Facility Evaluation Report

Licensing Program Analyst (LPA) Jose Villalobos conducted Case Management - Deficiencies visit as a result of observed deficiency during POC visit on the same day. LPA met with staff Eun Kee Byun and explained the purpose of this visit as well as explained to administrator Hyo Kim via phone call.

During the visit, LPA Villalobos observed residents #1 and #2 to be living in a room designated as a staff room.

Deficiency cited under California Code of Regulations, Title 22, Division 6, Chapter 1. Immediate Civil Penalty is being assessed. See attached 809-D page.

Exit interview was conducted, appeal rights discussed. A copy of this report and the appeal rights were also provided.