Facility Evaluation Report

On 06/17/2025, Licensing Program Analyst (LPA) Debbie Palacios conducted a n unannounced Case Management visit. LPA met with administrator Kathleen Hyland and discussed purpose of the visit.

During this visit LPA conducted a tour of the facility, there were no H&S concerns observed. The LPA requested and received pertinent documentation and made record reviews. LPA issued an Immediate Exclusion Order to the administrator for staff 1 (S1). The administrator accepted the letter and acknowledged the Immediate Exclusion, thus, (S1) cannot be allowed to work in a Licensed facility and S1 cannot have contact with residents and any residential facility licensed by the California Department of Social Services.

LPA verified S1 was listed on the staff schedule, S1 was not present at the time of this visit. LPA advised the Administrator to disassociate the S1 from the roster and to submit an updated LIC 500, personnel report to LPA. The administrator reported S1 is not a caregiver at the facility, S1 duties are related to a remote position, payroll processing .

An exit interview was conducted, this report was discussed, and a copy was given to administrator Kathleen Hyland.

Exit interview conducted. Appeal rights discussed.