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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342701742
Report Date: 06/19/2026
Date Signed: 06/19/2026 03:38:43 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/11/2026 and conducted by Evaluator Kevin Gould
COMPLAINT CONTROL NUMBER: 27-AS-20260611082237
FACILITY NAME:CHATEAU ARDEN HILLSFACILITY NUMBER:
342701742
ADMINISTRATOR:MATA, MARY MAYBEL SYFACILITY TYPE:
740
ADDRESS:1099 STEWART RDTELEPHONE:
(916) 548-4409
CITY:SACRAMENTOSTATE: CAZIP CODE:
95864
CAPACITY:6CENSUS: 1DATE:
06/19/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Maggie PosadasTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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1) Staff do not ensure medications are dispensed as prescribed
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Kevin Gould made an unannounced inspection to the Chateau Arden Hills RCFE on 6/19/26 at 1:30pm to inform the licensee of the complaint allegations and conclude the investigation and to deliver the findings. LPA Gould met with Licensee, Maggie Posadas and together discussed the investigation details.

Based on the interviews and statements obtained during the investigation process, the allegations are substantiated. LPA reviewed the medication administration records and observed errors in insulin administration for R1 and incorrect administration of another medication that was directed to be given once per day for one month and was being given two times per day at the onset of the medication being ordered by R1's physician.

The Department has determined, based on the preponderance of the evidence obtained during this investigation, that the allegation of Medication is substantiated. Report Continued on LIC 9099-C.
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Kevin Gould
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026
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 5
Control Number 27-AS-20260611082237
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: CHATEAU ARDEN HILLS
FACILITY NUMBER: 342701742
VISIT DATE: 06/19/2026
NARRATIVE
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The following deficiency is cited per California Code of Regulations, TITLE 22.

Exit interview was conducted with facility staff. Appeal Rights were issued, and a copy of this report was left at the home.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Kevin Gould
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026
LIC9099 (FAS) - (06/04)
Page: 2 of 5
Control Number 27-AS-20260611082237
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: CHATEAU ARDEN HILLS
FACILITY NUMBER: 342701742
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/19/2026
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
06/22/2026
Section Cited
CCR
87465(a)(4)
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Incidental Medical and Dental Care: The licensee shall assist residents with self administered medications as needed. This requirement was not met as evidenced by LPA review of resident Medication Administration records that did show incorrect doses of insulin were
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Licensee has agreed to conduct weekly audits of medication administration records for all residents in care. Copies of MARs will be emailed to LPA every Monday beginning 6/29/26 and ending on 9/28/26. any errors observed the licensee will submit an incident report documenting the Medication error.
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 administered to R1 on several occasions and another medication was not given according to the physician's orders on the prescription. Resident received additional doses of medication which poses an immediate heath, safety and personal rights risk to residents in care.
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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: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Kevin Gould
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2026
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026
LIC9099 (FAS) - (06/04)
Page: 3 of 5
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/11/2026 and conducted by Evaluator Kevin Gould
COMPLAINT CONTROL NUMBER: 27-AS-20260611082237

FACILITY NAME:CHATEAU ARDEN HILLSFACILITY NUMBER:
342701742
ADMINISTRATOR:MATA, MARY MAYBEL SYFACILITY TYPE:
740
ADDRESS:1099 STEWART RDTELEPHONE:
(916) 548-4409
CITY:SACRAMENTOSTATE: CAZIP CODE:
95864
CAPACITY:6CENSUS: 1DATE:
06/19/2026
UNANNOUNCEDTIME BEGAN:
01:30 PM
MET WITH:Maggie PosadasTIME COMPLETED:
04:00 PM
ALLEGATION(S):
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1) Staff did not ensure sufficient supervision was provided resulting in a resident elopement from the facility.
2) Staff does not ensure facility has sufficient supplies for residents
3) Staff does not ensure resident records are properly maintained
4) Staff does not ensure medications are properly managed for residents in care
5) Staff do not ensure adequate care is provided to residents
INVESTIGATION FINDINGS:
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Licensing Program Analysts (LPA) Kevin Gould made an unannounced inspection to the Chateau Arden Hills RCFE on 6/19/26 at 1:30pm to inform the licensee of the complaint allegations and conclude the investigation and to deliver the findings. LPA Gould met with Licensee, Maggie Posadas and together discussed the investigation details.

Based on the interviews conducted during the investigation process and statements obtained during the investigation process, LPA Gould was unable to corroborate the allegations. LPA conducted interview with all individuals present at the facility. LPA conducted interview with two staff members and one resident. There is currently only one resident in placement. LPA conducted an interview with R1. Although R1 is diagnosed with a cognitive impairment he appeared to be a reliable narrator, was orientated to time and place and was able to respond to LPA's questions with ease.

Report Continued on LIC 9099-C.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Kevin Gould
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 4 of 5
Control Number 27-AS-20260611082237
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO SOUTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: CHATEAU ARDEN HILLS
FACILITY NUMBER: 342701742
VISIT DATE: 06/19/2026
NARRATIVE
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R1 denied any issues with staff supervision and denies eloping from the facility and identified enjoying walks around the facility property without leaving the grounds. R1 provided statements of being treated well by staff and identified having all items to meets their needs. R1 states they are mostly independent with ADLs and needs only minor staff assistance. LPA observed R1 to be active in the facility conducting exercises on their own and interacting positively with staff present. Staff interviewed denied not having adequate staff to meet resident needs and denied having inadequate supplies to meet residents needs.

LPAs walk through of the facility revealed ample supplies to meet residents needs including insulin supplies, appropriately stored. LPA reviewed resident and staff files and observed to be well organized and all required documentation was present. All medications for R1 were locked and secured. Insulin was stored in a medication fridge and secured. Per staff and resident statements and LPA observations, LPA observed appropriate staffing levels and supervision to meet the needs of resident in care.

Although the allegation may have happened or is valid, there is not a preponderance of the evidence to prove that the alleged violation occurred. The Department has determined that the allegations of Medication and neglect/lack of supervision are unsubstantiated but if any additional information is received this complaint can be amended and the finding can be changed.

There are no deficiencies is cited per California Code of Regulations, TITLE 22.

Exit interview was conducted with facility staff. Appeal Rights were issued, and a copy of this report was left at the facility.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Kevin Gould
LICENSING EVALUATOR SIGNATURE:

DATE: 06/19/2026
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/19/2026
LIC9099 (FAS) - (06/04)
Page: 5 of 5