Follow-up·January 28, 2026

On 1/28/26 at 9:15am, Licensing Program analyst (LPA) Kevin Gould conducted an unannounced case management inspection to deliver an immediate exclusion order for the staff member identified as S1 (see confidential names list, LIC 811 dated 1/28/26. LPA met with R1 and Food services director Rommel Aquino. LPA met with S1 and informed them of their immediate exclusion from the facility. LPA observed S1 depart from the facility. LPA met with Food Services Director and backup administrator and informed them of S1's immediate exclusion. As R1 is identified as the active administrator LPA confirmed there is a designee as a backup to the administrator, Rommel Aquino who possesses a valid, current administrator certificate. Certificate #7010123740 and expires on 9/3/27. LPA made contact with the Licensee representative Julie Myers and informed the licensee of S1's immediate exclusion. Licensee agrees to submit documents to approve a new administrator by Friday, 1/30/26. Documents to approve a new administrator will include: LIC 200 form - application (signed by the Licensee), LIC 500 form - personnel Report with all staff and dates and times worked, LIC 501 form - personnel record (a resume or CV can be substituted if includes information required),LIC 503 form - Health screening and TB clearance, copy of administrator certificate, evidence that the appointed administrator meets the education/experience requirements for facilities licensed for 50 or more. No deficiencies observed or cited during today's inspection. Exit interview conducted and a copy of this report was left at the facility.