Facility Evaluation Report

On 01/28/26 Licensing Program Analysts (LPAs) Kimberly Viarella and Christina Valerio arrived unannounced to this facility to conduct a case management visit for the purpose of delivering an Order to Individual of Immediate Exclusion from all facilities and the Order to Licensee/Facility of Immediate Exclusion from Facility. LPA met with Susie Dizon, Administrator, and explained the purpose of the visit.

Staff members (S2), (S3), and (S4) are excluded. LPA served notice of "ORDER TO LICENSEE/FACILITY OF IMMEDIATE EXCLUSION FROM FACILITY" for S2 and S3 who was not present at the time of visit. S4 was present.

Administrator was advised an immediate removal is warranted and requested the Personnel Report (LIC500) and Guardian account be updated to remove S2, S3, and S4 from the facility staff roster. A notice of completion shall be submitted to Community Care Licensing (CCL).

LPA informed the Administrator that S2, S3, and S4, are not allowed to be employed and/or on any facility premises. The Order to Individual of Immediate Exclusion From All Facilities will be in effect as of 1/28/2026 upon receipt of the letter. A copy of the letter was given to Susie Dizon at the facility during this visit.

The facility understands this is an Immediate Exclusion and has agreed S2, S3, and S4 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 unless otherwise ordered by the Department.