Facility Evaluation Report

On June 16, 2025, at 10:45 AM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced case management visit for a health and safety check. LPA Kim met with Administrator (ADMIN) Mar Jason Dasco and LPA Kim explained the purpose of the visit.

LPA Kim conducted a health and safety check with ADMIN Dasco. Facility maintained ample 2-day perishables and 7-day non-perishables in the kitchen. Resident hygiene supplies are stored in a locked closet next to resident room 2 and resident room 3. LPA Kim observed one meal service at 12:00 PM. Residents were served marinated chicken, rice, and mixed vegetables. The hot water temperature measured between 113.7 degrees F and 119.3 degrees F. The room temperature was at 78 degrees F. All dual functioning smoke/carbon monoxide detectors were operational. All emergency disaster supplies were prepared and available. Facility land line, (714) 951-9188, was tested and remains available. LPA observed two staff on duty providing care to six residents.

LPA Kim reviewed and received copies of the facility staff roster and resident roster. LPA Kim reviewed and received through email the previous six months of the facility's electricity bills/payments and facility gas bills/payments. Facility will send the previous six months bills and payments of the water and the trash to LPA Kim before the close of business 5:00 PM June 16, 2025. LPA conducted three staff interviews.

No deficiencies were cited during the visit.

An exit interview was conducted and a copy of this report was provided to Administrator Mar Jason Dasco.