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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603445
Report Date: 04/28/2023
Date Signed: 04/28/2023 10:57:55 AM

Document Has Been Signed on 04/28/2023 10:57 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, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:ARCADIAN, THEFACILITY NUMBER:
198603445
ADMINISTRATOR:BRANCONIER, AMBERFACILITY TYPE:
740
ADDRESS:753 W DUARTE ROADTELEPHONE:
(626) 445-7981
CITY:ARCADIASTATE: CAZIP CODE:
91007
CAPACITY: 120CENSUS: 109DATE:
04/28/2023
TYPE OF VISIT:OfficeUNANNOUNCEDTIME BEGAN:
09:30 AM
MET WITH:Licensee Amber BranconierTIME COMPLETED:
11:00 AM
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Regional Manager (RM) Araceli Ramirez, Licensing Program Manager (LPM) Fernando Fierros and Licensing Program Analyst (LPA) Kruz Long along with Amber Branconier (Licensee) met in the Monterey Park Adult and Senior Care office for the purpose of an Informal Conference to discuss the facility operations and oversight of the facdility based on the Decision and Order dated August 23, 2019.

During today's meeting, the following was discussed:
- 08/23/2019 Decision and Order No 7818228001.
- Facility over sight and operations.
- Title 22, Division 6, Chapter 8 (Section: 87777 Exclusions, 81755 Application for License , 87356 Criminal Record Exemption & 87405 Administrator Qualifications and Duties).

A copy of the August 23, 2019 Decision and Order along with Title 22 Sections listed above were provided to licensee during office meeting.

Licensee stated she was aware of the August 23, 2019, Decision and Order and believed that it was for a four year period starting in 2018. Licensee states she made the Centralized Application Bureau aware of the Decision and Order when she applied for the license in Febraury 2021 and did not recall making the Regional Office aware of the Decision and Order.

The Regional Office discussed the details of the Decision and Order which indicated Amber Branconier was excluded to work in a licensed facility and was given a Conditional Exemption to work solely at The Arcadian, was not to be a licensee or a board member, was not to apply for a license with the Department and was not to be the facility administrator during the stay for the Decision and Order, which was for a five year period from the effective date.

Licensee was informed that temporary exemption is still pending further review. Licensee indicated she is currently in the process of hiring an administrator and would provide an update on 05/01/23 regarding appointment of the new administrator.

Licensee indicated she will seek legal advice and will inform Regional Office how she plans to correct the Violations of the Decision and Order.

Exit interview conducted and a copy of this report was provided to Licensee Amber Branconier.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Kruz Long
LICENSING EVALUATOR SIGNATURE: DATE: 04/28/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 04/28/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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