Facility Evaluation Report

On May 11, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a Case Management - Health Checks inspection. LPA was greeted and granted entry into the facility by Licensee Allen Medina after explaining the purpose for the visit.

On today's visit, LPA observed the facility has no residents in care and remains vacant. LPA, accompanied by the Licensee, conducted a tour of the physical plant of the facility. LPA inspected the five resident bedrooms and observed them to be free of hazards. LPA observed the lights in each of the resident's bedroom to be operational. LPA inspected the five bathrooms located in the facility. LPA observed bathrooms to be clean. Bathrooms are equipped with grab bars and non-skid floor mats. Hot water temperature measured between 106.3 and 127.9 degrees Fahrenheit. LPA conducted a tour of the kitchen area. LPA observed kitchen appliances to be clean and operational. LPA observed the six burner gas stove lights unassisted. LPA observed all of the facilities utilities, such as the electricity, water, gas, and internet, to be operational during the visit.

LPA, accompanied by the Licensee, conducted a tour of the exterior portions of the facility. LPA observed the exterior to be free of any obstructions or hazards. LPA conducted interviews with the Licensee and two staff during the visit. One out of the two staff reported that they were up to date on their wages and were paid for the most recent pay period. However, one staff stated that they have not received the remaining of their wages for the March 7, 2026, or the March 22, 2026, pay periods. LPA conducted an interview with a Licensee during the visit. The Licensee confirmed that there was a remaining balance for the staff, however, the Licensee stated that he initiated a payment for the remaining wages to the staff on May 9, 2026. CONTINUED ON LIC809-C