Facility Evaluation Report

Licensing Program Analysts (LPA) Trevor Byrne arrived at the facility unannounced to conduct a required annual visit at 09:36 AM. LPA spoke on the phone with Administrator Kyong Suk Lee who informed LPA that the facility currently has no residents. Administrator arrived to the facility at 11:23 AM.

Beginning at 11:25 AM, the LPA, along with the Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

Fire extinguisher was fully charged and recently serviced on 05/20/2025. Combination smoke and carbon monoxide detectors were tested at 12:30 PM and all were functional at the time of the visit. No fire clearance concerns were observed.

KITCHEN/GARAGE : The LPA observed the garage to be locked and inaccessible. The garage was observed to contain the facility washer and dryer along with tools, care supplies, and household chemicals. The kitchen was observed to be clean. Kitchen appliances appeared to be in operable condition. The facility has a sufficient supply of seven (7) days non-perishable food. No perishable food was observed. Cleaning supplies are located in a locked under-sink cabinet. Medication cabinet was observed to be locked.

COMMON AREAS : This includes the living room and dining room areas. LPA observed common area to be clean and properly furnished at the time of the visit. The living room contained a television. The dining area contained a locked cabinet that contains facility files and adequate seating for resident use. The entryway contained required postings and an infection control point.