Senior Care Records.

Facility Evaluation Report

Holystic ARF Incorporation, Lake Elsinore09/23/2025Licence 365530200

Capacity4
Census0
Date signed09/23/2025 09:18:38 AM
Name of licensing program analystRaquel Hernandez
Name of licensing program managerEfren Malagon
The inspector’s account

Licensing Program Analyst (LPA) Raquel Hernandez conducted an announced visit to confirm that there are no clients at the home for the facility's closure. LPA Hernandez was granted entrance by Licensee/Administrator Ariyo Fagburi.

LPA Hernandez was informed that there are no clients living in the facility or have ever lived at the facility. The licensee is initiating this closure. LPA inspected the facility which included the bedrooms, bathrooms, dining area, and kitchen. There were no clients present, and there were no belongings of clients in the facility. Moreover, Licensee/Administrator Ariyo Fagburi stated that the reason of the closure is due to change of location.

The effective date of closure will be 09/23/2025.

An exit interview was conducted where this report, LIC809 was discussed with and provided to Licensee/Administrator Ariyo Fagburi.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction