Senior Care Records.

Facility Evaluation Report

Partners for Independence- Inclusion CTR., Burlingame10/16/2025Licence 419210013

Capacity60
Census34
Date signed10/16/2025 10:53:59 AM
Name of licensing program analystMurial Han
Name of licensing program managerApril Cowan
The inspector’s account

On October 16, 2025 San Bruno Regional Office- San Bruno Unit conducted a non-compliance conference office meeting.

- Facility Licensees, Matthew Haake-Canon and Adam Canon

- CCLD Licensing Program Manager April Cowan

- CCLD Licensing Program Manager Brenda Chan

- CCLD Licensing Program Analyst Murial Han

During the non-compliance meeting, the following serious violations were discussed: 82078(a) Responsibility for Providing Care and Supervision and 82072(a)(3) Personal Rights.

During this meeting, the compliance plan was developed and discussed with the licensee which includes more frequent monitoring inspection visits to ensure compliance with this compliance plan and Title 22 Regulations for 2 years. Licensee was provided the link below for resources and guidance to improve facility operations:

https://www.cdss.ca.gov/inforesources/community-care/resource-guide-for-providers .

During the meeting, the Licensees expressed that the facility currently has no plan to admit additional clients.

This report was reviewed with the administrator and licensees and a copy of the report and appeal rights were provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction