Abounding Love Iii.

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.

A virtual office meeting was held today, 07/03/25, via Microsoft Teams. In attendance were Licensing Program Analysts (LPAs) Vincent Moleski and Pang Lee, Licensing Program Manager (LPM) Czarrina Camilon-Lee, local long-term care ombudsman Patrice Wright and Byron Toliver, and licensee/administrator Julie Nonu. Attendees of this meeting met on 05/21/25 to discuss a decision and order which effectively revokes the licenses for Abounding Love Care Home, Abounding Love II, and Abounding Love III as of 07/07/25. Applications were submitted to change ownership at each facility. This meeting was called to discuss plans for resident relocations at each facility in the event that the change of ownership applications cannot be processed by 07/07/25. Additional meetings to discuss these plans were held on 06/24/25, 06/26/25, and 07/02/25. LPA Lee visited Abounding Love III on 07/01/25 to conduct a pre-licensing inspection for the new applicant. The applicant passed the inspection, and the Centralized Applications Bureau will expedite their licensure. LPA Lee visited Abounding Love Home Care on 07/03/25 to conduct a follow-up pre-licensing inspection to ensure deficiencies observed on 07/01/25 were corrected. The applicant passed the inspection, and the Centralized Applications Bureau will expedite their licensure. LPA Moleski visited Abounding Love II on 07/03/25 to conduct a pre-licensing inspection for the new applicant. The applicant passed the inspection, and the Centralized Applications Bureau will expedite the licensure process. No deficiencies were cited during this meeting. An exit interview was held, and a copy of this report was emailed to Nonu to sign and send back the updated version to this LPA.

A virtual office meeting was held today, Wednesday July 2, via Microsoft Teams. In attendance were Licensing Program Analysts (LPA) Vincent Moleski and Pang Lee, Licensing Program Managers (LPMs) Stephen Richardson and Czarrina Camilon-Lee, Regional Manager (RM) Stephenie Doub, local long-term care ombudsman representatives Patrice Wright and Byron Toliver, and licensee/administrator Julie Nonu. Attendees of this meeting previously met on 5/21 to discuss a decision and order which effectively revokes the licenses for Abounding Love Home Care, Abounding Love II, and Abounding Love III as of July 7. Applications were submitted to change ownership at each facility. This meeting was called to discuss plans for resident relocations at each facility in the event that the change of ownership applications cannot be processed by July 7. Additional meetings to discuss these plans were held on June 24 and June 26. LPA Lee visited Abounding Love III on July 1 to conduct a prelicensing inspection for the new applicant. The applicant passed, and the Centralized Applications Bureau will expedite their licensure. LPA Lee visited Abounding Love Home Care on July 1 to conduct a prelicensing inspection for the new applicant. LPA Lee said she will have to make a follow up visit on July 3 to confirm corrections have been made. In the event they have, the new applicant will pass their prelicensing inspection. Nonu said that the new applicant at Abounding Love II did not pass their fire inspection on July 1 because the facility's smoke detectors were over 10 years old. Nonu said corrections have been made, but the fire inspector still needs to make a return visit to pass the applicant. According to Nonu, Component II orientation for the applicant will take place tomorrow. [continued on 809-C] 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 LPM Richardson asked if residents at any of the three facilities have been relocated. Nonu said that one resident has moved out of Abounding Love Home Care. Nonu said that a family member is thinking of potentially moving a resident out of Abounding Love II, but she will have to discuss this further with the family member. Participants of this meeting agreed to meet again on July 3 at 4 p.m. No deficiencies were cited during this meeting. An exit interview was held and a copy of this report was emailed to Nonu to sign.

A virtual office meeting was held today, Thursday June 26, via Microsoft Teams. In attendance were Licensing Program Analyst (LPA) Kevin Gould, Regional Manager (RM) Stephenie Doub, Licensing Program Managers (LPMs) Stephen Richardson and Czarrina Camilon-Lee, local long-term care ombudspersons Patrice Wright, and Byron Toliver and licensee/administrator Julie Nonu. Attendees of this meeting previously met on 5/21 to discuss a decision and order which effectively revokes the licenses for Abounding Love Care Home, Abounding Love II, and Abounding Love III as of July 7. Applications were submitted to change ownership at each facility. This meeting was called to discuss plans for resident relocations at each facility in the event that the change of ownership applications cannot be processed by July 7. LPM Richardson provided updates for all three facilities as part of the change of ownership for each facility. Two facilities have a pre-licensing inspection scheduled for Tuesday, July 1, 2025. The 3rd facility has a scheduled component III orientation scheduled for Friday, June 27, 2025. RM and LPMs discussed notifications and placement options provided to residents in the event pre-licensing exceeds the department orders. licensee provided updates to applicant fire clearance to meet the populations served and present in the currently licensed facilities. Participants agreed to meet again on July 2, 2025 at 11:00am to continue this discussion and provide additional updates. No deficiencies were cited during this meeting. An exit interview was held and a copy of this report was emailed to Nonu to sign.

