Facility Evaluation Report
On June 5, 2025, Licensing Program Analyst (LPA) Komal Charitra conducted an unannounced case management- facility closure visit. LPA met with Administrator, Ismail Zepeda and explained the purpose of the visit.
Licensee notified CCLD of facility closure on 4/18/25.
LPA toured the facility. Facility is two floors. Residents resided on the second floor. During the tour, LPA observed the kitchen, living room, dining room, bedrooms and garage. LPA did not observe any residents and did not observe evidence of care and supervision In the home.
CCLD will be proceeding with the closure. A forfeiture letter will be sent to licensee and the facility number 415601159 shall be closed.
This report is reviewed, and discussed with the Licensee, and a copy is provided.
Deficiencies are also delivered during the visit and cited from the California Code of Regulations, Title 22. See LIC809-D. Failure to correct the deficiencies may result in civil penalties.
Report is reviewed with administrator and copy of the report and appeals rights are provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction