Complaint Investigation Report

565850067-1-13-2023-29-AS-JAPL-CNDVKX-20230124153103

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

CCLD Regional Office , 21731 VENTURA BLVD. #250

This is an official report of an unannounced visit/investigation of a complaint received in our office on

01/12/2023 and conducted by Evaluator Teresa Camara

COMPLAINT CONTROL NUMBER: 29-AS-20230112141812

Facility is operating without a certified administrator

Licensing Program Analyst (LPA) Teresa Camara conducted a complaint visit to the facility. LPA met with licensee Dan Zaharoni and explained the reason for the visit.

On 12/2/2022, the management company for this facility changed. During the transition Briman Vivar (Vivar) has been the acting administrator. LPA confirmed that Vivar has a current administrator certification. Licensee acts as a back-up to the acting administrator. Licensee is in the process of obtaining his own adminsitrator certification and intends to name Vivar as the administrator/executive director of the facility. Licensee will submit all necessary documentation in order to make the change to Vivar as the administrator by 1/20/2023.

Based on the above information the allegation that the facility is operating without a certified administrator is deemed Unsubstantiated at this time. Exit interview conducted. Today's report was emailed to the licensee and acting administrator.