A virtual office meeting was held today, Tuesday June 24, via Microsoft Teams. In attendance were Licensing Program Analyst (LPA) Vincent Moleski, Licensing Program Managers (LPMs) Stephen Richardson and Czarrina Camilon-Lee, local long-term care ombudsperson Patrice Wright, and licensee/administrator Julie Nonu. Attendees of this meeting previously met on 5/21 to discuss a decision and order which effectively revokes the licenses for Abounding Love Care Home, Abounding Love II, and Abounding Love III as of July 7. Applications were submitted to change ownership at each facility. This meeting was called to discuss plans for resident relocations at each facility in the event that the change of ownership applications cannot be processed by July 7. LPM Richardson explained that applications for homes II and III may not be completed and approved by July 7, and asked what Nonu's plan was in the event that relocations were necessary. Nonu said that a fire clearance was completed today for the applicant at Abounding Love III. The Centralized Applications Bureau will follow up with the applicant at Abounding Love III to confirm details. Nonu asked for an extension for Abounding Love II, which has not yet received a new fire clearance, because residents and their families do not want to relocate. LPM Richardson informed Nonu that continued operation beyond July 7 will result in civil penalties for unlicensed operations. The decision and order which will effectively revoke Nonu's licenses was dated April 30, 2025, and prior notice had been given to Nonu that relocations may be necessary. Participants agreed to meet again later this week to continue this discussion. No deficiencies were cited during this meeting. An exit interview was held and a copy of this report was emailed to Nonu to sign.

A virtual office meeting was held today, May 21, 2025. In attendance were Licensing Program Analysts (LPAs) Vincent Moleski, Pang Lee, and Shakaricka Hughes, Licensing Program Managers (LPMs) Stephen Richardson and Czarrina Camilon-Lee, and Regional Manager (RM) Stephenie Doub, along with local long-term care ombudsman representatives Patrice Wright and Byron Toliver, and licensee/administrator Julie Nonu. LPAs Moleski and Lee read over a decision and order dated April 30, 2025. The decision and order states that Nonu's licenses at Abounding Love Home Care, Abounding Love II, and Abounding Love III will be revoked, effective as of July 7, 2025. Additionally, the decision and order states that Nonu will be prohibited from: being a licensee of, employment in, presence in, being an administrator of, or having contact with any resident of any facility licensed by the California Department of Social Services, effective as of July 7, 2025, for life. RM Doub asked what Nonu's plan is regarding relocation of residents. Nonu said that she has provided 60-day notices to all residents and/or responsible parties, and that applications to conduct a change of ownership at all three facilities have been submitted. Copies of the notices provided to LPAs Moleski and Lee indicate that new ownership will be taking over the facilities after receiving their own licenses. Nonu provided the names of the applicants. RM Doub informed Nonu that residents must be relocated by July 7, 2025 if new licenses are unable to be issued to the applicants by that date. An exit interview was held with Nonu and a copy of this report was emailed to her to sign.

