Facility Evaluation Report

Licensing Program Analysts (LPAs) Kimberly Lyman conducted an unannounced case management visit in conjunction with complaint visit 22-AS-20220705085643. LPA was greeted and granted entry into the facility by Caregiver Brenda Castillo and explained the reason for the visit. Administrator/ Licensee Jay Pichika arrived during the visit.

During the course of the complaint visit, LPA met with Staff 1 (S1). S1 indicates working at facility for a week. LPA observed through Guardian and LIS that S1 is not associated to the facility.

Based on the observations made during today's visit, the following violation is being cited per California Code of Regulations, Title 22, Division 6, Chapter 8. An exit interview was conducted and a copy of this report as well as appeal rights were discussed and provided with facility representative.