Facility Evaluation Report

At 12:30 p.m., Licensing Program Analyst (LPA) Evelin Rios conducted a Case Management Visit - Other to confirm the closure of this facility. LPA contacted the Licensee/Administrator Francisco Martinez via email and was informed the facility was closed, with no residents and no intention of renewing the License.

LPA confirmed that there were no residents residing in the facility and that operation had ceased. Prior to the closure the facility did not have any residents. Licensee will mail license to the Regional Office.

The Licensee is reminded that they may not admit or retain any residents at the home who require care and supervision.

Exit Interview conducted and copy of this report will be emailed for signature.