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced on February 20, 2025 to follow up on a substantiated complaint investigation. LPA Moleski sent a text message to facility administrator Julie Nonu explaining the purpose of the visit. Nonu was not available at the time of this visit, but said staff member Ratumanoa Namusudroka could sign this report in her absence. On September 19, 2023, the Department concluded a complaint investigation which alleged that staff did not ensure that a resident (R1) was adequately fed while in care, and that, due to staff neglect, a resident sustained pressure injuries while in care. Both allegations were substantiated, and the licensee was cited for California Code of Regulations, Title 22, Section 87464(f)(3) Basic Services and California Code of Regulations, Title 22, Section 87211(a)(1)(B) Reporting Requirements. Resident 1 (R1) was admitted to this facility on September 27, 2022, with no pressure injuries documented on R1’s LIC 602. The LIC 602 also indicated that R1 did not have a history of skin breakdown, and R1’s preadmission appraisal did not indicate any other injuries or wounds. An incident report sent by this facility to the Department on June 12, 2023, indicated that R1 was sent to the hospital on June 8, 2023, due to pain from an open wound. According to R1’s medical records, R1 was diagnosed with multiple pressure injuries, including a stage 3 to 4 wound on the sacrum, stage 3 wounds on the ankles and thighs, and a stage 1 injury on the left heel. R1’s medical records indicated a “concern for inadequate level of care” and “neglect.” The medical records show that R1 was discharged on June 9, 2023, with wound care instructions and supplies, and a referral for home health services, which were never acquired. [continued on 809-C] 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 R1 was sent back to the hospital on June 24, 2023, with a stage 3 pressure injury in an unspecified location, a stage 4 pressure injury on the sacrum, a stage 4 wound on the left thigh, an unstageable wound on the right thigh, and a stage 1 wound on the left foot, according to medical records. Interviews were conducted with Nonu and two staff members (S1-S2). S2 said they were “constantly” notifying Nonu of the wounds in order to secure wound care for R1. S2 said that R1 needed a higher level of care and said R1 was not taken to the hospital sooner because Nonu did not take the wounds seriously. Nonu said that R1 needed a higher level of care and said that R1 should have been sent to the hospital sooner. At the time of the complaint visit on September 19, 2023, no immediate civil penalties were assessed, but the licensee was informed that civil penalties may be assessed at a later date, pursuant to Health and Safety Code Section 1569.49. The Department has concluded an analysis and has determined that a civil penalty is warranted for serious bodily injury. The Welfare and Institutions Code Section 15610.67 defines serious bodily injury as “an injury involving extreme physical pain, substantial risk of death, or protracted loss or impairment of a function of a bodily member, organ, or of mental faculty, or requiring medical intervention, including but not limited to, hospitalization, surgery, or physical rehabilitation.” This is evidenced by the facility not providing the care and supervision necessary to meet R1’s wound care and nutritional health care needs resulting in worsening pressure injuries and weight loss due to protein calorie malnutrition. Today, February 20, 2025, the Department is assessing a civil penalty per Health and Safety Code Section 1569.49 for a violation that the Department constitutes as a serious bodily injury in the amount of $10,000. An exit interview was held with Namusudroka. Appeal rights and a copy of this report were left with Namusudroka. Namusudroka's signature on this report acknowledges receipt of the appeal rights, which are found on page two of the LIC 421D form.

Licensing Program Analyst (LPA) Pang Lee arrived at this facility unannounced on 01/09/2025 at 8:26 AM to conduct a case management visit. LPA Lee met with direct care staff Ratumanoa Namusudroka and explained the purpose of the visit. A telephone call was made to administrator Julie Nonu to inform her that Community Care Licensing Department (CCLD) is present in the home. LPA Lee spoke with administrator regarding the purpose of today’s visit and the deficiency observed on 12/03/2023. Administrator stated that she won’t be able to join the visit and care staff Ratumanoa can sign the report. The purpose of this visit is to follow up on deficiency identified during the annual inspection conducted on 12/03/24. During the inspection, it was learned that the facility sketch did not match the physical layout of the plant observed. According to facility records, the facility is licensed for 6 non-ambulatory residents and approved for 2 hospice waivers. The LIC 850 and facility sketch submitted to the department on 11/08/19 indicate that the facility was approved for 6 non-ambulatory residents in bedrooms 1 through 6. The sketch did not designate a specific room for facility staff. However, during the 12/03/24 inspection and interview, it was revealed that the facility is using bedroom 4 as a staff/office room, which has not been licensed or fire cleared for such use. It was also observed that one resident occupies each of bedrooms 1, 3, 5, and 6, while 2 residents occupy bedroom 2. During today’s visit, the LPA advised the administrator to submit an updated facility sketch, designating bedroom 4 as a staff/office room. Additionally, LPA informed the administrator that an LIC 850 Fire Safety Inspection Request may be needed and reviewed by a fire inspector. The administrator confirmed that an updated facility sketch will be submitted to LPA Lee by 01/16/25. LPA Lee informed administrator that any changes to the facility physical plant must be reported to (CCLD) and ensures that the physical plant and facility sketch aligns with each other and is current at all times. As a result of this case management visit, the facility is in compliance with Title 22 Regulation. An exit interview was conducted, and a copy of LIC 9102 Technical Violation was provided to the facility.

