Facility Evaluation Report

On June 16, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a Case Management - Health Checks inspection. LPA was greeted and granted entry into the facility by Administrator (AD) Eleazar Cuyson after explaining the purpose for the visit.

On today's visit, there are no residents in care and the facility is vacant. LPA was informed by the AD that the last resident moved out of the facility on June 15, 2026. LPA, accompanied by the AD, conducted a tour of the physical plant. LPA inspected the four resident bedrooms and observed them to be vacant. LPA inspected all other common areas including the living, dining room, kitchen, and two car garage and observed them to be free of any hazards. LPA observed all of the facilities utilities to be operational during the visit. LPA confirmed during the visit that the facility is currently not operational. During the visit, LPA conducted an interview with the landlord of the property, Witness #1 (W1). W1 stated that the Licensee did not pay the June 2026 rent, which covers the period of June 1, to June 30, 2026. W1 stated that the rent owed is $7,000.00 and that it was due on June 5, 2026. W1 stated that as a result, he served a 3-day notice to pay rent or quit to the Licensee on June 9, 2026. W1 stated that he did not receive the June 2026 rent payment after serving the notice, so he filed an unlawful detainer against the Licensee on June 15, 2026.

Based on the observations and information gathered during today's visit, a deficiency will be cited on the attached LIC809-D page. A civil penalty will also be assessed in the amount of $250.00 for a repeat violation, since the Licensee violated the same regulation on May 12, 2026. An exit interview was conducted with Administrator Eleazar Cuyson. A copy of the report and appeal rights were provided to the facility at time of visit.