315002882-9-26-2022-25-AS-MSEY-CJPURG-20220928154844

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 315002882
Report Date: 09/26/2022
Date Signed: 09/26/2022 10:05:38 AM

Unsubstantiated

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT

CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CHICO - RESIDENTIAL, 520 COHASSET RD., STE. 170
CHICO, CA 95926

This is an official report of an unannounced visit/investigation of a complaint received in our office on
08/24/2022 and conducted by Evaluator Melissa Parks

PUBLIC

COMPLAINT CONTROL NUMBER: 25-AS-20220824092232

FACILITY NAME:	NADIA'S CARE HOME LLC		FACILITY NUMBER:	315002882
ADMINISTRATOR:	MURGOI, NADEJDA		FACILITY TYPE:	740
ADDRESS:	2728 WESTVIEW DRIVE		TELEPHONE:	(916) 775-9575
CITY:	LINCOLN	STATE: CA	ZIP CODE:	95648
CAPACITY:	6	CENSUS: 6	DATE:	09/26/2022
		UNANNOUNCED	TIME BEGAN:	09:45 AM
MET WITH:	Nadeja Murgoi		TIME COMPLETED:	10:45 AM

ALLEGATION(S):

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Illegal Eviction

INVESTIGATION FINDINGS:

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LPA Parks arrived on September 26, 2022 date to conclude a complaint investigation regarding the allegation ‘illegal eviction’. Prior to the visit, LPA completed the required COVID-19 testing protocols and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms; LPA ensured she applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N-95 mask.

Throughout the course of investigation, LPA interviewed staff and relevant parties. Additionally, LPA reviewed text messages and call logs between POA and Administrator. LPA conducted a review of resident’s file at the facility. LPA was unable to provide evidence that the Administrator evicted resident. Based on information obtained during the investigation, LPA finds the allegation to be UNSUBSTANTIATED- a finding that the complaint is unsubstantiated means that although the allegation may have happened or is valid, there is not a preponderance of evidence to prove that the alleged violation occurred. Exit interview conducted. A copy of this report was left at the facility.

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Maribeth Senty	TELEPHONE: (916) 263-4813
LICENSING EVALUATOR NAME: Melissa Parks	TELEPHONE: (559) 580-5423
LICENSING EVALUATOR SIGNATURE:	DATE: 09/26/2022

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 09/26/2022

This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC9099 (FAS) - (06/04)

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