Facility Evaluation Report

Licensing Program Analyst (LPA) Albert Johnson arrived unannounced. To deliver ORDERS TO INDIVIDUAL FOR IMMEDIATE EXCLUSION FROM ALL FACILITIES.

S1 was not present at the time of this visit and was not on the Personnel Report dated 03/05/2025. (Reviewed on today's date 11/10/2025)

Facility understands this is an Immediate Exclusion effective today. S1 is excluded and prohibited from being a licensee, owning a beneficial ownership of 10% interest or more in a licensed facility, or being an Administrator, officer, director, member, or manager of a licensee or entity controlling a licensee.

S1 cannot be allowed to work, live in, and/or have contact with clients in any residential facility licensed by the California Department of Social Services.

Per California Code of Regulations, Title 22 Division 6, Chapter 8,

Exit interview held, Copy of report given