Facility Evaluation Report

On June 17, 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 was informed by the Licensee that they plan to have two residents move into the facility tomorrow, June 18, 2026. 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 131.9 and 132.2 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 the landlord of the property, Witness #1 (W1) during the visit. W1 said that the facility did not pay their May 2026 rent and only partially paid the June 2026 rent. W1 said that the Licensee currently has an outstanding balance of $59,500.00, which includes past owed rent, late fees, and property taxes. W1 also said that there is currently no installment agreement to address the outstanding balance. CONTINUED ON LIC809-C