Facility Evaluation Report

On October 6, 2025, Licensing Program Analyst (LPA) Ernand Dabuet conducted a Case Management visit to review health and safety concerns related to complaint #11-AS-20250919141527. Assistant Administrator Catherine Dacara greated the LPA and explained that the visit aimed to gather information regarding the eviction of Resident #1 (R1).

The regional office had received information indicating that the Los Angeles Superior Court in Long Beach served an Eviction Restoration Notice to Resident #1. During the visit, the LPA interviewed Assistant Administrator Catherine Dacara, Staff Member #1 (S1), and Resident #1 (R1) about the eviction.

- ID and Emergency Information (dated: 04/04/2025)

- Admission Agreement (dated: 04/04/2025)

- Physician Report for Community Care Facilities LIC 602A (dated: 04/08/2025)

- Preplacement Appraisal Information LIC 603 (dated 04/04/25)

- Appraisal/Needs and Services Plan LIC 625 (dated: 07/09/2025)

- Thirty day Notice to Quit (dated: 05/07/2025)

- Los Angeles Superior Court, Long Beach Eviction Restoration Notice (dated: 10/06/2025)

An exit interview conducted with Catherine Dacara, and a hard copy was provided.