Facility Evaluation Report
Licensing Program Analyst (LPA) Kimberly Ramirez conducted an unannounced annual inspection visit on 01/09/2026 and was greeted by Caregiver Bokki Jung. LPA Ramirez identified herself and explained the purpose of the visit. The facility is located on a residential street and is a single-story dwelling. Video surveillance was observed in common areas.
LPA utilized the Compliance and Regulatory Enforcement (CARE) tools for the visit today and observed the following:
Physical Plant and Environment safety: During tour of facility, LPA Ramirez observed green rubbing alcohol on a nightstand next to R3's bed. Per caregiver S2, R3 uses rubbing alcohol for personal grooming. During resident record review, R3's physician documented that R3 may not have items of personal grooming accessible to them for safety reasons. LPA Ramirez observed carbon monoxide detectors and smoke alarms in hallways. LPA Ramirez inspected six (6) resident rooms and two (2) resident bathrooms. All resident bedrooms contained required furniture, linens and lighting. Water temperatures in all grooming and bathing areas were measured to be with 105 – 120 degrees F. LPA Ramirez observed grab bars near toilets and inside shower. LPA Ramirez observed no-slip coating in showers. LPA Ramirez observed seated shower chairs in bathroom.
Food Service: LPA Ramirez observed sufficient supply of nonperishables for one week and perishable foods for a minimum of two days in the facility kitchen area. Soaps, detergents, and cleaning compounds were observed to be stored away from food supplies. Freezers and refrigerators were observed to be clean and within temperatures of 0-degree F (-17.7 degree C), and refrigerators with maximum temperature of 40-degree F. (4 degree C).
Planned Activities: LPA Ramirez observed board games, magazines, and other activities for residents.
Residents Rights-Information: LPA Ramirez observed the following postings in common areas throughout the facility: Complaint Poster (PUB 475), personal rights, and nondiscrimination notice. LPA Ramirez observed facility land line. Six (6) out of the six (6) residents in care speak and read in another language (Korean). Administrator Kim will post a Complaint Poster (PUB 475) in language spoken by residents. see 809-C
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction