Facility Evaluation Report

Licensing Program Analyst (LPA) Kerry Hiratsuka arrived at the facility and met with Administrator Designee Suzanne Dizon, to conduct an unannounced case management visit on 01/28/2026. The visit is to confirm Orders to Individual for Immediate Exclusion from All Facilities.

LPA served an order of immediate exclusions effective 01/28/2026 and explained the "Immediate Exclusion" notice indicating that staff members (S1) cannot be allowed to work, be present and/or live in a CCL licensed facility, or have contact with clients in any residential facility or child day care licensed by the California Department of Social Services. Therefore, the Department orders the facility to remove S1 from any contact with clients and not allow this employee to be physically present in the facility. Assistant House Manager indicated they understood the notice and confirmed that S1 is currently not working at the facility.

Exit interview was conducted and a copy of this report was provided. Signature on these forms acknowledges receipt of these forms.