Facility Evaluation Report

On September 12, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced Case Management visit to the facility. LPA was greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator (AD) Jae Wan Rim was present and assisted on today's inspection.

LPA is following up on a self reported Unusual Incident/Injury Report (UIIR) that was received by the Orange County Regional Office (OCRO) on September 2, 2025. The UIIR described that on August 31, 2025, Resident #1 (R1) had an unwitnessed fall in her bedroom which resulted in her hospitalization. On today's visit, LPA and the AD conducted a tour of the facility, including R1's bedroom. LPA reviewed and obtained pertinent documents for R1 as well as conducted one staff interview.

Based on the information gathered during the inspection, no deficiencies are being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with Administrator Jae Wan Rim and a copy of the report was provided.