Facility Evaluation Report

Licensing Program Analyst (LPA) Yelena Avetisyan conducted an unannounced Virtual Case Management Deficiencies visit due to deficiencies observed during the investigation of complaint control 31-AS-20210416135138 on 4/20/2021.

Upon entrance to the facility LPA was greeted by 2 staff. At 3:35 pm LPA spoke with the licensee who stated that she would come to the facility shortly. Administrator arrived approximately 4:05 pm.

LPA held a discussion Ms. Karbachinskiy regarding the status of her administrator certificate. Per Licensee she has not completed all the required classes and has not hired a certified administrator to oversee the facility.

Prior to this visit LPA conducted a review of the licensing information system and obtained the names of all staff who are associated with the facility. Upon review of the records LPA observed that the 2 staff working at the facility are not associated with the facility. At 4:14 pm LPA called the Woodland Hills Regional office and clarified that staff 1 (S1) has criminal record clearance, however staff 2 (S2) does not have criminal record clearance. A discussion was held with the administrator regarding criminal record clearance requirements.

Exit interview conducted, copy of report, citations, civil penalties and appeal rights issued.