Rare CUP-approved development opportunity in El Cajon. This 1.33-acre Commercial-zoned parcel has an approved Conditional Use Permit for a large-scale Residential Care Facility for the Elderly (RCFE). Approved plans call for a 3-story, 87,603 SF building with 148 rooms/156 beds (128 assisted living, 28 memory care), central courtyard, two balconies, and 62 covered parking spaces. Seller has completed the full architectural and civil plan set plus a clean Phase 1 Environmental Site Assessment, removing significant entitlement risk and time for a buyer. A third-party demand study by Susan Brecht & Associates supports strong market need, and the City of El Cajon projects a 27.1% increase in residents aged 65+ by 2050. A turnkey opportunity for a senior housing developer or operator to move directly into construction. Buyer to independently verify all permits, entitlements, square footage, and development potential with the City of El Cajon.