Facility Evaluation Report

On 03/12/2022 Jaclyn Avila, Licensing Program Analyst (LPA) conducted a case management visit to the facility for the purpose of delivering an Order to Individual of Immediate Exclusion from all facilities and the Order to Licensee/Facility of Immediate Exclusion from Facility.

Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: N95

LPA Avila met with the Administrator Clarita Dizon and explained the purpose of today's visit. Bryan Merto, Staff Person is excluded as of this date 03/12/2022, due to his actions related to this facility.

LPA Avila handed the Order to Licensee/Facility of Immediate Exclusion from the Facility and explained that staff person Bryan Merto cannot be allowed to work, be present and/or live in a Community Care Licensing (CCL) licensed facility or have contact with clients in any residential facility or child day care licensed by the California Department of Social Services.

Prior to arriving at the facility, LPA Avila attempted to meet with Bryan Merto but was unable to locate him to serve the Individual of Immediate Exclusion.

A copy of this report was provided to the Administrator via e-mail.