Facility Evaluation Report

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced visit to the facility for the purpose of a Plan of Correction (POC) visit, based upon the deficiencies cited in LIC form 809D on 09/18/2024. LPA was greeted and granted entry into the facility by Licensee/ Administrator Jay Pichika and explained the reason for the visit.

*Deficiency cited under Title 22 Regulation 87355(e)(1) pertaining to Criminal Background Clearance has been cleared. Licensee provided proof of correction. Licensee has complied with the terms of the POC.

Licensee has requested an extension to correct the following items:

LPA has granted an extension to repair remaining items until 10/10/2024.

Licensee has been advised of meeting in Orange County Regional Office on 10/11/2024 at 10:00 AM.

Licensee has been advised to maintain all items in compliance with Title 22 regulations.

Exit interview conducted and a copy of this report was left at the facility.