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Department of
SOCIAL SERVICES

Community Care Licensing


COMPLAINT INVESTIGATION REPORT

Facility Number: 197610315
Report Date: 01/18/2024
Date Signed: 01/18/2024 05:13:50 PM

Substantiated


STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
This is an official report of an unannounced visit/investigation of a complaint received in our office on
01/11/2024 and conducted by Evaluator Angela Panushkina
COMPLAINT CONTROL NUMBER: 31-AS-20240111151100
FACILITY NAME:PARADIGM MALIBU PCHFACILITY NUMBER:
197610315
ADMINISTRATOR:BRAMWELL, LUCIAFACILITY TYPE:
772
ADDRESS:27407 PACIFIC COAST HIGHWAYTELEPHONE:
(310) 457-6300
CITY:MALIBUSTATE: CAZIP CODE:
90265
CAPACITY:6CENSUS: 4DATE:
01/18/2024
UNANNOUNCEDTIME BEGAN:
10:20 AM
MET WITH:Lucia Bramwell, Administrator TIME COMPLETED:
03:30 PM
ALLEGATION(S):
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Facility not following approved Program Plan
INVESTIGATION FINDINGS:
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At 10:20am, Licensing Program Analyst (LPA) Angela Panushkina conducted an unannounced initial complaint visit at this facility to investigate the above allegation. LPA met with Staff #1 (S1), who granted access to the facility. Administrator arrived shortly after, and LPA explained the reason for the visit.

During course of the investigation, interviews and record review were made. At 10:30am, LPA requested client and staff roster. At 10:40am, LPA requested copies of pertinent information which include, but not limited to Admission Agreement, Plan of Operation, etc., relevant to the investigation. At approximately 10:45am, LPA conducted a physical plant tour, to ensure health and safety of the clientss are protected and physical plant is in compliance with Title 22 Regulations. Between 11:00am – 1:10pm, LPA interviewed the Administrator, Intake Coordinator, Nurse and four (4) clients.


Continue on LIC9099-C
Substantiated
Estimated Days of Completion:
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.
LIC9099 (FAS) - (06/04)
Page: 1 of 3
Control Number 31-AS-20240111151100
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364
FACILITY NAME: PARADIGM MALIBU PCH
FACILITY NUMBER: 197610315
VISIT DATE: 01/18/2024
NARRATIVE
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It was alleged that the “Facility not following approved Program Plan.” On 01/08/2024 a credible witness conducted a visit to this facility and was advised that clients from the facility “PARADIGM MALIBU - BEACH HOUSE, LIC#: 197609798)” come here daily for the programming. Moreover, the credible witness also observed that the facility timesheets didn't identify the "house location" worked.

To investigate this allegation, LPA conducted an interview with the Administrator, two (2) staff members and four (4) clients and all confirmed that the Licensee combines clients from both facilities. In addition, Administrator informed LPA that commingling clients between two facilities helps to increase the frequency of individual and group sessions. Moreover, during today’s visit, LPA observed total of ten (10) clients and eight (8) staff members at the facility. Lastly, review of the Facility Program Plan, conducted by LPA at 12:00pm, did not include the practice of co-mingling clients with clients from the other facilities for the purpose of group/individual sessions or outings. Based on document reviews, LPA observation and interviews, this allegation is Substantiated.

Deficiencies were issued per CA code of Regulations Title 22 on LIC-9099D.

Exit interview conducted, appeal rights explained and a copy of this report signed and delivered.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
LIC9099 (FAS) - (06/04)
Page: 2 of 3
Control Number 31-AS-20240111151100
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

COMPLAINT INVESTIGATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: PARADIGM MALIBU PCH
FACILITY NUMBER: 197610315
DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/18/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
01/25/2024
Section Cited
CCR
81022(a)(j)
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81022(a) PLAN OF OPERATION: (a) Each licensee shall have and maintain on file a current, written, definitive plan of operation. (j) The facility shall operate in accordance with the terms specified in the plan of operation and may be cited for not doing so.
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Administrator will submit a Program Design on how the facility will be operating, moving forward to prevent overcapacity.
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Based on LPAs' observation and interviews, the licensee did not comply with the section cited above by not following facilities Plan of Operation and comminglilng clients between both facilities, which poses a potential health, safety or personal rights risk to persons in care.
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Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:

DATE: 01/18/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/18/2024
LIC9099 (FAS) - (06/04)
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