Facility Evaluation Report

At 11:45 AM on 10/09/2025, Licensing Program Analyst (LPA) James Sampair arrived unannounced for this Plan of Correction (POC) concerning the citations from the 9/30/2025 visit. Upon entry into the facility, the LPA identified himself and stated the purpose of the visit to Caregiver Julie Dual. Licensee applicants Merdith Ong-Castro and Rogue Castro arrived at approximately 12:30 PM.

The LPA was able to clear 2 of the 3 citations from 9/30/2025. The LPA verified that Staff S1 who was not fingerprint cleared on 9/30/2025 was not present and no longer works at this facility. The LPA verified that Staff S3 is associated with the facility.

The LPA was not able to clear the citation for Title 22 Regulation 87405(a), because the Licensee had neither hired nor appointed a certified Administrator by the due date of 10/07/2025.

Civil Penalties totaling $200 have been assessed today for failure to meet POC due dates for this deficiency. The Licensee is subject to ongoing daily civil penalties until the deficiency has been corrected and proof of the correction has been sent to Community Care Licensing (CCL).

Exit interview conducted. A copy of this report, appeal rights, and the LIC 421-FC have been provided.