Facility Evaluation Report

Licensing Program Analyst (LPA) Tena Herrera generated this Case Management visit and report as there was a - Deficiency observed during todays complaint investigation for complaint control number 28-AS-20251210121051 . The purpose of the report was explained to staff.

During complaint investigation, LPA toured facility and observed Room #116's toilet to be completely off and in the shower. It was explained to LPA by Adrian Castillo (Maintenance Director ) that there is a plumber arriving to repair toilet today 12/12/25 as the toilet is clogged. LPA toured room once again prior to concluding visit (around 3:20pm) and toilet was still not repaired and taken apart.

Based on observation and conversation with Adrian Castillo, the toilet in room #116 is not in operating condition , a citation is being issued during todays visit please see LIC809-D for details.

An exit interview was conducted, and a copy of the report and appeal rights were issued.