Non-compliance follow-up·January 4, 2022

On 01/04/2022, Jaclyn Avila, Licensing Program Analyst (LPA) conducted a case management visit to the facility 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. Prior to initiating the visit, LPA completed required COVID-19 testing protocols, and a daily self-screening questionnaire for symptoms of COVID-19 infection to affirm no COVID-19 related symptoms. LPA ensured they applied hand sanitizer before entering the facility and the following Personal Protective Equipment (PPE) was worn: PAPR. LPA completed the facility screening questionnaire. LPA Avila met with the Administrator Melissa Morales and explained the purpose of today's visit. Jacqueline Mejia, Staff Person is excluded as of this date 01/03/2022, due to her actions related to this facility. LPA Avila handed the Order to Licensee/Facility of Immediate Exclusion from the Facility and explained that staff person Jacqueline Mejia cannot be allowed to work, be present and/or live in a Community Care Licensing (CCL) licensed facility or have contact with clients in any residential facility or child day care licensed by the California Department of Social Services. Prior to arriving at the facility, LPA Avila attempted to meet with Jacqueline Mejia but was unable to make contact to serve the Order to Individual of Immediate Exclusion from all facilities. Jacqueline Mejia arrived for her shift at 1:36 PM while LPA was at the facility at which time LPA Avila served the Order to Individual of Immediate Exclusion. A copy of this report was provided to the Administrator via e-mail.