Facility Evaluation Report

LIcensing Program Analyst (LPA) Jill Nakagawa conducted an unannounced case management and met with Administrator Blaine Lyons. The purpose of this case management inspection is to follow up on an Immediate Exclusion from the facility for Staff (S1).

LPA provided a copy of the letter "Order to Licensee/Facility of Immediate Exclusion from Facility" dated September 19, 2025 for S1. Documentation shows S1 was employed briefly; last day of employment was 02/21/2023 and is no longer employed by Carlton Plaza of Davis and is not present in the building.

Based on evidence obtained during today's visit, the LPA has verified the individual is not present, working at or residing at the facility #577005341. A check of the Guardian Roster verified that S1 was not listed as an employee.

No deficiencies cited during today's inspection. Copy of letter provided to Blaine Lyons, Administrator.