Facility Evaluation Report

On November 21, 2025, Licensing Program Analyst (LPA) Bernadette Allen conducted an unannounced Case Management visit. The purpose of the visit was to serve the facility with an Immediate Exclusion Order for Staff #1 (S1). Upon arrival, LPA met with Administrator Nathaniel Venzon and informed him of the purpose of the visit.

LPA confirmed that S1 was not present at the facility during the visit. Nathaniel stated that S1 has not been permitted to work and has been removed from the roster and will be removed from Guardian with an effective date of 11/21/2025.

· Current staff roster dated 11/20/2025 and resident roster

· S1 Complete personnel file and confirmed last day of employment 11/16/2025

During the visit, LPA was informed that S1’s separation date has been updated to 11/21/2025.

An exit interview was conducted where this report was discussed and a copy of this report was emailed to Nathaniel Venzon at the conclusion of the visit due to technical difficulties being unable to print.