complaint·February 5, 2026

Staff interviewed stated that they did not complete any training upon hire or that they did not complete any annual training for the year of 2025. Regarding the allegation, resident records are incomplete, the following has been concluded: LPA reviewed the records for the three residents of the facility. LPA observed that the resident records were incomplete for all three residents. LPA observed that the Admission Agreement on file for Resident #1 (R1) was not signed by a facility representative. LPA observed that there was no Pre-Admission Appraisal on file for R1. LPA observed that there was no Reappraisal on file for R1 and the Reappraisal on file for Resident #2 (R2) was outdated. LPA also observed that there were no functional capability assessments on file for the three residents in of the facility. Regarding the allegation, Administrator not present at the facility a sufficient number of hours, the following has been concluded: LPA reviewed the facility's personnel report dated January 30, 2026 which stated that the current facility Administrator (AD) is present at the facility three hours on Monday and three hours on Friday, for a total of six hours a week. LPA conducted an interview with the current facility AD. The AD stated that he took over operation of the facility in December 2025. The AD stated that he is currently overseeing five licensed facility's. Additionally, the AD admitted that he is currently not follow the personnel report schedule and has only been at the facility once or twice since December 2025. During the course of the investigation, LPA observed the facility to be in disrepair, staff training has not been completed, resident records are incomplete, and the facility is in financial distress. Therefore, it does not appear that the Administrator is present at the facility a sufficient number of hours to permit adequate attention to the management and administration of the facility. Regarding the allegation, facility is in financial distress, the following has been concluded: LPA spoke with the landlord of the property, Witness #1 (W1), who stated that the Licensee currently owes him $26,450.00. W1 said that $4,750.00 is owed from September through December 2025 for rent late fees and partial property taxes owed. W1 also said that $21,700.00 is from missed rent payments and late fees before September 2025. During the Case Management visit conducted to the facility on February 4, 2026, LPA observed that the facility was experiencing a water shut off. Staff present during the visit confirmed that the water was shut off due to the facility having an outstanding balance with the water company. LPA spoke with Licensee Allen Medina and Maricel Nepomuceno who confirmed the facility had an outstanding balance with the water company for a total of $2,247.03. The Licensees were unable to provide the remaining utility bills for the facility to determine if they are up to date on their payments. CONTINUED ON LIC9099-C LPA conducted five staff interviews. Three out of the five staff interviewed confirmed that they are up to date on their salary and were paid on time for January 2026. However, the three staff stated that they have been paid late in previous pay periods. Additionally, two out of the five staff interviewed stated that they have not received all of the wages that are owed to them and that they have been paid late in the previous pay periods. Regarding the allegation, facility is in disrepair, the following has been concluded: LPA conducted a tour of the facility, including the interior and exterior portions. LPA observed that a light in one of the five bathrooms was not operational. LPA observed that the paint in the kitchen pantry area was peeling. LPA observed that the air filters located in the hallways were extremely dirty and full of debris. Two staff present stated that the air filters had not been changed in months. LPA observed that the side yard and backyard were overgrown. LPA observed the grass to be overgrown, bushes to be overgrown, weeds to present in the yards, the palm trees have not been trimmed, and debris to be present in the walkways. Three staff stated that the facility has not had a gardener in months. LPA observed the roof of the house and it's gutters to be dirty and full of debris. Additionally, LPA observed the outdoor furniture in the backyard to be dirty and faded. One resident interviewed stated that she no longer goes outside because of how dirty it is and due to the outdoor furniture not being in good condition. Based on the evidence gathered during this investigation, the Department obtained sufficient evidence to substantiate the five allegations The preponderance of evidence standards has been met; therefore, the above allegations are SUBSTANTIATED. Deficiencies are being cited on the attached LIC9099-D pages. An exit interview was conducted with Licensee Allen Medina. A copy of the report and Appeal Rights were provided.