197610485-4-29-2026-31-AS-NGID-DV3U8K-20260615152141

Community Care Licensing

COMPLAINT INVESTIGATION REPORT

Facility Number: 197610485
Report Date: 04/28/2026
Date Signed: 04/29/2026 07:39:27 PM

Unsubstantiated

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
01/05/2026 and conducted by Evaluator Angela Panushkina

COMPLAINT CONTROL NUMBER: 31-AS-20260105115721

FACILITY NAME:	AMEND TREATMENT		FACILITY NUMBER:	197610485
ADMINISTRATOR:	JAYDEN BEVAN		FACILITY TYPE:	772
ADDRESS:	6758 WILDLIFE ROAD		TELEPHONE:	(805) 912-6363
CITY:	MALIBU	STATE: CA	ZIP CODE:	90265
CAPACITY:	6	CENSUS: 3	DATE:	04/28/2026
		UNANNOUNCED	TIME BEGAN:	10:00 AM
MET WITH:	Megan Wu, Program Director		TIME COMPLETED:	02:30 PM

ALLEGATION(S):

1
2
3
4
5
6
7
8
9

Facility does not have an Administrator
Licensee is not ensuring that resident's needs are being met while in care

INVESTIGATION FINDINGS:

1
2
3
4
5
6
7
8
9
10
11
12
13

At 10:00am, Licensing Program Analyst (LPA), Angela Panushkina conducted an unannounced subsequent visit to deliver final findings. LPA met with the Program Director and explained the reason for the visit.

During the initial visit conducted on 01/07/2026, LPA requested client and staff roster. At approximately 10:20am, LPA conducted a physical plant tour, to ensure health and safety of the residents are protected. Between 10:30am - 12:30pm, LPA conducted an interview with the Director of Hospitality, Clinical Director, Therapist, Lead Nurse, Lead Clinical Assistant and four (4) out of six (6) clients. Additionally, LPA conducted a telephonic interview with the facility's Psychiatrist.

During today's visit LPA obtained updated client and staff rosters.

Continue on LIC9099-C

Unsubstantiated

Estimated Days of Completion:

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026

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 2

Control Number 31-AS-20260105115721

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: AMEND TREATMENT	FACILITY NUMBER: 197610485
	VISIT DATE: 04/28/2026

NARRATIVE

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32

Allegation: Facility does not have an Administrator.

During the course of the investigation, the Licensing Program Analyst (LPA) reviewed facility records and emails. On 01/04/2026, former Administrator notified LPA (via email) that “effective immediately, they are no longer serving in the role of Acting Administrator or Program Director for Amend Treatment (Lic# 19760485 and Lic#197610497).” Interview with the Director of Hospitality confirmed that the facility currently has no assigned Administrator, however, the licensee is in a process of hiring a new one. On 01/08/2026, LPA received a phone call from the Chief Executive Officer and was informed that all required documents for the new Administrator will be submitted by 01/14/2026. The facility followed all proper procedures related to reporting requirements. Written notification of the change in Administrator/Program Director was submitted to the licensing agency within the required 10 working days (on 01/14/2026), and all documentation was provided as required under CCR, Title 22, Section 81061(j)." Therefore, based on interviews and record reviews this allegation is deemed Unsubstantiated, at this time.

Allegation: Licensee is not ensuring that resident's needs are being met while in care

Facility staff are not adequately providing resident assistance and supervision while in care. Administrator and staff interviewed stated that staff are providing adequate assistance and supervision. Staff interviewed stated that they check on clients frequently, and they assist all clients according to their care plan. All clients interviewed expressed no concern regarding this allegation and informed LPA that staff are providing them with assistance, as needed, and always meet their needs. During the initial visit LPA also conducted a physical plant observation of the facility, including common areas, resident rooms, and areas where services are provided. LPA observed clients present at the facility and did not observed any immediate health and safety concerns. LPA also observed that staff are responding to clients requests and meet their needs promptly. Therefore, based on interviews and LPA observation this allegation is deemed Unsubstantiated, at this time.

No deficiency cited during this visit.

Exit interview conducted and copy of this report signed and delivered.

SUPERVISORS NAME: Nichelle Gillyard
LICENSING EVALUATOR NAME: Angela Panushkina
LICENSING EVALUATOR SIGNATURE:	DATE: 04/28/2026

I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.

FACILITY REPRESENTATIVE SIGNATURE:

DATE: 04/28/2026

LIC9099 (FAS) - (06/04)

Page: 2 of 2