Facility Evaluation Report

Licensing Program Analyst (LPA) Debbie Correia conducted an announced Case Management visit. LPA met with Caregiver/Applicant Arcelao, identified herself, and discussed the purpose of the visit with Caregiver Arcelao.

During today's visit LPA discussed the status of the Change of Ownership (CHOW) with (current) Caregiver Arcelao and Applicant for the CHOW. Arcelao informed LPA that approximately two weeks ago they spoke with the Centralized Application Bureau (CAB) Analyst Fonteno regarding obtaining fire clearance. Arcelao revealed they received an invoice from the Fire Marshall and paid for it on October 22, 2025. Arcelao left a message to schedule an appointment for an inspection for fire clearance and is currently waiting for a response and will continue to follow up.

No deficiencies were observed during today's visit. An exit interview was conducted and a copy of this report along with Licensee Rights (LIC 9058 03/22) were provided to Arcelao, whose signature below confirms receipt of these rights.