Facility Evaluation Report

Licensing Program Analyst (LPA) Dawn Keane conducted an unannounced Case Management visit and met with Administrator William Davidson. 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: N-95 mask. Additionally, LPA was screened by administrator upon entering the facility.

The purpose of LPA’s visit was to deliver an Order To Individual of Immediate Exclusion from all facilities and the Order to Licensee/ Facility of Immediate Exclusion From Facility. LPA delivered notice of “Immediate Exclusion” to Administrator and explained the “Immediate Exclusion” notice indicating that prior employee, William Davidson cannot be allowed to work, be present and/or live in a CCL licensed facility and have contact with clients in any residential facility or child day care licensed by the California Department of Social Services

A copy of this report was provided to Administrator. Exit interview conducted.