Follow-up·February 28, 2022

Licensing Program Analyst (LPA) Lourdes Montoya conducted an unannounced Case Management visit to Clearwater at South Bay. LPA met with Administrator Jill Tucker and explained the purpose of today’s visit is to serve an ORDER TO LICENSEE/FACILITY OF IMMEDIATE EXCLUSION FROM FACILITY for Staff #1. An investigation conducted by the California Department of Social Services determined that Staff #1 violated California Code of Regulations Title 22 for the client’s personal rights. Health and Safety Code 1569.58 was also issued, informing the administrator that an excluded person may petition for reinstatement to the Department one year after the effective date of the exclusion order. LPA Montoya gave a copy of the Immediate Exclusion letter for Clearwater at South Bay to Administrator Jill Tucker. LPA Montoya served the ORDER TO INDIVIDUAL FOR IMMEDIATE EXCLUSION FROM FACILITY to Staff # 1. Administrator Jill Tucker stated she understood the Immediate Exclusion order and that she understands the mentioned staff is not allowed to be physically present in the facility. LPA Montoya conducted a health and safety inspection, reviewing the physical plant and the facility’s food supply. An exit interview conducted, and a copy of this report was given to Administrator Jill Tucker.