Facility Evaluation Report

On November 20, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct a Case Management - Incident inspection. 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 Death Report received by the Orange County Regional Office on November 20, 2025, for Resident #1 (R1). On today's visit, LPA, accompanied by the AD, inspected the facility. LPA observed the facility to be clear of any hazards. No health or safety concerns were observed. LPA collected pertinent records for R1 including R1's Identification sheet, Physician Reports, Pre-Admission Appraisal, and Needs and Services Plans.

Due to insufficient information available at this time, this incident requires further investigation. No deficiencies are being cited per Title 22 of the California Code of Regulation on today's visit. An exit interview was conducted with Administrator Jae Wan Rim and a copy of the report was provided.