Health check·April 28, 2026

On April 28, 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 Licensees Allen Medina and Keak Vongphakdy after explaining the purpose for the visit. On today's visit, LPA observed the facility still has no residents in care and remains vacant. LPA, accompanied by the Licensees, 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. 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 the facility has a three day emergency food and water supply stored in the kitchen pantry. LPA inspected the three fire extinguishers located in the facility. The facility was issued a technical violation during the previous visit conducted on April 13, 2026, due to the fire extinguishers not being serviced annually. During today's visit, LPA observed that the fire extinguishers still have not been serviced and were last serviced on April 8, 2025. 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 Licensees, 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 three staff during the visit. Two out of the three staff reported that they were up to date on their wages. 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. CONTINUED ON LIC809-C LPA conducted an interview with a Licensee during the visit. The Licensee confirmed one staff has an outstanding balance for past owed wages and that the facility's rent was not paid for March or April 2026. During the previous visit conducted to the facility on April 13, 2026, LPA requested the following documents to be submitted to him by close of business day April 17, 2026, to assess the Licensees current financial situation: Proof of rent payments for March and April 2026. All utility bills (water, gas, electricity, trash, internet) for March 2026. Payroll records for March 2026. As of today, April 28, 2026, LPA has still not received the full extent of the records requested. Based on the observations made during today's visit, deficiencies are being cited on the attached LIC809-D pages. Additionally, a civil penalty will be assessed for a failure to correct. The Licensees have still not corrected a deficiency that was originally cited on March 9, 2026. A civil penalty will be assessed in the amount of $100 per day, from April 14, to April 28, 2026, for a total of $1,500.00. An exit interview was conducted with Licensees Allen Medina and Keak Vongphakdy. A copy of the report and appeal rights were provided at time of visit.