Facility Evaluation Report
Licensing Program Analyst (LPA) Leslie Ngo- Castaneda conducted a Case Management visit to hand deliver an “Order To Licensee/Facility Of Immediate Exclusion From Facility", of Staff #1 (S1) to the Licensee/Facility. LPA met with Exective Director Mary Jane Rodriguez and explained the purpose of the visit.
It was determined by the Department that a complaint of conduct inimical, of a resident was substantiated against S1, thus, necessitating the “Order To Licensee/Facility Of Immediate Exclusion From Facility". S1 will also receive copies of the “Order To Licensee/Facility Of Immediate Exclusion From Facility” for the facilities with which S1 is associated with.
The LPA hand delivered the "Order to Licensee/Facility of Immediate Exclusion from the Facility" in regards to S1 to executive director.
Executive Director accepted and read the letter and confirmed he/she understood.
A copy of the "Order to Individual for Immediate Exclusion From All Facilities” was hand delivered to S1 during todays visit.
No immediate health or safety issues observed.
Exit interview conducted. A copy of the report was provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction