Follow-up·October 10, 2025

Licensing Program Analyst (LPA) Sabrina Calzada conducted an unannounced case management visit on October 10, 2025. This visit is to confirm ORDER TO LICENSEE/FACILITY FOR IMMEDIATE EXCLUSION FROM FACILITY. LPA initially met with staff, Catherine Flores. Also present was staff, Edgardo Pagaduan, a hospice nurse and a home health nurse. The Administrator Designee, Rose Jankowski, arrived at 3:10 pm. LPA stated the purpose of visit and provided the Administrator with a copy of the above order. Facility understands this is an Immediate Exclusion effective October 10, 2025 and (S1) is excluded and 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. Therefore, the Department orders the facility to remove (S1) from any contact with clients and not allow this employee to be physically present in the facility. Administrator stated (S1) has never worked at this facility but may have worked at this location that was previously licensed as a facility through July 18, 2025. The Administrator Designee stated she would update the facility roster in the Department's background check system to ensure only names of staff currently employed at the facility will be listed. LPA and the Administrator Designee conducted a quick tour of the interior and confirmed the residents present. LPA did not observe any health or safety risks. Exit interview conducted, a copy of this report provided on this date. A signature on these forms acknowledges receipt of these forms.