Facility Evaluation Report

Licensing Program Analyst, Mayra Cota, conducted a Case Management – Deficiencies visit in conjunction with a Plan of Correction (POC) visit on 9/23/25. The purpose of the visit is to issue citations for deficiencies observed by LPA during today’s visit. The reason for the Case Management – Deficiencies visit was explained to Jon De La Cruz, Administrator via telephone. Florinda Aleman, Direct Support Professional, assisted with the visit and the reason for the visit was also explained.

During today’s visit: LPA interviewed the administrator who indicated, changes made to the garage which is sectioned off and occupied by a tenant were not reported to the department/CCLD. The administrator also indicated the licensee has not applied for or obtained building permits for the alterations made to the garage. Review of records at the facility also indicate that the facility sketch has not been updated with the changes made to the garage and updated sketch has not been sent to CCLD.

Deficiencies were noted on LIC 809-D per Title 22 Regulations. Furthermore, Licensee/Administrator will be submitting to the department, the LIC 200 and board resolution for the fire clearance by 9/29/25. Exit interview was conducted telephonically with Jon De La Cruz, Administrator and in person with Florinda Aleman, DSP. A copy of the reports and Appeal Rights were provided during visit.