Facility Evaluation Report
On May 1, 2026, Licensing Program Analyst (LPA) Ernand Dabuet conducted an unannounced case management visit to the facility in connection with complaint #11-AS-20251110142021. The LPA met with Assistant to the Administrator Terri Han and House Manager Miran Bae and explained the purpose of the visit.
The Department determined the facility is not in compliance with Title 22 Regulations and is cited as follows:
87458 Medical Assessment(a)(b). The investigation revealed that the facility did not comply with Title 22 regulations. LPA identified that there was no current medical assessment for Resident #1 (R1), and (LIC 602 or equivalent) must be completed before admission and kept updated. No assessment included the resident’s diagnoses, functional capacity, and care needs. The resident’s Physician’s Report is missing, and or any formal medical assessment.
Based on interviews, observation, and record reviews, the licensee violated the California Code Regulations (CCR) of Title 22, Division 6, Chapter 8.
Deficiencies are issued, and an exit interview is conducted with Terri Han. A copy of this report is provided along with the appeal rights.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction