Facility Evaluation Report

On September 6, 2024, Licensing Program Analyst (LPA) Deborah Lee conducted an unannounced annual required visit. LPA met with administrator Ki Hwan Kim and explained the purpose of today’s visit. The facility is licensed to operate for (6) non-ambulatory elderly residents ages 60 and above. The facility is approved for (1) hospice resident. There are currently five (6) residents in care.

The facility is a single-story structure located in a residential neighborhood. It consists of the following: six (6) resident's rooms, six (6) bathrooms, a living area, a dining area, a kitchen, and outside patio area.

LPA toured the physical plant. All rooms were inspected. LPA observed the facility to be furnished at time of visit with ample seating for the Residents in care. There is adequate lighting in the facility and the temperature was comfortable 75 degrees F. Hallways and passageways were free of obstruction. A working landline telephone remains available.

Bedrooms LPA inspected all six (6) bedrooms. All bedrooms were observed to have the required furniture including beds, dressers, nightstands with lamps, chairs, and ample storage space for personal belongings. All bedrooms were observed to be clean, in good repair, and have ample lighting.