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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700730
Report Date: 10/29/2025
Date Signed: 10/29/2025 11:53:01 AM

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
06/16/2025 and conducted by Evaluator Pang Lee
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20250616084340
FACILITY NAME:ABOUNDING LOVE IIIFACILITY NUMBER:
342700730
ADMINISTRATOR:NONU, JULIEFACILITY TYPE:
740
ADDRESS:5105 VILLAGE WOOD DRIVETELEPHONE:
(916) 547-0206
CITY:SACRAMENTOSTATE: CAZIP CODE:
95823
CAPACITY:0CENSUS: 0DATE:
10/29/2025
UNANNOUNCEDTIME BEGAN:
09:58 AM
MET WITH:N/ATIME COMPLETED:
10:00 AM
ALLEGATION(S):
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Due to lack of supervision, resident was physically assaulted by another resident resulting in hospitalization.
INVESTIGATION FINDINGS:
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On 09/13/2025, Licensing Program Analyst (LPA) Pang Lee delivered complaint findings via certified mail since the facility is closed for the allegation above. The current census was 0.

It was alleged due to lack of supervision; resident was physically assaulted by another resident resulting in hospitalization. The investigation included a review of facility records and interviews with staff, residents, and outside agencies. It was learned that on June 13, 2025, R1 was transported to Methodist Hospital of Sacramento after sustaining a right intertrochanteric femur fracture. At the time of the incident, S1, the only caregiver on duty, was cleaning a bedroom when R1 began yelling in the hallway. S1 reported that R2 stated they had chased R1 after R1 called them “bad names.” While attempting to walk away using a walker, R1 reportedly fell onto his/her right side. R1 later stated that he/she did not recall the events of June 13, 2025.

CONTINUED LIC 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
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
Control Number 27-AS-20250616084340
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 III
FACILITY NUMBER: 342700730
VISIT DATE: 10/29/2025
NARRATIVE
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R2 denied pushing R1 but admitted to having previously punched R1 in the mouth. A review of R1’s records and staff reports indicated a history of aggressive behavior. Due to prior altercations between R1 and R2, staff had been instructed to closely supervise their interactions and separate them when necessary. Both S1 and R2 denied that R2 pushed R1 on June 13, 2025, though R2 acknowledged past physical aggression toward R1. Following the incident, former Administrator Julie Nonu offered to assist with transferring R1 to another facility, but R1’s responsible party declined the offer. Based on interviews and record reviews, no witnesses directly observed the fall. Although R2 denied pushing R1, documentation confirms a history of aggressive behavior.

As a result of this investigation, this Department found the allegation to be UNSUBSTANTIATED. A complaint allegation finding of Unsubstantiated meant that although the allegation may have happened or was valid, there was not a preponderance of the evidence to prove that the alleged violation occurred. An Exit Interview was conducted, and a copy of this report was provided to the facility via email. A certified copy will be sent to the facility mailing address.
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Pang Lee
LICENSING EVALUATOR SIGNATURE:

DATE: 10/29/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 10/29/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2