Inspection Reports for
Chateau Jesadean

5633 N. Maroa Ave, Fresno, CA 93704, CA, 93704

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Deficiencies (last 3 years)

Deficiencies (over 3 years) 8.7 deficiencies/year

Deficiencies are regulatory violations found during state inspections.

118% worse than California average
California average: 4 deficiencies/year

Deficiencies per year

24 18 12 6 0
2023
2024
2025

Census

Latest occupancy rate 83% occupied

Based on a October 2025 inspection.

Occupancy over time

0 3 6 9 12 Sep 2023 Sep 2024 Apr 2025 Sep 2025 Oct 2025

Inspection Report

Follow-Up
Census: 5 Capacity: 6 Deficiencies: 1 Date: 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.

Deficiencies (1)
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.
Report Facts
Civil penalty amount: 500 Deficiency count: 1

Employees mentioned
NameTitleContext
Shailesh PatelAdministratorMet during inspection and received report
Mai YangLicensing Program AnalystConducted the case management-deficiency visit

Inspection Report

Annual Inspection
Census: 5 Capacity: 6 Deficiencies: 19 Date: 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.

Deficiencies (19)
Carbon monoxide detector was not operating during visit.
Knives removed from unlocked dishwasher and chemicals unlocked in bathroom and garage accessible to residents.
Expired perishable foods observed.
Staff files lacked current First Aid/CPR certification for A1, S2, and S3.
Medication Vitamin C bottle stored unlocked in kitchen drawer.
Facility exit 5 in room 5 blocked by metal lever rod preventing sliding door from opening.
No fire clearance for bedridden resident R1 residing in room 1.
Restricted health condition care plan missing for resident R1 with catheter care needs.
No reappraisal completed for resident R1 after change from nonambulatory to bedridden status.
No physician's order for half rails on hospital bed for resident R1.
Written incident reports not submitted within 7 days for hospitalizations of residents R1 and R2.
Last emergency disaster drill was completed in 02/2025 and not recorded.
Mold observed under bathroom sink in resident's bathroom.
Personnel file for A1 not maintained at facility.
Staff files lacked proper documentation of staff training details.
S2 and S3 lacked TB test results and/or good health screening documentation.
Resident R2's PRN medications not recorded in MAR and centrally stored medication list.
Hole observed in parlor room wall; walls and electrical outlets in disrepair in multiple rooms.
No home health care plan on file for residents R2 and R3 currently receiving home health services.
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
NameTitleContext
Minakshi RoychoudhuryLicensee / AdministratorLicensee and Administrator involved in inspection and findings
Shailesh PatelAdministratorAdministrator involved in inspection and findings
Mai YangLicensing Program AnalystConducted the inspection and signed the report

Inspection Report

Census: 6 Capacity: 6 Deficiencies: 0 Date: 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
NameTitleContext
Shawna DoucetteLicensing Program AnalystConducted the health and safety check during the inspection visit
Angel HocogHouse LeadMet with the Licensing Program Analyst during the inspection
Minakshi RoychoudhuryAdministrator/DirectorFacility Administrator to whom the report was provided

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 1 Date: 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.

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.
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.

Deficiencies (1)
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.
Report Facts
Capacity: 6 Census: 6 Plan of Correction Due Date: Apr 12, 2025

Employees mentioned
NameTitleContext
Melinda MedinaLicensing Program AnalystConducted complaint investigation and authored report
Minakshi RoychourdhuryAdministratorFacility administrator contacted during complaint visit
Shailesh PatelFacility administrator contacted during complaint visit

Inspection Report

Complaint Investigation
Census: 6 Capacity: 6 Deficiencies: 1 Date: Apr 11, 2025

Visit Reason
The inspection was an unannounced complaint visit conducted to investigate allegations regarding staff fingerprint clearance.

Complaint Details
The visit was triggered by a complaint. The deficiency related to fingerprint clearance was substantiated, and immediate civil penalties were assessed.
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.

Deficiencies (1)
Staff 1 (S1) on shift is not fingerprint cleared as required by Health and Safety Code Section 1569.17(b).
Report Facts
Capacity: 6 Census: 6 Plan of Correction Due Date: Apr 12, 2025

Employees mentioned
NameTitleContext
Shailesh PatelMet with during inspection
Melinda MedinaLicensing Program AnalystConducted the complaint investigation
J. DuarteLicensing Program AnalystConducted the complaint investigation
Alexandria WaltonLicensing Program ManagerNamed in report

Inspection Report

Capacity: 6 Deficiencies: 0 Date: 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
NameTitleContext
Minakshi RoychoudhuryAdministratorMet with during the inspection and discussed compliance and facility operations.
Rajat RoychoudhuryLicenseePresent during the meeting addressing facility operations.
Shailesh PatelAdministratorPresent during the meeting addressing facility operations.
Melinda HoffmannLicensing Program ManagerNamed as Licensing Program Manager in the report.
Alexandria WaltonLicensing Program AnalystNamed as Licensing Program Analyst and present during the meeting.
See MouaLicensing Program Manager IPresent during the meeting addressing facility operations.
Mary GarzaLicensing Program AnalystPresent during the meeting addressing facility operations.

Inspection Report

Census: 6 Capacity: 6 Deficiencies: 0 Date: 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
NameTitleContext
Minakshi RoychoudhuryAdministratorMet with during the informal meeting and recipient of the report
Rajat RoychoudhuryLicenseePresent at the informal meeting
Shailesh PatelAdministratorPresent at the informal meeting
Alexandria WaltonLicensing Program AnalystPresent at the informal meeting
See MouaLicensing Program ManagerPresent at the informal meeting

Inspection Report

Annual Inspection
Census: 6 Capacity: 6 Deficiencies: 4 Date: 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)
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
NameTitleContext
Shailesh PatelAdministratorMet with Licensing Program Analyst during inspection and acknowledged receipt of report
Alexandria WaltonLicensing Program AnalystConducted the inspection and authored the report
Melinda HoffmannLicensing Program ManagerSupervisor overseeing the inspection

Inspection Report

Original Licensing
Census: 6 Capacity: 6 Deficiencies: 0 Date: 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
NameTitleContext
Minakshi RoychoudhuryAdministratorMet with Licensing Program Analyst during inspection
Rajat RoychoudhuryLicenseeMet with Licensing Program Analyst during inspection
Alexandria WaltonLicensing Program AnalystConducted the pre-licensing inspection
Melinda HoffmannLicensing Program ManagerNamed in report header

Inspection Report

Original Licensing
Census: 4 Capacity: 6 Deficiencies: 0 Date: 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
NameTitleContext
Minakshi RoychoudhuryAdministratorNamed as applicant/administrator participating in licensing interview
Rajat RoychoudhuryNamed as participant in licensing interview
Julia KimLicensing Program ManagerNamed in report header
Dianne RamosLicensing Program AnalystNamed in report header and signature section

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