Senior Care Records.

Facility Evaluation Report

Cobb Home, San Mateo06/19/2025Licence 415600226

Capacity6
Census6
Date signed06/20/2025 08:51:09 AM
Name of licensing program analystAudrey Jeung
Name of licensing program managerApril Cowan
The inspector’s account

To follow up on an ARF application that was to be submitted to Central Applications Bureau (CAB) at 744 P Street, MS 9-14-8201, Sacramento 95814, as discussed on 5/5/25 by LPA Jeung and applicant Brian Galicia, LPA Jeung met with Brian and Maricel Galicia. Proof of payment and delivery via USPS to a mail room in zipcode 95800 on 5/13/25 is obtained. However, as per CAB, no application for the facility address has been received. LPA advised Mr. Galicia to follow up and file a claim of non-receipt with U.S. Postal Service.

Based on information obtained by LPA--which includes signed "contract of sale" dated May 2022 between seller Maria Baris and buyers Nelson, Brian and Maricel Galicia--there was a 100% transfer of stocks/shares of LJB Corporation, licensee. Deficiency of the California Code of REgulations, Title 22, is cited on a following page.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction