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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 315002794
Report Date: 01/08/2024
Date Signed: 01/08/2024 03:19:46 PM

Unfounded


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
01/03/2024 and conducted by Evaluator Kevin Mknelly
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20240103161434
FACILITY NAME:LOVE & LIGHTFACILITY NUMBER:
315002794
ADMINISTRATOR:ROMANOVA, LARISAFACILITY TYPE:
740
ADDRESS:6032 CRATER LAKE DR.TELEPHONE:
(916) 749-3181
CITY:ROSEVILLESTATE: CAZIP CODE:
95678
CAPACITY:6CENSUS: 5DATE:
01/08/2024
UNANNOUNCEDTIME BEGAN:
01:05 PM
MET WITH:Larisa RomanovaTIME COMPLETED:
03:30 PM
ALLEGATION(S):
1
2
3
4
5
6
7
8
9
Facility staff are neglecting resident
Facility staff are denying resident of receiving medical care
INVESTIGATION FINDINGS:
1
2
3
4
5
6
7
8
9
10
11
12
13
 On 1/8/24 , Licensing Program Analyst (LPA) Kevin Mknelly LPA Mknelly arrived and met with Administrator to investigate the complaint and to deliver investigation findings.
LPA interviewed resident R1, who was the subject of the complaint.
LPA finds that facility met Tittle 22 requirements.
R1 stated that this complaint should never have been filed. R1 stated that they are receiving assistance for all of their needs. R1 makes their own medical appointments and facility staff always assist with transportation as needed. R1 stated that they felt that a hospital employee must have misunderstood what was said over the phone. R1 stated that they feel safe at the home and that they feel well enough that they wish to pursue a return to living independently at home. R1 stated that Police and Ombudsman have investigated also and R1 has told them all that he is fine.
This agency has investigated the above complaint allegations. We have found that the complaint is UNFOUNDED, meaning that the allegation was false, could not have happened and/or is without a reasonable basis. We have therefore dismissed the complaint.
Exit interview conducted and report provided.
Unfounded
Estimated Days of Completion:
SUPERVISORS NAME: Maribeth Senty
LICENSING EVALUATOR NAME: Kevin Mknelly
LICENSING EVALUATOR SIGNATURE:

DATE: 01/08/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/08/2024
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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