Licensing Program Analyst (LPA) Pang Lee arrived unannounced to conduct a health and safety case management visit. The facility is on a quarterly visit due to non-compliance concerns discussed during an office meeting on 04/23/2024. LPA met with care giver Ratumanoa Namusudroka who then notified administrator Julie Nonu that CCLD were present in the home. Administrator was not able to join the visit. LPA explained the purpose of the visit. The census is 6 with 1 facility staff. LPA and care staff Ratu Manoa toured the physical plant to ensure compliance with Title 22 regulations. LPA observed 6 bedrooms, 2 resident bathrooms, common area, staff room, smoking area, kitchen, laundry room, garage, and the courtyard. LPA observed resident bedrooms to have necessary furniture and furnishings. Bedrooms were equipped with a bed, chair, dresser, and closet space. Bathrooms handrails and non-skid mats are in good repair. Hot water temperature was measured at 114.6 degrees Fahrenheit in resident bathroom sink, which is within the required regulation of 105 to 120 degrees Fahrenheit. Fire extinguishers were up to date and fully charge. No emergency exits were obstructed. LPA reviewed food supply to ensure that the facility had a 2-day perishable and 7-day nonperishable food supply and it were sufficient. LPA observed the garage and observed the laundry room where it was observed that detergent, and all cleaning supplies were locked and made inaccessible to residents at this time. Knives were observed to be locked and made inaccessible. First aid kit was checked, and it is complete. LPA requested to review 5 resident files and 2 staff files. Staff files and resident files were observed to be complete. LPA Lee reviewed 4 resident medications and it was not accurate and complete. As a result of this visit, the facility is not in compliance with Title 22 Regulation, and the deficiency will not be cited since citations is already being issued on 12/03/2024 annual inspection. An exit interview was conducted, and a copy of these LIC 809 report was provided to the facility.

THIS IS AN AMENDED VERSION OF THE ORIGINAL REPORT CREATED ON 07/23/2024. Based on facility staff interviews on 01/10/2024, (R1) went to the bathroom and slid out of (R1)’s wheelchair or off the toilet. Facility staff contacted Alpha One to help lift (R1) and transport (R1) to the ER, but (R1) refused to go. (R1) was then transferred back into (R1)’s bed. Based on Alpha One document it was noted that (R1) refused to be transported and was document dated on 01/10/2024. Both (S1) and administrator stated that they never saw any signs or symptoms of (R1) being sick while at the facility. Based on (R1)’s Nurse Practitioner (NP), (NP) stated that she/he does not believe the facility staff could have done anything to prevent (R1) from getting (RSV). (NP) believes there was nothing the facility could have done to help (R1) survive the virus and that it would not have made a difference if (R1) was sent to the hospital sooner. (NP) last saw (R1) was on 01/10/2024 and that (R1) “seemed fine” and that (R1) numbers/vitals call came back good. Based on the other residents who also lived in the home did not disclose any serious complaints or concerns regarding living in the facility. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED . Allegations: staff did not ensure a resident attended a scheduled medical appointment. It was alleged that staff did not ensure a resident attended a scheduled medical appointment This investigation consisted of records reviewed, interviews with staffs, residents, and (R1)’s Nurse Practitioner (NP). Based on records review there were no evidence and documentation that (R1) had an appointment on 01/12/2024. Based on facility staff interview (S1) and (S2) did not know anything about (R1) having a scheduled medical appointment on 01/12/2024. Moreover, based on interview with (R1)’s Nurse Practitioner (R1) did not have a scheduled appointment on 01/12/2024. The investigation revealed the preponderance of evidence standards have not been met; therefore, the above allegations are found to be UNSUBSTANTIATED . 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 THIS IS AN AMENDED VERSION OF THE ORIGINAL REPORT CREATED ON 07/23/2024.

