NEW YORK (Standard&Poor's) March 7, 2014--Standard&Poor's Ratings Services has lowered its ratings on Deutsche Bank Securities Inc. Receipts' series DBE-461 short puttable exempt adjustable receipts (SPEARs), long inverse floating exempt receipts (LIFERs), and custodial receipts, relating to North San Diego County Health Facilities Financing Authority, Calif.'s (Palomar Pomerado Health District) general obligation bonds (election of 2004) series 2007A capital appreciation bonds, to 'AA+/A-1', 'AA+', and 'AA+', respectively, from 'AAA/A-1', 'AAA', and 'AAA', respectively. This action follows Standard&Poor's Feb. 10, 2014, lowering of its rating on the underlying bonds by three notches to 'BBB+' from 'A+'. (See, "North San Diego County Health Facilities Financing Authority, California -- Palomar Pomerado Health District; General Obligation", published Feb.