<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700018
Report Date: 07/08/2021
Date Signed: 07/08/2021 04:42:42 PM

Unsubstantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2525 NATOMAS PARK DR. STE.270
SACRAMENTO, CA 95833
This is an official report of an unannounced visit/investigation of a complaint received in our office on
06/15/2021 and conducted by Evaluator Michael Bilger
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20210615132140
FACILITY NAME:GROVE HOME CAREFACILITY NUMBER:
342700018
ADMINISTRATOR:BOBOC, LUCIAFACILITY TYPE:
740
ADDRESS:8410 TERRACOTTA CIRCLETELEPHONE:
(916) 225-6405
CITY:SACRAMENTOSTATE: CAZIP CODE:
95624
CAPACITY:6CENSUS: 5DATE:
07/08/2021
UNANNOUNCEDTIME BEGAN:
10:49 AM
MET WITH:Lucia BobocTIME COMPLETED:
04:20 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
The provider is threatening to evict the resident immediately
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
On 7-8-21 at 10:49am, Licensing Program Analyst (LPA) Michael Bilger arrived unannounced to conduct a complaint investigation for the allegation listed above. LPA met with Administrator Lucia Boboc and explained the purpose of the visit. LPA reviewed records for the resident, facility records, and interviewed administrator and Staff1 (S1) on 7-8-21 at 11:05am. Based on interviews, it was determined that Administrator offered resources for alternative placement to the resident and the resident's responsible party after learning that the resident was unhappy with current living situation. Based on record reviews, it was determined that a formal notice of eviction was never issued. LPA interviewed the resident on 6/21/21. Based on interview with the resident it was determined that there was no formal notice given for eviction.

Based on interviews and record reviews, LPA finds that the preponderance of evidence standard has not been met, therefore, the above allegation is UNSUBSTANTIATED. An exit interview was conducted with Lucia Boboc, and a copy of this report was provided to Lucia.
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Liza King
LICENSING EVALUATOR NAME: Michael Bilger
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2021
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2021
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 2