<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 565802457
Report Date: 01/17/2025
Date Signed: 02/21/2025 09:33:16 AM

Document Has Been Signed on 02/21/2025 09:33 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. #250
WOODLAND HILLS, CA 91364
FACILITY NAME:KESHER OLAMFACILITY NUMBER:
565802457
ADMINISTRATOR/
DIRECTOR:		HERSHKOVITZ, CAMIFACILITY TYPE:
735
ADDRESS:4234 HITCH BLVDTELEPHONE:
(805) 306-0606
CITY:MOORPARKSTATE: CAZIP CODE:
93021
CAPACITY: 8CENSUS: 4DATE:
01/17/2025
TYPE OF VISIT:OfficeUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
09:00 AM
MET WITH:Cami HershkovitzTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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
A virtual Informal Conference was conducted today. In attendance included Licensing Program Manager (LPM) Desaree Perera, Licensing Program Analyst (LPA) Zabel Chochian, Administrator/Licensee Cami Hershkovitz and representative Michelle Pietrantoni from Gould, Hahn & Reinhardt, PLC.
Introductions were held. Facility information on file was reviewed and verified. A new administrator is assigned and required records for change of administrator was received. Administrator qualifications and duties was discussed and facility profile will be updated to reflect new administrator as Marko Hershkovitz.

The purpose of this Informal Conference is to discuss issues and concerns pertaining to clients personal rights. Licensee was issued a deficiency on 09/24/2024 as a result of a complaint investigation related to clients personal rights (complaint control number 29-AS-20240318095900). LPM Perera and LPA Chochian discussed the concerns pertaining to the personal rights of clients and best practices that may be implemented to ensure future compliance with Regulation 80072 – Personal Rights. Licensee expressed that she is in disagreement with the finding and added that the deficiency issued was appealed. Licensee was informed that the appeal is pending review and the plan of correction is still required and due by 1/21/2025.
Discussion was held regarding clients conservatorship contracts and client personal rights. In addition, discussion was held regarding issues related to clients rights to have access to wifi and the facility practice of unauthorized search of clients belongings. Licensee stated that the facility does have wifi and clients are not refused or denied access in any way. Regarding concern with staff conducting unauthorized search of clients belongings licensee stated that this is not their practice. Licensee expressed an issue which they had with one of the clients where there was a medical concern and staff check the clients lunch bag upon return for day program to ensure client did not have to much sugar intake. Licensee was reminded that any concerns or issues related to clients behaviors and care services should be communicated with the Tri-Counties Regional Center and addressed in the clients Individual Program Plan. Licensee acknowledged understanding and will ensure client rights are not violated. Exit interview held. Copy of report provided.
SUPERVISORS NAME: Desaree Perera
LICENSING EVALUATOR NAME: Zabel Chochian
LICENSING EVALUATOR SIGNATURE: DATE: 01/17/2025
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 01/17/2025
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 1