Facility Evaluation Report

Licensing Program Analyst (LPA) Sarah Hurt arrived unannounced to conduct a Case Management visit on June 5, 2026. LPA met with facility Administrator Assistant, Monique Balladares, and stated the purpose of the visit.

LPA served Decision and Order immediately excluding Staff 1 from being present inside the facility. LPA requested a current and updated Personnel Report (LIC500) and Guardian account be updated to remove S1 from the facility staff roster. A notice of completion shall be submitted to Community Care Licensing (CCL).

LPA informed Administrator Assistant that S1 is not allowed to be employed and/or on any facility premises. The Decision and Order of Immediate Exclusion From All Facilities came into effect as of June 4, 2026 upon receipt of the letter. A copy of the letter was given to the facility during this visit.

Per California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed and cited. Exit interview held with Administrator Assistant, Monique Balladares, A Copy of report given.