Facility Evaluation Report
Licensing Program Analyst (LPA) David Marrufo conducted an unannounced Annual Continuation visit and met with Karen Nickolai, Administrator. The visit was a continuation of the Required 1 Year Annual Inspection that was started on 11/27/2024.
During visit on 11/27/2024, LPA Marrufo reviewed the resident medication records for residents R1-R8. The Centrally Stored Medication and Destruction Records for R3, R4, R5, R6, and R8 had prescription numbers that were incorrect.
LPA reviewed the resident records for R1-R8 and staff records for 8 staff and found them to be complete.
A deficiency was cited as per California Code of Regulations Title 22. See LIC809-D page for more information.
This report was reviewed with Administrator Karen Nickolai and a copy of this report and appeal rights were provided.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction