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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 342700731
Report Date: 07/08/2025
Date Signed: 07/08/2025 10:54:48 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 Shakaricka Hughes
PUBLIC
COMPLAINT CONTROL NUMBER: 27-AS-20250616145842
FACILITY NAME:LOVE AND COMFORT ELDERLY CAREFACILITY NUMBER:
342700731
ADMINISTRATOR:CLEOPATRA GARDINERFACILITY TYPE:
740
ADDRESS:6532 RANCHO GRANDE WAYTELEPHONE:
(916) 594-9378
CITY:SACRAMNETOSTATE: CAZIP CODE:
95828
CAPACITY:6CENSUS: 5DATE:
07/08/2025
UNANNOUNCEDTIME BEGAN:
10:21 AM
MET WITH:Facility Staff: Aisake RatuTIME COMPLETED:
11:15 AM
ALLEGATION(S):
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Staff does not prevent a resident from harassing another resident while in care
Staff allows a resident to barricade themselves while in care
INVESTIGATION FINDINGS:
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On 7/8/2025 at 10:20 AM, Licensing Program Analyst (LPA) Shakaricka Hughes arrived unannounced to this facility to conduct a complaint visit. LPA met with facility staff Aisake and explained the purpose of the visit. Aisake called the facility designated administrator to inform that CCLD was present in the facility.
The purpose of this visit is to deliver complaint findings for the allegations above. The current census is 5. A brief interview with conducted with Aisake.

Allegation: Staff does not prevent a resident from harassing another resident while in care
It was alleged that staff does not prevent a resident from harassing another resident while in care. This investigation consisted of interview with residents and staff, interview with an outside agency and facility observation. On 6/17/2025 LPA Shakaricka conducted an unannounced facility visit, during the visit LPA Hughes interviewed 4 out 5 residents who had no concerns with being harassed by other residents in care.
Continuation 9099-C
Unsubstantiated
Estimated Days of Completion:
SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Shakaricka Hughes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025
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-20250616145842
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: LOVE AND COMFORT ELDERLY CARE
FACILITY NUMBER: 342700731
VISIT DATE: 07/08/2025
NARRATIVE
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Interview with facility staff revealed that, no residents have expressed concerns with being harassed by other residents. Facility staff stated, that occasional redirects of residents are sometimes needed, and facility staff closely monitors residents in care. Additionally, interview with an outside agency revealed that resident (R2) did not express any concern with being harassed by other residents in care. During observation of the facility, it was noted that residents in care were all in their own rooms and common areas engaging in ADL’s, no inappropriate interactions were observed. Staff were present and appeared to be monitoring resident interactions appropriately. Based on the information obtained, there is no evidence to support the allegation, therefore it could not be corroborated at this time.

Allegation: Staff allows a resident to barricade themselves while in care
It was alleged that staff allows a resident to barricade themselves while in care. This investigation consisted of interview with residents and staff, and facility observation. On 6/17/2025 LPA Shakaricka Hughes conducted an unannounced facility visit, during the visit LPA Hughes interviewed 4 out of 5 residents who did not express any concerns about the need to barricade themselves in their room. Interview with facility staff revealed that, they have not observed residents barricading themselves in their rooms, and that residents are able to close their doors whenever they feel it is appropriate. During a tour of the facility, LPA Hughes observed residents door rooms 1, 2, 3, 5 without locks attached, no chairs or other objects blocking the door were observed in the resident’s room at the time of the visit, and there was no evidence to support the allegation that the resident’s door(s) had been barricaded. Based on the information obtained, there is no evidence to support the allegation, therefore it could not be corroborated at this time.

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 violations occurred.

SUPERVISORS NAME: Czarrina A Camilon-Lee
LICENSING EVALUATOR NAME: Shakaricka Hughes
LICENSING EVALUATOR SIGNATURE:

DATE: 07/08/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 07/08/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2