The facility was found to meet all pre-licensing requirements, including adequate furnishings, safety features such as fire clearance, operational smoke detectors and carbon monoxide detectors, and proper storage of medications and cleaning supplies. The Licensing Program Analyst will submit documentation for final review prior to license issuance.
Report Facts
Fire extinguisher service date: Apr 10, 2023
Hot water temperature: 117.5
Hot water temperature: 109
Hot water temperature: 107.5
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Minakshi Roychoudhury | Administrator | Met with Licensing Program Analyst during inspection |
| Rajat Roychoudhury | Licensee | Met with Licensing Program Analyst during inspection |
| Alexandria Walton | Licensing Program Analyst | Conducted the pre-licensing inspection |
| Melinda Hoffmann | Licensing Program Manager | Named in report header |
Inspection Report
Original Licensing
Census: 4
Capacity: 6
Deficiencies: 0
Sep 14, 2023
Visit Reason
The visit was conducted as part of the original licensing process for the facility, including verification of applicant and administrator identification and confirmation of understanding of community care facility licensing laws.
Findings
The applicant and administrator participated in a telephone interview confirming their understanding of licensing laws, facility operation, staffing, training, and pre-licensing readiness. Signed documentation and photo ID were obtained.
Employees Mentioned
| Name | Title | Context |
|---|---|---|
| Minakshi Roychoudhury | Administrator | Named as applicant/administrator participating in licensing interview |
| Rajat Roychoudhury | Named as participant in licensing interview | |
| Julia Kim | Licensing Program Manager | Named in report header |
| Dianne Ramos | Licensing Program Analyst | Named in report header and signature section |
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