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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 315002882
Report Date: 11/04/2025
Date Signed: 11/04/2025 02:00:37 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
10/24/2025 and conducted by Evaluator Melissa Parks
PUBLIC
COMPLAINT CONTROL NUMBER: 59-AS-20251024160721
FACILITY NAME:NADIA'S CARE HOME LLCFACILITY NUMBER:
315002882
ADMINISTRATOR:NADEJDA NICULAIFACILITY TYPE:
740
ADDRESS:2728 WESTVIEW DRIVETELEPHONE:
(916) 755-9575
CITY:LINCOLNSTATE: CAZIP CODE:
95648
CAPACITY:6CENSUS: 4DATE:
11/04/2025
UNANNOUNCEDTIME BEGAN:
01:25 PM
MET WITH:Nadia NiculaiTIME COMPLETED:
03:00 PM
ALLEGATION(S):
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Staff yelling at resident
Staff abusing resident
INVESTIGATION FINDINGS:
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Licensing Program Analyst (LPA) Melissa Parks arrived on Tuesday November 4, 2025, to conclude a complaint investigation regarding the above allegations. LPA met with Nadia and explained the purpose of the visit.

Throughout the course of the investigation, LPA interviewed the reporting party, R1's POA, Administrator, staff, and home health nurses for R1. LPA learned the following:

Allegations: Staff yell at resident; staff are abusing resident
LPA learned that R1 moved into the facility on October 16, 2025. Prior to this, R1 was in the hospital. R1 stated that they were yelled at and abused by staff. R1 had a diagnosis of major neurocognitive disorder due to Alzheimer’s Disease. Additionally, per R1’s physicians report, R1 had recently experienced hallucinations. R1’s POA was concerned that R1 had bruises on their arms. Home Health Nurses stated that these were from recent blood draws. No interviews conducted revealed that there were any witnesses to staff yelling nor abusing residents.
Unfounded
Estimated Days of Completion:
NAME OF LICENSING PROGRAM MANAGER: Maribeth Senty
NAME OF LICENSING PROGRAM ANALYST: Melissa Parks
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2025
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 59-AS-20251024160721
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: NADIA'S CARE HOME LLC
FACILITY NUMBER: 315002882
VISIT DATE: 11/04/2025
NARRATIVE
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Based on the evidence provided, the preponderance of evidence standards was not met, therefore, the above allegations are found to be UNFOUNDED. An unfounded allegation means that the allegation was false, could not have happened and/or is without a reasonable basis.

Exit interview conducted. A copy of this report was left at the facility.
NAME OF LICENSING PROGRAM MANAGER: Maribeth Senty
NAME OF LICENSING PROGRAM ANALYST: Melissa Parks
LICENSING PROGRAM ANALYST SIGNATURE:

DATE: 11/04/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 11/04/2025
LIC9099 (FAS) - (06/04)
Page: 2 of 2