Facility Evaluation Report

On 06/04/2026, San Bruno Regional Office conducted a non-compliance conference meeting with Licensee, William Encarnacion and Administrator, Anna Aoay.

Present in the meeting were Regional Manage Jackie Jin, Licensing Program Manager Brenda Chan, and Licensing Program Analyst Yi Sam Jian.

During the non-compliance meeting, the following serious violations were discussed: HSC 1569.185(e) The failure of a licensee to pay all applicable and accrued fees; CCR 87463(i) Reappraisal; CCR 87463(h)(1) Reappraisal; HSC 1569.695(c) quarterly drill; CCR 87618(b)(3)(B) No Smoking Oxygen In Use sign; CCR 87303(d) lamps; CCR 87309(a) disinfectant in storage; CCR 87211(a)(1) reporting requirement; HSC 1569.38(e) Posting of licensing reports in a conspicuous location in the facility; CCR 87463(a) Reappraisal; CCR 87213 Finance.

During this meeting, the compliance plan was developed and discussed with the licensee which includes more frequent monitoring inspection visits to ensure compliance with this compliance plan and Title 22 Regulations for 2 years. Licensee was provided the link below for resources and guidance to improve facility operations:

https://www.cdss.ca.gov/inforesources/community-care/resource-guide-for-providers .

This report was reviewed with Licensee, William Encarnacion and Administrator, Anna Aoay.

Regional office requested facility to submit updated LIC308 Designation of Facility Responsibility, current control of the property by 06/18/2026.