Facility Evaluation Report

Licensing Program Analyst (LPA) Cuadra arrived unannounced , to conduct a Plan of Correction (POC) visit and met with Licensee, Nicholas Ray. On 08/28/2025, LPA issued a citation for a violation of California Code of Regulation section 1569.652 with a plan of correction (POC), which are outstanding as of today.

The POC called for the Licensee to provide proof of refund to resident's (R1) responsible party regarding the regulation: 1569.652 Termination of admission agreement requirement. Proof of refund was requested to be submitted to CCL to clear the citation by POC due date of 09/15/25.

During today's visit, Licensee provided proof of correction for citation 1569.652 - Deficiency cleared from Substantiated allegation visit 08/28/2025. Copies of documents obtained indicated that Licensee have submitted as of November 17, 2025, an online payment in the amount of $999 with confirmation# ibq4tbhzm and another transfer made online in the amount of $1 with confirmation #d8i98a9nf to resident's responsible party and agreed to pay the full refund amount of $2000 by not later than December 1, 2025. The deficiency is cleared by POC visit. LPA have a conversation with the Licensee and provided regulation: 87507 Admission Agreements for their review .

No deficiencies cited during today's visit. Exit interview with Licensee and copy of this report was given.