Facility Evaluation Report

On 09/29/23, Licensing Program Analyst (LPA) Jeremiah Randle conducted a case management visit in conjunction to a complaint visit conducted today at this facility. LPA met with Assoc. Executive Director Jayden Bettencourt and explained the purpose of the visit.

During a complaint investigation visit on 06/28/23 control # 11-AS-20230627152651, LPA identified Staff Trevor Weiss

in conjunction to a complaint visit conducted on 06/28/23. Staff Trevor Weiss does not have a Criminal Record Clearance associated to the facility named above in the Complaint.

During a complaint investigation visit on 06/28/23 control # 11-AS-20230627152651, LPA identified Administrator Matan Burstyn, or designated staff did not timely report incident of Financial Abuse to CDSS CCLD.

The licensee violated Title 22 Regulations 82711- Reporting Requirements and 87355 - Criminal Record Clearance California Code of Regulations (Title 22, Division 6, Chapter 8), deficiencies were observed, and citations were issued (ref. LIC 9099-D). Civil Penalties are Assessed.

An exit interview was conducted and a copy of this report and appeal rights provided to Assoc.Executive Director Jayden Bettencourt.