Facility Evaluation Report

On July 8, 2026, at 8:30 AM, Licensing Program Analyst (LPA) Eboni Bentley conducted an announced Case Management Visit to conduct a tour of the physical plant and obtain the facility license. LPA Bentley was greeted by Licensee Maricel Nepomuceno who stated the licensee did not have access to the facility. Landlord Jonathan Mayorga arrived a short time later and granted LPA access into the interior of the facility.

LPA Bentley toured the interior and exterior of the physical plant with Licensee and Landlord and observed the following: There are no residents in care. LPA observed minimal furnishings throughout the facility and resident bedrooms were empty of personal belongings. Licensee stated the facility in no longer operational and surrendered facility license to LPA. All utilities were disconnected with the exception of water that was reactivated by the Landlord as a safety precaution.

On June 30, 2026, LPA requested the following records from Licensees Allen Medina and Maricel Nepomuceno with a due date of July 6, 2026.

· Bank statements for March, April, May and June 2026 (outstanding)

· Utilities statements for March, April, May and June 2026 (Received on July 6, 2026 via email)

· Rent payments for March, April, May and June 2026 (outstanding)

LPA conducted an interview with the landlord of the property, Witness #1 (W1) during the visit. W1 stated that the facility did not pay the July 2026 rent and rent payments from March-June 2026 were paid late. Licensee confirmed during the visit.