Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin conducted an unannounced Case Management to address a deficiency observed during complaint 26-AS-20250411110434. LPA met with Executive Director (ED) Karen Nickolai. LPA stated the purpose of the visit.

On 1/22/2026, 1/27/2026, 3/6/2026, 4/2/2026 and 4/9/2026 the Department requested via email additional documentation for a resident, referred to as R1, from Executive Director (ED) Karen Nickolai. LPA Tarin spoke with ED via phone call on 4/3/2026 and 4/9/2026. ED stated R1 was a resident ‘before her time’ and R1’s documentation was not at the facility, and possibly off-site in storage. On 4/22/2026, ED states she was unable to locate documentation for R1 in storage.

A deficiency is being cited per California Code of Regulations, Title 22. See LIC809D for more information. An exit interview was conducted with ED, a copy of this report and appeal rights were provided.