David has worked with adults with cognitive disabilities for 40 years.
He is the Founder of LiveOak Living Community,
which he started in 2002 with the vision of creating a supportive lifelong living community for adults with long-term cognitive disabilities.
He has also been the Chairman of the Seaton Foundation, since 1986,
which provides education and internship programs that promote the concepts of LifeLong Living for professionals,
students and organizations working in long-term care.
Rachel Medina is the Chief Executive Officer of LiveOak Living Community.
Since joining LiveOak in 2013, Rachel has helped guide the
organization’s growth while remaining committed to its mission of building bigger, better lives.
Rachel played a key leadership role in LiveOak’s 2025 transition to an Employee Ownership Trust,
making it one of the first healthcare organizations in the country to adopt this innovative ownership model.
Her work centers on creating meaningful, community-based lives for the people LiveOak supports while
building a workplace where employees have a genuine voice, a sense of ownership, and opportunities to grow.
Rachel holds a bachelor’s degree in psychology and a master’s degree in psychological research from Texas State University.
She also serves as President of the Seaton Foundation and is passionate about person-centered support,
employee ownership, organizational culture, and developing sustainable models of care for adults with cognitive disabilities.
Angie Carballo is the Director of Development at LiveOak Living Community.
She started as a Direct Support Professional in 2014 where she gained experience working with individuals with cognitive disabilities.
She was promoted to the Director of Operations where she learned about the mechanics of the business before moving into her development role.
Angie obtained her B.S. in Psychology and M.A. in Psychological Research from Texas State University.
At LiveOak Living Community, Angie focuses her time on marketing, community outreach, and building relationships.
In her free time, Angie enjoys painting, journaling, and knitting.
Miah is the Director of Human Resources at LiveOak Living Community. She obtained her bachelor’s and master’s degrees in healthcare administration from Texas State University. Starting as an intern in 2021, Miah quickly grew within the company. Miah is excited to provide opportunities for professional development and finding ways to ensure that LiveOak is a great place to work and live. In her free time, she likes to cook, spend time with her family, and travel.
Jacky Pecero is the Director of the LiveOak Ranch. She obtained her BA in Music and Psychology from Texas State University in Spring 2021. She started as an intern in 2020 and grew internally by working in various roles, such as Health Coordinator, Program Manager and Assistant Director of Resident Services. Her experience at LiveOak not only outlined how to properly advocate and address resident needs, but created a drive for expanding the resident’s lives. Her main focus is program development and residents making meaningful connections in and outside of their community. In her leisure time, Jacky enjoys being outdoors with her dogs, thrift shopping and listening to live music at coffee shops.
Giselle is the Director of Resident Services at the LiveOak Ranch, where she focuses on building a strong sense of community and supporting residents in meaningful ways. She earned her degree in Psychology from Texas State University in 2019 and joined LiveOak in 2020 after discovering the company through its internship program. Since then, she’s grown with the organization through roles like Program Manager, Medication Coordinator, Assistant Director of Operations, and Program Director. These experiences helped her find her passion for activity programming, community engagement, and resident advocacy. Outside of work, Giselle enjoys movie nights with her fiancé, walking her dogs, and spending time with family.
Rachel has been working in the healthcare and hospitality industry for 15 years. She started working as a CNA in 2008, then acquired her Activity Director for Recreational Services certificate in 2012. Rachel has experience working with adults who have disabilities in many different settings, including being a Life Engagement Director at an assisted living community for five years. Most recently, she was a Program Director at an adult day center. Rachel has a passion for engaging adults in meaningful activities and improving their overall quality of life. In her spare time, she enjoys camping, gardening, and taking care of her chickens with her husband and their dog Penny.
At LiveOak, inclusion is not a program, it’s a mindset.
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