Facility Evaluation Report

Licensing Program Analyst (LPA) Tiffany Holmes conducted an unannounced Case Management - Incident visit. LPA was welcomed by, identified herself to, and discussed the purpose of the visit with Nick Fierro, Administrator

Today's visit was in response to Licensee’s self-reported AWOL of Client #1 (C1), received at the CCLD San Diego Regional Office on 04/03/2026. [See LIC 811 Confidential Names List for a description of C1]. Per the report, C1 AWOL'd from the facility on 04/01/2026. A missing persons report was filed on 04/03/2026. Interviews revealed that C1 has not returned as of today's date.

During today’s visit, LPA briefly toured the facility, collected and reviewed care records on C1, and interviewed staff. LPA performed a cursory welfare check on the remaining clients in care, finding no immediate safety concerns.

During a review of records, LPA observed and manager interview confirmed: C1 moved in October of 2025. However, Licensee did possess a completed LIC 602 Physician’s Report on C1 from 10/01/2025, as was required.

No deficiencies observed or cited during todays visit.

An exit interview was conducted with Nick Fierro, Administrator to whom a copy of this report, the LIC811 Confidential Names List, and the Licensee/Appeal Rights (LIC9058 03/22) were provided during the visit.