Facility Evaluation Report

Licensing Program Analyst (LPA) Mary Rico conducted an unannounced visit to the facility for the purpose of decrease the capacity and change of physical plant. LPA was greeted and granted entrance by Administrator Abraham Caballero.

Per the LIC200, Licensee requested for the capacity decrease from three (3) non-ambulatory to (2) non-ambulatory and one (1) bedridden. A total of (3) capacity. The fire clearance request was approved on 6/17/2025. In addition, the facility had converted a bedroom into a staff room.

The licensee was advised that the noted designated capacity for each room is to remain in compliance.

LPA observed that the client bedrooms were appropriately furnished and had functional lighting. The physical plant is ready. LPA will update the facility's file and issue a new license stating change in capacity.

An exit interview was conducted where this report LIC809 was discussed and provided to the Administrator Abraham Cabellero.