Facility Evaluation Report

Licensing Program Analyst (LPA) Yelena Avetisyan conducted a Case Management visit to hand deliver an Immediate Exclusion Order of Staff #1 (S1) to the Licensee.

It was determined by the Department that a complaint of Conduct Inimical, Unusual punishment, Infliction of pain, mental abuse of R1 was substantiated against Staff #1, thus, necessitating the Order for Immediate Exclusion from all facilities. Staff #1 will also receive copies of the “Order To Licensee/Facility Of Immediate Exclusion From Facility” for the facilities with which Staff #1 is associated with..

The LPA hand delivered the "Order to Licensee/Facility of Immediate Exclusion from the Facility" in regards to Staff #1 to Administrator/Licensee Representative Rosanna Tomaneng. Licensee is the licensee for three of the facilities with which Staff #1 is associated: CCLE Home Care, LLC Facility # 197608120, Rosanna Adult Residential Home II Facility # 197605933. A copy of the "Order To Individual Of Immediate Exclusion From All Facilities” issued to Staff #1 was also provided. Administrator/Licensee Representative confirmed that Staff #1 has not worked at any of the Licensee's facilities Since August 2021.

Exit interview conducted. A copy of the report was provided.