Facility Evaluation Report

On 09/17/25, Licensing Program Analysts (LPA) Lizeth Villegas conducted an unannounced Case Management visit to the above facility. The purpose of today’s visit is to serve an ORDER TO LICENSEE/FACILITY OF IMMEDIATE EXCLUSION FROM FACILITY for staff #1. LPA met with licensee Sandra Benson. LPA explained the purpose of today’s visit.

An investigation conducted by the California Department of Social Services determined that staff #1 violated California Code of Regulations Title 22 for the client's personal rights. Government Code 11522 was also issued, informing the licensee that an excluded person may petition for reinstatement to the Department one year after the effective date of the exclusion order. LPA delivered copies of the immediate exclusion letters for the following facility to the licensee, Sandra Benson.

Staff #1 (S1) was not present at the facility at the time of the visit and was provided with the Immediate Exclusion Order letter and Government Code 11522 via mail. The licensee, Sandra Benson was read the Immediate Exclusion from Facility Order and stated she understands the immediate exclusion order and that she understands the mentioned staff is not allowed to be physically present in the facility.

An exit interview was conducted with Sandra Benson and copies of Order to Licensee/Facility of Immediate Exclusion from Facility and Government Code 11522 were provided. The report was signed by Sandra Benson.