Follow-up·January 9, 2026

Licensing Program Analysts (LPAs) Amy Domingo and Natasha Persaud conducted an unannounced case management other visit. LPAs identified themselves and were granted entry. LPAs met with Facility Manager, Gabriela Zamora, and discussed the purpose of the visit. A review of records revealed that on 12/2/25, the facility received a past due notice indicating that the utilities would be shut off on 12/17/25, due to non-payment; however, no notice of termination was sent as required. Based on the Foreclosure Protection Act of 2011 and per HSC § 1569.686(a)(5), the licensee was required to provide notice to the Department, State Long Term Care Ombudsman, all residents, and if applicable, their legal representatives within two business days of receipt of a notice of intent to terminate electricity, gas, or water service within 15 days of the notice. Despite the requirement to notify all parties that the utility was at risk of shut off by 12/17/25, no notice was ever sent. Therefore, a civil penalty of $100 per day is being assessed per HSC § 1569.686(c) commencing 12/2/25, totaling [$100 x number of days (or) the maximum penalty of $2,000]. Upon review of facility records, it was observed that the licensee failed to pay their required annual licensing fee timely. The Department has not received payment as of today and the facility has an outstanding balance. Failure to pay the annual licensing fee is a violation of HSC §1569.185 and may result in forfeiture of the facility’s license. LPAs were away from the facility for approximately one hour between 3:00pm - 4:00pm Continued on LIC809C (Continued from LIC809) The facility currently has eighteen (18) residents receiving hospice services. A review of records reflected the facility failed to obtain hospice care plans for all eighteen (18) residents. Deficiencies were observed during today's inspection and cited per Title 22 regulations and the Health and Safety Code on the attached LIC 809-D. An exit interview was conducted with House Manager, Gabriela Zamora, to whom a copy of this report and the Licensee/Appeal Rights (LIC 9058 03/22) were provided. Their signature below confirms receipt of these documents. The report was discussed via telephone while at the facility with Licensee Kamran Shirazi.