Facility Evaluation Report
Capacity6
Census5
Date signed05/22/2025 12:05:53 PM
Name of licensing program analystMichael Tea
Name of licensing program managerAlisa Ortiz
On today's date, Licensing Program Managers (LPM) Alisa Ortiz and Licensing Program Analysts (LPAs) Michael Tea and Brandon Lopez met with Licensee Allen Medina, Maricel Nepomuceno, and Keak Vongphakdy on this day for the purpose of discussing financial operations and distress and reporting requirements
Licensee's responsibilities of facility oversight
Licensee's requirement to maintain control of facility and property
Licensee’s responsibility to maintain financial solvency
Licensee’s responsibility to communicate with the department
Report of suspected dissolution of partnership
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction