Facility Evaluation Report

Licensing Program Manager (LPM) Alisa Ortiz, and Licensing Program Analyst (LPA) Kimberly Lyman, conducted an informal office meeting with Licensee Jaya Pichika to discuss general compliance concerns at the facility.

The following items were discussed during the meeting:

Lack of communication between licensee and the department.

Licensee to communicate with the department on all issues or concerns regarding facility operations.

Licensee agrees to contact department for clarification and not make assumptions.

Licensee to forward a copy of the LIC 500 to LPA by 10/14/2024 that ensures coverage during hours when residents require services.

Facility will maintain compliance of Title 22 at all times and failure to maintain compliance may result in the department taking further action.

During the visit, Licensee was offered technical support services with the department and Licensee agreed to a referral for the service.

Exit interview conducted and a copy of this report was provided to Administrator.