Debarment_03.14.25.pdf

ENTITY INFORMATION

Search Date and Time: 2/13/2025 8:49:53 AM

Entity Details

Entity Name: LAS PALMAS ASSISTED LIVING 2

LLC

Entity ID: L18790333

Entity Type: Domestic LLC Entity Status: Active

Formation Date: 10/10/2013 Reason for Status: In Good Standing

Approval Date: 10/16/2013 Status Date:

Original Incorporation

Date:

10/10/2013 Life Period: Perpetual

Business Type: Last Annual Report

Filed:

Domicile State: Arizona Annual Report Due

Date:

Years Due:

Original Publish Date:

Statutory Agent Information

Name: MARIA MATEO Appointed Status: Active

Attention:

Address: 9443 E 3RD ST , TUCSON, AZ 85710, USA

Agent Last Updated: 10/16/2013 E-mail:

Attention: Mailing Address: 9443 E 3RD ST , TUCSON, AZ 85710, USAPrivacy Policy (http://azcc.gov/privacy-policy) ǀ Contact Us (http://azcc.gov/corporations/corporation-contacts)

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Page 1 of 1, records 1 to 1 of 1

Title Name Attention Address Date of Taking

Office

Last

Updated

Member

MARIA

MATEO

9443 E 3RD ST, TUCSON, AZ,

85710, USA

10/10/2013 10/16/2013

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Principal Information

Address

Attention: Address: 9443 E 3RD ST, TUCSON, AZ, 85710, USA

County: Pima Last Updated:

10/10/2013

Entity Principal Office Address

Attention: Address: County: Last Updated:

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2/13/25, 8:50 AM Arizona Corporation Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L18790333&__ncforminfo=Udho6Ka8jhOZ2_UIDEB20VCVe25PggYqUD2sVBB1yL2X-LrPfQh_PBJk1wUO9Knenl0XhXN25G64JB3… 2/3 http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts

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2/13/25, 8:50 AM Arizona Corporation Commission https://ecorp.azcc.gov/BusinessSearch/BusinessInfo?entityNumber=L18790333&__ncforminfo=Udho6Ka8jhOZ2_UIDEB20VCVe25PggYqUD2sVBB1yL2X-LrPfQh_PBJk1wUO9Knenl0XhXN25G64JB3… 3/3 http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/privacy-policy http://azcc.gov/corporations/corporation-contacts

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As required by and in accordance with Arizona Revised Statute (ARS) § 8-804; Contractors, Subcontractors and Offerors are required to submit the “Request for Search of Central Registry for Background Check” form for each employee or prospective employee of the Contractor, Subcontractor or Offeror who provides direct services to children or vulnerable adults. For employers that support the Department of Economic Security - Division of Child Care, this check is required by and in accordance with Arizona Revised Statute (ARS) § 8-804 and the Code of Federal Regulations (CFR) Title 45 § 98.43.

Employers must confirm that the Request Summary section of this report accurately lists the applicant/ employee's first name, last name, middle name, date of birth, and alias names. The registry checks are completed based on the information provided by the applicant/employee on the request form. If the information is incorrect, instruct the applicant/employee to submit a new request with correct information.

Registry Checks have been completed for Maria Mateo for the Department of Child Safety (DCS) and the Arizona Adult Protective Services (APS). The report also includes the background check request details as provided by the requester.

Department of Child Safety (DCS) Central Registry Check Results

After conducting a search of the Department of Child Safety (DCS) Central Registry database on the referenced individual, no person(s) submitted for background check has a substantiated finding of child abuse or neglect on the Central Registry database.

Check Completed by: Office of Licensing and Regulation (OLR) Background Check Unit

Date: 03-11-2025

Arizona Adult Protective Services (APS) Registry Check Results After conducting a search of the Arizona Adult Protective Services (APS) Registry on the referenced individual, no person(s) submitted for background check has a substantiated finding in Arizona of abuse, neglect, or exploitation of a vulnerable adult on the APS Registry.

Request Summary:

Request Number : E000082563

Date Submitted : 03-11-2025 First Name : Maria Middle Name : E Last Name : Mateo Suffix :

Date of Birth : 04/22/1961 Physical Address : 1301 W ROLLER COASTER RD Apt. :

City : TUCSON State : AZ Zip : 85704 Date Employed : 04/22/2010 Fingerprint Clearance Card Application Number :

Solicitation/Contract Number(s) or Provider ID(s) :

CTR066099

Have you lived at your current address for five (5) years or longer? : yes Previous Name(s) :

First Name: Maria Middle Name: Elena Last Name: Ortiz Are you currently the SUBJECT (NOT THE VICTIM) of an investigation of child abuse or child neglect in Arizona, or another state or jurisdiction? : no Have you ever been the SUBJECT (NOT THE VICTIM) of an investigation of child abuse or child neglect in Arizona, or another state or jurisdiction that resulted in a substantiated (determined to have occurred) finding? : no

Previous Address Information:None

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