complaint·December 5, 2025

(PAGE 2) Report continued from LIC 9099... On 09/15/2025 at 3:29 p.m.; 3:41 p.m., 09/16/2025 at 4:08 p.m., 10/14/2025 at 1:26 p.m., and 11/3/2025 at 3:50 p.m., LPA corresponded telephonically with the creditable Witness #1 (CW). On 9/16/2025 corresponded via email with CW. During today's visit at 12:28 p.m. LPA and Administrator briefly toured the physical plant areas inside and outside to ensure there are no immediate health and safety hazards, and facility is in compliance with Title 22 Regulations. On the allegation Alterations made to the facility without permits, it is the concern of the Reporting Party (RP) that the facility has undergone major interior changes, including reconfigured bedrooms, added bathrooms, and electrical upgrades without proper permits. To investigate this complaint, LPA conducted an in person interview, telephonic interviews, corresponded via email, and obtained copies of pertinent documentation relevant to the investigation. Interview with Licensee Representative revealed that they are unfamiliar with any specific alterations made to the home. Construction was completed shortly after the home was purchased in March of 2024. They have no knowledge in regard to permits. Interviews with the CW revealed that the property is officially recorded as a 4-bedroom, 2.5-bathroom residence. However, the following un-permitted structural and interior modifications have been made including a wall at the entrance was removed, and the original master bedroom was divided to create Bedrooms 2 and 3, with a new bathroom added to Bedroom 3. Bedroom 1, formerly a den or study, had its window converted into a door and a new bathroom installed, with walls erected to section off the space. Bedroom 4 had its window changed into a door, and the interior door was relocated. Bedroom 5 now includes a door leading to the exterior. The half bathroom was reconfigured, and the bathroom across from Bedroom 4 was modified to include a walk-in shower, with the opposite side of the glass wall remaining a half bathroom. Bedroom 6 now has an attached bathroom. A new half bathroom was added off the kitchen. A door was added from the family room into the garage. Additionally, the property underwent a complete electrical system upgrade. It was noted that that there are no immediate health and safety risk or concerns. The facility has since been compliant with the requests and are in the process of submitting all the required permits for the home’s alterations. As of now there is not a specific deadline for the permits to be made as they are actively working on the request that have been made. Report continued on LIC 9099-C PAGE 3... (PAGE 3) Report continued from LIC 9099-C PAGE 2... Based on information gathered during the course of the investigation, interviews and a credible source there is sufficient evidence to support the allegation occurred. Therefore, the allegation of Alterations made to the facility without permits is deemed SUBSTANTIATED at this time. Pursuant to Title 22, California Code of Regulations and/or CA Health and Safety Code, the following deficiency was cited (refer to LIC 9099-D.) Administrator was informed that failure to correct the deficiency may result in civil penalties. Exit interview conducted, appeal rights discussed, and a copy of this report and appeal rights were provided.