Facility Evaluation Report

Licensing Program Analyst (LPA) Marcella Tarin arrived unannounced to conduct a case management – other visit. LPA met with Executive Director (ED) Karen Nickolai. LPA stated the purpose of the visit.

The purpose of the visit is to amend the LIC809D page on visit 05/21/2025. On 05/21/2025, the facility was cited for a Type A deficiency in violation of Title 22 Section 87309(a). On June 9, 2025 the facility submitted an appeal to the Department and requested the deficiency to be lowered from a Type A to a Type B. On 06/17/2026, the Department granted the appeal to be lowered to a Type B deficiency.

During today’s visit, the Type B deficiency of 87309(a) was issued per California Code of Regulations, Title 22.

The Type A deficiency on visit date of 05/21/2025 will be dismissed.

During today’s visit, the LIC9099 from complaint control number 26-AS-20250909093332 was also amended.

This report was reviewed with Executive Director (ED) Karen Nickolai and a copy of the report and appeal rights were provided.