Senior Care Records.

Facility Evaluation Report

Ivy Park at San Tomas, San Jose07/17/2026Licence 435202874

Capacity82
Census41
Date signed07/17/2026 02:47:09 PM
Name of licensing program analystMarcella Tarin
Name of licensing program managerChristine Kabariti
The inspector’s account

Licensing Program Analyst (LPA) Marcella Tarin arrived unannounced to deliver amended findings for complaint 26-AS-20250909093332, and to amend a Type A deficiency to a Type B deficiency for a Case Management (CM) visit conducted on 5/21/2025. LPA met with Executive Director (ED) Karen Nickolai. LPA stated the purpose of the visit.

During today's visit LPA delivered amended complaint findings from unsubstantiated to substantiated for complaint for 26-AS-2025090909333. A deficiency is being issued for this complaint.

LPA amended a Type A deficiency issued on 5/21/2025 to a Type B deficiency. An amended LIC809D was provided to ED during today's visit.

A deficiency is being cited during today's visit for complaint 26-AS-20250909093332 per California Code of Regulations, Title 22. See LIC809D for more information. An exit interview was conducted with ED Karen Nickolai, a copy of this report and appeals rights were provided.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction