Facility Evaluation Report

Licensing Program Analyst (LPA) Ramon Serrano conducted an unannounced Case Management Visit to observe the physical plant. LPA was welcomed by, identified himself to, and discussed the purpose of the visit with Licensee Rayne Fernandez

The Licensee submitted a written request to the CCLD San Diego Regional Office (RO) seeking to decrease the facility's non-ambulatory capacity from six (6) residents to two (2) residents. The request did not involve changing the facility's total capacity, which remains the same at six (6) residents.

On 05/05/26, the local fire authority approved/granted an updated fire clearance, reflecting the facility was approved for six (6) residents in total, of which two (2) may be non-ambulatory and four must be ambulatory.

The updated facility sketch/floor plan was consistent with the current layout of the facility. The Licensee displayed comprehension of the terms of their new facility fire clearance.

No deficiencies were observed or cited during today's visit.

This portion of the application process has been completed. The Licensee will be sent an updated license to reflect the new fire clearance after CCLD management’s final review and approval.

An exit interview was conducted with Rayne Fernandez whom a copy of this report and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.