Facility Evaluation Report

On today’s date, Licensing Program Analyst (LPA) Eboni Bentley arrived unannounced for the purpose of conducting a case management visit and requesting documentation. LPA introduced self to staff, explained the reason for the visit, and was granted entry into the facility. Administrator (AD) Rosendo "Carla" Miranda arrived shortly after and assisted with requests for documentation.

During the visit, LPA requested the following documentation from facility staff and Licensee via email:

- Proof of rent payments for October, November, December 2025

- Payroll records for October, November, December 2025

- Grocery receipts for October, November, December 2025

- Utility bills (water, gas and electricity) for October, November, December 2025

LPA toured the facility with AD and observed no health and safety issues. Property utilities are working, including electricity, gas, and water. Perishable and non-perishable food supply was observed adequately stocked at time of visit. It was reported that staff were not paid in a timely manner and received no response to requests for pay. Interviews were conducted and LPA received a telephone call and statement from Licensee during today’s visit. Five out of five staff and Licensee confirmed staff were not paid on time. All stated paychecks were scheduled to be paid on the 22nd day of the month and staff did not receive payment on that date. One staff stated all facility staff were paid late and received half of their pay on 12/30/25. A record review revealed four out of four staff did not receive a paycheck on 12/22/25. Two staff were paid late and two other staff had not received a paycheck by 12/31/25. Based on the observations, interviews, and records reviewed during the present visit, one Type B deficiency is being cited and CIVIL PENALTY ASSESSED. An exit interview was conducted and a copy of this report, LIC809-D, LIC421, and appeal rights were provided to a facility representative.