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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 197610315
Report Date: 01/29/2024
Date Signed: 01/29/2024 11:12:19 AM

Document Has Been Signed on 01/29/2024 11:12 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		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 PCHFACILITY NUMBER:
197610315
ADMINISTRATOR:BRAMWELL, LUCIAFACILITY TYPE:
772
ADDRESS:27407 PACIFIC COAST HIGHWAYTELEPHONE:
(310) 457-6300
CITY:MALIBUSTATE: CAZIP CODE:
90265
CAPACITY: 6CENSUS: 6DATE:
01/29/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME BEGAN:
10:00 AM
MET WITH:Lucia Bramwell, Adminsitrator TIME COMPLETED:
11:20 AM
NARRATIVE
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An informal meeting was held today at the Woodland Hills Regional Office to discuss recent deficiencies and provide guidance to ensure future compliance.

Prior to the meeting, Licensee was given the chance to review the facility file.

Present at today's meeting were the following:
  • Lucia Bramwell - Nguyen - Administrator
  • Avonlea Ware - Compliance Officer
  • Tracy Burns - Program Clinical Director
  • Nichelle Gillyard - Licensing Program Manager (LPM)
  • Eva Miller - Licensing Program Manager (LPM)
  • Angela Panushkina - Licensing Program Analyst (LPA)
  • Perchui Milena Khurshudyan - Licensing Program Analyst (LPA)


The informal conference process was explained to the Licensee. The Licensee was also informed that this Informal Meeting is a part of the Administrative Action Process. Further citations may result in a Non-Compliance Conference, which could lead to a referral to the Department's Legal Division for possible license revocation or other Administrative Actions.

BRIEF HISTORY: The facility Paradigm Malibu PCH has been in operation since licensure on 01/19/2023. From January 2023 to present, the Department received one (1) complaint (dated on 01/11/2024).

Continue on LIC809-C
SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE: DATE: 01/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/29/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 3
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION 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: 01/29/2024
NARRATIVE
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On 01/18/24 an unannounced visit was conducted by LPA Panushkina and the facility was cited for Section 81022(a)(j) PLAN OF OPERATION: (a) Each licensee shall have and maintain on file a current, written, definitive plan of operation. During that visit LPA completed the investigation and a final, Substantiated report was delivered. (j) The facility shall operate in accordance with the terms specified in the plan of operation and may be cited for not doing so. During todays meeting LPM team discussed the importance of facility Fire Clearance and over capacity. LPM Miller informed the Administrator that the facility must always operate within the Program Plan and cannot exceed it's license approved capacity. Also, during todays visit, it was determined that the facility will be cited for the Section 81010(c) Limitations on Capacity and Ambulatory Status:

Deficiency cited on LIC809-D

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

DATE: 01/29/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:

DATE: 01/29/2024
LIC809 (FAS) - (06/04)
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Document Has Been Signed on 01/29/2024 11:12 AM - It Cannot Be Edited


Created By: Angela Panushkina On 01/29/2024 at 09:04 AM
Link to Parent Document Below:
STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
, 21731 VENTURA BLVD., STE. 250
WOODLAND HILLS, CA 91364

FACILITY NAME: PARADIGM MALIBU PCH
FACILITY NUMBER: 197610315

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 01/29/2024
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type A
01/30/2024
Section Cited
CCR
81010(c)

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Limitations on Capacity and Ambulatory Status: (c) The total capacity of all program types certified for one facility shall not exceed the total licensed capacity of the facility.

This requirement is not met as evidenced by:
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Administrator will submit a Program Design on how the facility will be operating, moving forward to prevent overcapacity.

This is a zero tolarance and an immediate civil penalty of $500.00 will be assessed
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Based on LPAs observation and interviews conducted on 01/18/24, the licensee did not comply with the section cited above by comminglilng clients between both facilities, which poses an immediate 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.
SUPERVISOR'S NAME:Nichelle Gillyard
LICENSING EVALUATOR NAME:Angela Panushkina
LICENSING EVALUATOR SIGNATURE:
DATE: 01/29/2024
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 01/29/2024


LIC809 (FAS) - (06/04)
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