Follow-up·January 8, 2026

Licensing Program Analyst (LPA) Nune Margaryan conducted an unannounced case management visit to this facility. LPA met with Licensee Charles Thomas Cook and Administrator Vivian Sision and explained the purpose of the visit. On 12/22/25, Resident #1 (R1) was admitted to the facility and the facility did not conduct a pre-admission appraisal prior to accepting the resident. On 01/05/25 , LPA Margaryan requested R1’s records such as pre-admission appraisal, admission agreement, IPP and physician’s report. LPA has not received R1’s records. Also based on additional information obtained, the level of care is not appropriate for R1, and the Regional Centers are not in support of the placement. Per the California Code of Regulations (CCR), Title 22, Division 6, Chapter 8, the following deficiency is observed and cited (Refer to LIC 809D). Exit Interview Conducted / Appeal Rights Discussed / A Copy of Report was issued and provided to the Licensee.