342700440-5-13-2021-27-AS-SRIN-C5Q26V-20210808170743

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 342700440
Report Date: 05/13/2021
Date Signed: 05/13/2021 07:42:59 AM

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
01/14/2021 and conducted by Evaluator Bruce Jacobs

PUBLIC

COMPLAINT CONTROL NUMBER: 27-AS-20210114130734

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:	DATE:	05/13/2021
		UNANNOUNCED	TIME BEGAN:	08:30 AM
MET WITH:	Julie Nonu, Administrator		TIME COMPLETED:	09:00 AM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Personal Rights

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

LPA Bruce Jacobs completed this complaint investigation and the findings were mailed and emailed to the Facility Administrator, Julie Nonu. Facility Administrator was also contacted by phone with the findings. LPA provided findings regarding the allegation listed above. The investigation was conducted by LPA Jacobs and consisted of reviews of the facility records and interviews with facility management and staff.

The complaint allegation listed above was investigated. The facility staff and management all confirmed that the resident (R-1) named in the report did not live at this home and actually lived at another home operated by the Administrator. A complaint for the other home was recorded and investigated.

Therefore, this compliant and allegation is determined to be without a reasonable basis and deemed to be UNFOUNDED and is thereby dismissed.

Unfounded

Estimated Days of Completion:

SUPERVISOR'S NAME: Liza King	TELEPHONE: (916) 263-4752
LICENSING EVALUATOR NAME: Bruce Jacobs	TELEPHONE: (916) 956-5861
LICENSING EVALUATOR SIGNATURE:	DATE: 05/13/2021

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

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 05/13/2021

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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