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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 312700311
Report Date: 06/27/2025
Date Signed: 06/27/2025 04:14:55 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH 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
03/12/2025 and conducted by Evaluator Graham Gunby
COMPLAINT CONTROL NUMBER: 59-AS-20250312083749
FACILITY NAME:ABOUTLIFE CARE FACILITYFACILITY NUMBER:
312700311
ADMINISTRATOR:DANU, TATIANAFACILITY TYPE:
740
ADDRESS:2705 LUPINE CTTELEPHONE:
(916) 844-8540
CITY:ROCKLINSTATE: CAZIP CODE:
95677
CAPACITY:6CENSUS: 5DATE:
06/27/2025
UNANNOUNCEDTIME BEGAN:
11:45 AM
MET WITH:Administrator - Tatiana DanuTIME COMPLETED:
12:46 PM
ALLEGATION(S):
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Staff did not allow resident to return back to the facility
INVESTIGATION FINDINGS:
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Licensing Program Manager (LPM) Troy Ordonez and Licensing Program Analyst (LPA) Graham Gunby arrived unannounced on 06/27/2025 to complete and deliver findings to a complaint received on 03/18/2025. LPM and LPA met with Administrator, Tatiana Danu, and explained the purpose of the visit.

Throughout the course of the investigation, the department conducted interviews and record reviews.

Please continue to LIC9099C..
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Graham Gunby
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2025
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 3
Control Number 59-AS-20250312083749
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME: ABOUTLIFE CARE FACILITY
FACILITY NUMBER: 312700311
VISIT DATE: 06/27/2025
NARRATIVE
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During the investigation LPA reviewed R1 medical records, admission agreement, needs and service plan, LPA also interviewed (2) staff and (1) residents. Administrator stated R1 was having behaviors of aggression that facility was unable to care for. Administrator stated they verbally informed the family that new placement was needed but a written 30-day notice was not given to R1's representative. In March 2025, R1 was sent out to the emergency department. R1 needed to be discharged however administrator refused for R1 to be returned to facility due to R1's behaviors. Due to information gathered, Administrator did not provide R1's representative with a written 30-day eviction notice which resulted in an illegal eviction.

As a result of this investigation, LPA finds allegations to be (S) Substantiated - A finding that the complaint is Substantiated means that the allegation is valid because the preponderance of the evidence standard has been met.

SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Graham Gunby
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 59-AS-20250312083749
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO NORTH ASC, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827

FACILITY NAME: ABOUTLIFE CARE FACILITY
FACILITY NUMBER: 312700311
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 06/27/2025
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
07/04/2025
Section Cited
HSC
87224(a)
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87224(a) Eviction Procedures. The licensee may, upon thirty (30) days written notice to the resident, ....., development of a need not previously identified, and/or a change of use of the facility.
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Administrator to review regulation 87224 and submit to CCL a letter of understanding of the eviction process. Letter of understanding due by 06/04/25.
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This requirement is not met as evidenced by: Based on interviews the licensee did not provide R1 and R1's representative with a written 30 day notice which poses a potential health and personal risk to residents in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Troy Ordonez
LICENSING EVALUATOR NAME: Graham Gunby
LICENSING EVALUATOR SIGNATURE:

DATE: 06/27/2025
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 06/27/2025
LIC9099 (FAS) - (06/04)
Page: 3 of 3