342700440-3-19-2024-27-AS-KHOS-D3PJ7U-20240325064832

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700440
Report Date: 03/19/2024
Date Signed: 03/19/2024 04:11:39 PM

Unsubstantiated

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
02/01/2024 and conducted by Evaluator Pang Lee

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20240201131906

FACILITY NAME:	ABOUNDING LOVE HOME CARE		FACILITY NUMBER:	342700440
ADMINISTRATOR:	NONU, JULIE ADRIANNA		FACILITY TYPE:	740
ADDRESS:	27 TRISTAN CIR		TELEPHONE:	(916) 619-8590
CITY:	SACRAMENTO	STATE: CA	ZIP CODE:	95823
CAPACITY:	6	CENSUS: 4	DATE:	03/19/2024
		UNANNOUNCED	TIME BEGAN:	12:00 PM
MET WITH:	Julie Nonu		TIME COMPLETED:	02:00 PM

ALLEGATION(S):

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Facility is not meeting resident's hygiene needs.

INVESTIGATION FINDINGS:

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On 03/19/2024 at 9:31 AM, Licensing Program Analyst (LPA) Pang Lee arrived unannounced to this facility to conduct a complaint visit. LPA met direct care staff Qalo Saurara and explained the purpose of the visit. The purpose of this visit is to deliver complaint findings for the allegations above. Care staff called administrator, Julie Nonu who informed LPA Lee that she’s in a meeting and will join the visit after. At approximately 12:45 PM, administrator arrived at the facility and joined the visit. The current census is 4 with 2 facility staff. A brief interview with conducted with administrator, Julie Nonu

Allegation: Facility is not meeting resident's hygiene needs.
It was alleged that the Facility is not meeting residents’ hygiene needs. This investigation consisted of records reviewed, observations, interviews with staff and residents. LPA Lee interviewed 3 out of 3 residents who have no concern with facility not meeting resident's hygiene needs. Three out of 3 facility staff also denies the allegation.
Continued LIC 9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISOR'S NAME: Czarrina A Camilon-Lee	TELEPHONE: (916) 214-5136
LICENSING EVALUATOR NAME: Pang Lee	TELEPHONE: (916) 508-9726
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2024

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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Control Number 27-AS-20240201131906

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: ABOUNDING LOVE HOME CARE	FACILITY NUMBER: 342700440
	VISIT DATE: 03/19/2024

NARRATIVE

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Moreover, resident 1 (R1) has no concerns with facility not meeting (R1)’s hygiene needs and stated that staff 1 (S1) assist with (R1)’s hygiene needs and that (S1) “does a really good job.” Based on (R1) Client Care Daily Checklist, for the month of December 2023, (R1) received two showers per week and (R1) refused shaving and nail trim. For the month of January 2024, (R1) received two to three showers per week and (R1) refused shaving and nail trim. For the month of February 2024 (R1) received two to three showers per week and (R1) refused shaving and nail trim. Based on observation on 02/06/2023, LPA Lee observed all four residents in the home appeared to be clean with no odor. LPA Lee toured all four resident bedrooms and did not observe any odor in residents’ bedrooms. (R1) also appeared to be clean and had no bodily odor. (R1) was wearing jeans with a gray plaid shirt. (R1)’s hair was comb and appeared clean. During today’s visit 03/19/2024, (R1) also appeared clean and groomed.

The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED. A finding that the complaint allegations are UNSUBSTANTIATED means that although the allegations may have happened or are valid, there is not a preponderance of the evidence to prove that the alleged violation(s)occurred.

Per California Code of Regulations (CCRs) - Title 22, Division 6, Chapter 6, no deficiencies were cited.
A copy of this report was provided, along with Appeal Rights and LIC 811, the Confidential Names List.
Exit interview.

SUPERVISOR'S NAME: Czarrina A Camilon-Lee	TELEPHONE: (916) 214-5136
LICENSING EVALUATOR NAME: Pang Lee	TELEPHONE: (916) 508-9726
LICENSING EVALUATOR SIGNATURE:	DATE: 03/19/2024

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 03/19/2024

LIC9099 (FAS) - (06/04)

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