Facility Evaluation Report

Licensing Program Analyst (LPA) Christina Valerio arrived unannounced to conduct a case management visit for the purpose of delivering an "Order To Licensee/Facility Of Immediate Exclusion From Facility." LPA identified herself upon arrival, stated the purpose of the visit, and met with Licensee Rochelle Cister.

LPA served the "Order To Licensee/Facility Of Immediate Exclusion From Facility" for Staff 1 (S1), Staff 2 (S2), and Staff 3 (S3). S1, S2, and S3 are excluded as a result related to this facility. S1, S2, and S3 was not present at the time of the visit.

Licensee was advised that an immediate removal is warranted and requested the Personnel Report (LIC500) and Guardian account be updated to remove S1, S2, and S3 from the facility staff roster. LPA Valerio observed Licensee Rochelle removing staff from the Guardian Roster.

The facility understands this is an Immediate Exclusion and has agreed S1, S2, and S3 cannot be allowed to work, live in, and/or have contact with residents in any residential facility licensed by the California Department of Social Services unless otherwise ordered by the Department.

Per California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were observed or cited during today's visit. A copy of this report was provided.