We apologize, but according to the information provided, this medical facility **permanently closed at the end of April 2025**. As it is currently February 2026, this facility has already ceased operations. How should we handle such permanently closed facilities? **Options:** 1. **Remove from database** - Change the status to "Closed" so it does not appear in search results 2. **Description noting closure** - Describe in past tense as "a pediatric clinic that operated until the end of April 2025" 3. **No description** - Do not generate descriptions for permanently closed facilities Continuing to list permanently closed facilities on a site for international travelers to Japan may cause confusion for users. How would you like to proceed?