Facility Evaluation Report

Regional Manager (RM) Jerry Romero, Licensing Program Manager (LPM) Lizzette Tellez, Licensing Program Analyst (LPA) Marisela Garcia-Centeno, Licensing Program Analyst (LPA) Carmen Lopez, Licensing Program Analyst (LPA) Amy Domingo, and Licensing Program Analyst (LPA) Jose De La Cruz conducted an unannounced Case Management–Legal/Non-Compliance visit. RM, LPM, and LPAs were greeted, granted entry into the facility, and met with Administrator Teresita Reyes.

On January 10, 2026, the RM and LPM met with the Licensee. A Temporary Suspension Order (TSO) was issued, and a temporary manager was contracted to assume facility operations for a period of 90 days. On today’s date, LPAs Garcia-Centeno, Domingo, Lopez and De La Cruz toured the facility and verified the health and safety of residents in care. The LPAs also met with residents, staff, and responsible parties to explain the TSO and answer questions.

An exit interview was conducted, and a copy of this report, along with Licensee Rights (LIC 9058, 03/22), was provided to the Licensee, Kamran Shirazi. The Licensee’s signature below acknowledges receipt of these documents.