Facility Evaluation Report

On this day Licensing Program Analyst (LPA) Andrea Mendivil conducted an unannounced visit to conduct a case management. LPA was greeted and granted entry by Administrator Michael Murphy and explained the reason for the visit.

The Immediate Exclusion Order was explained to Administrator Michael Murphy. Administrator Michael Murphy understood the Immediate Exclusion Order. During visit LPA Mendivil observed Administrator Murphy disassociate Staff Yulizan Balce

While at the facility LPA Mendivil served Immediate Exclusion Order to Yulizan Balce. LPA Mendivil served Immediate Exclusion Order for the following facilities: Empower Community Day Program (306001666), VA&C Homes/ San Rafael (3060005388), VA&C Homes/ Bridgeport (306005385), VA&C Homes/San Paco Circle (306005930) VA&C Homes/Teranimar (306005931),and Stonybrook Residential (306004436).

All parties understood the Immediate Exclusion Order, and there were no additional questions.

LPA Mendivil observed Staff Yulizan Balce leave the facility with their possessions.

An exit interview was conducted with Administrator Michael Murphy.

A copy of this report was provided and explained.