A Non-Compliance Conference (NCC) was conducted today on April 23, 2024, via Microsoft Teams with the Sacramento South Regional Office. The purpose of this Non-Compliance Conference meeting to discuss compliance issues at the facility and the steps the facility is taking to address the Departments’ concerns. Present in the meeting is Regional Manager (RM) Stephenie Doub, Licensing Program Manager (LPM) Czarrina Camilon-Lee, Licensing Program Manager (LPM) Stephen Richardson, Licensing Program Analysts (LPA) Pang Lee, Licensing Program Analysts Vincent Moleski, Ombudsman Suhair Siraj, Licensee Julie Noun, and licensing attorney Jacob Reinhardt. During this virtual meeting, the Non-Compliance Conference process was explained to the Licensee. A Non-Compliance Conference Summary (LIC 9111) was generated to document this office meeting. A copy of this report and the LIC 9111 was provided to the licensee. The facility has previously received 17 Type A citations and 9 Type B citations since 09/19/2019. Issues discussed during the meeting were: · Following plan of operations · Administrator Qualifications and Duties · Follow Hospice Care Plan · Incidental Medical and Dental Care Services · Approve training through vendors with the department. · Maintenance and Operations (Cockroaches) · Building and Grounds (not in good repair) · Eviction Procedures · AWOL Continued on LIC 809-C 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 · Reporting Requirements · 911 Calls and alert medical for assistance · Pre-appraisals and appraisals based on residents change of conditions. · Residents and staff files incomplete · Pressure Injuries The facility has stated they will agree to do the following: · Licensee agrees to put in place a written plan for residents repositioning and skin check. Written plan is due to the department by 05/03/2024. · Licensee agrees to put in place a written log for building and grounds due to the department by 05/03/2024. · Licensee agrees to put in place a written plan for round check on residents whereabouts due to the department by 05/03/2024. · Licensee agrees to put in place a written plan for round checks on door alarms to ensure they are in good repair due to the department by 05/03/2024. · Licensee agrees to put in place a written plan for when to call 911 due to the department by 05/03/2024. · Licensee agrees to put in place an eviction template due to the department by 05/03/2024. · Licensee agrees to put in place a designated smoking area for residents with an updated facility sketch due to the department by 05/03/2024. · Licensee will send the department an updated LIC 500. Notwithstanding the above statement, the Department will take the following actions: · The facility will continue to have additional monitoring and facility inspections to verify improvement in compliance. · Facility designated Administrator and Licensee have agreed to enlist services from TSP. The Department will set up TSP services. Failure to maintain substantial compliance outlined on the LIC 809 reported dated 04/23/2024 will result in the Licensee/Facility being referred to the Legal Department for review and possible Administrative Action. The RO will revisit compliance in 9-12 months and begin the legal process if the facility is not in compliance. An exit interview was conducted, and a copy of this report was provided to the facility.

Licensing Program Analyst (LPA) Vincent Moleski arrived unannounced to conduct a collateral visit. LPA Moleski spoke with facility administrator Julie Nonu over the phone and explained the purpose of the visit. Nonu said staff member Ehon Mellis could sign this report in her absence. LPA Moleski interviewed a resident (R1). No deficiencies were cited during this visit. An exit interview was held and a copy of this report was left with Mellis.

Licensing Program Analyst (LPA) Pang Lee arrived at the facility on 11/06/2023 at 1:42 PM to conduct an unannounced Plan of Correction (POC) visit. LPA Lee was greeted by care staff, Ehon Mellis and asked staff to call the Facility Designated Administrator, Julie Adriana to let her know that CCL was present at this time for a POC visit. The current Census is 4 with 1 staff present in the facility. LPA explained the purpose of the visit. The purpose of this visit is to follow-up on a plan of correction that was due 10/18/2023 and 10/24/2023. Administrator, Julie Adriana sent pictures of POC on 10/18/2023; however, LPA Lee needed to conduct a POC visit to ensure that resident bedroom #3 window screen is placed on the window and that resident bedroom #2, the hole in the wall with exposed wire has been covered up. LPA Lee toured and inspected the facility to ensure the deficiency previously cited on 10/17/2023 have been corrected. LPA reviewed staff criminal record clearances and a review of staff records indicates that all facility staff or other individuals who require caregiver background checks are fingerprint cleared and associated to the facility. Based upon this inspection, LPA Lee observed the following: 1. Deficiency cited under Title 22 Regulation 80087(a )(1) has been cleared. The license complied with the terms of the POC by POC due date. A POC letter was generated and provided to the licensee. 2. Deficiency cited under Title 22 Regulation 87303(a) has been cleared. The license complied with the terms of the POC by POC due date. The administrator complied with the terms of the POC by POC due date. Facility was provided with POC cleared letter. Exit interview conducted and a copy of this report provided.