Health check·February 18, 2026

On February 18, 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 staff after explaining the purpose for the visit. Licensee Allen Medina was notified via telephone but was unable to assist with today's inspection. On today's visit, LPA observed that facility current has a census of one resident. However, there were no residents physically present at the facility during today's visit. Per staff on duty, the one resident remains at a Skilled Nursing Facility and a return date to the facility has not been scheduled yet. LPA, accompanied by a care giving staff, 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 residents bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed the lights in each of the resident's bedroom to be operational. LPA inspected the five bathrooms located in the facility, three of which are dedicated for resident use. LPA observed bathrooms to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Hot water temperature measured between 116.2 and 116.6 degrees Fahrenheit. LPA observed the facility has a two day perishable and seven day nonperishable food supply on hand. LPA observed kitchen appliances to be clean and operational. LPA observed the six burner gas stove lights unassisted. LPA observed the facility has a three day emergency food and water supply stored in the kitchen pantry. LPA observed all of the facilities utilities, such as the electricity, water, gas, and internet, to be operational during the visit. CONTINUED ON LIC809-C LPA additionally conducted interviews with three staff. Three out of the three staff interviewed stated that they were supposed to be paid on February 13, 2026, for the hours them worked from January 21, to February 3, 2026. However, the three staff stated that they have not been paid yet and they have not been told when they will be paid. LPA observed that the Licensee has not paid the facility's annual fees for the year of 2025 despite previous reminders. The Licensee currently has a balance of $742.00 for the facility's annual fees. Additionally, the Department requested the Licensee to provide the following documents for this facility by 3 PM, February 6, 2026, to assess their current financial situation: Financial records (balance sheets, income statements, general ledgers) from October 2025 to January 2026. Rent payments from October 2025 to January 2026. Utility bills (electricity, water, gas, internet) from October 2025 to January 2026. Payroll records from October 2025 to January 2026. As of the agreed upon due date, the Licensee did not provide any payroll records for the facility. The Licensee did not provide any balance sheets or income statements for the facility. The Licensee did not provide the general ledger for January 2026 for the facility. The Licensee did not provide the rent payments from November 2025 to January 2026. The Licensee also did not submit the full extent of the utility bills requested. Based on the observations made during today's visit, deficiencies are being cited on the attached LIC809D page. Additionally, civil penalties will be assessed on today's visit, for failures to correct and for a repeat violation. The Licensee did not correct the deficiency that was cited during the complaint visit that was conducted to the facility on February 5, 2026. The Licensee did not correct two deficiencies that were cited during the case management visit that was conducted to the facility on February 5, 2026. The Licensee is also receiving the same citation that was issued during the complaint visit conducted to the facility on February 5, 2026. The total amount of civil penalties that are being assessed on today's visit is $3,850.00. An exit interview was conducted with Licensee Allen Medina via telephone. Licensee Allen Medina authorized the care giving staff present to sign the report on his behalf. A copy of the report and Appeal Rights were provided.