Facility Evaluation Report

Licensing Program Analyst (LPA) Evelin Rios is conducting and unannounced Case Management - Other visit. In conjunction to a POC visit 07/13/2026. On 7/03/2026 LPA received a verbal notification by the Licensee about voluntarily forfeiting their license. Licensee confirmed residents were only verbally notified of future closure on 07/04/2026.

LPA was informed that Resident #2 (R2) was "discharged" from the facility on Friday, July 10, 2026. At approximately 10:56 a.m. Resident #1 (R1) was picked up by a scheduled transport. LPA contacted R1's and R2's responsible person(s) and confirmed transfer arrangements. LPA cited the facility for Eviction Procedures on POC visit 07/13/2026.

During today's visit, LPA conducted a physical plant tour with the Licensee and observed there to be no residents living in the facility. LPA’s interview with the Licensee today confirms they voluntarily surrender their license to finalize the closure of the facility. This closure will take effect today 7/13/2026. The reason for closure of the facility is licensee initiated. Licensee surrendered physical License to LPA.

LPA will submit the file for closure upon returning to the Woodland Hills South Regional Office.

Exit Interview conducted and copy of this report provided to Licensee.