Facility Evaluation Report

On this day, April 14, 2026, at 10:35 am, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA was granted entry by staff, Dong Kim, and informed the reason for visit. LPA called and spoke over the phone with Yong Akaosugi, administrator (ADM). ADM gave permission to Dong KIm to be with LPA in touring the facility. ADM arrived around 10:50 am..

LPA started the inspection with Dong Kim and continued with ADM. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, side yard and backyard. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables.

Fire extinguisher was observed fully charge with tag showed serviced August 14, 2025. Carbon monoxide and smoke detectors were tested and observed in operating condition. Hot water temperature in the common bathroom was tested and measured at 113.7 degrees Fahrenheit. Facility conducts disaster drills at least quarterly and records showed last conducted March 15, 2026.

LPA reviewed 3 residents and 3 staff records, and interviewed 3 residents. Medications were checked and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Records. Facility does not handle residents' cash resources/P&I.