Facility Evaluation Report

On May 29, 2026, 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 Unusual Incident/Injury Report received by the Orange County Regional Office on May 27, 2026, for Resident #1 (R1). The Unusual Incident/Injury Report stated that the facility was notified by R1's wound care specialist that his heel wound is currently unstageable. On today's visit, LPA, accompanied by the AD, conducted a tour of the facility. No health or safety concerns were observed. LPA also collected pertinent records for R1 including R1's Identification sheet, Medical Assessment, Pre-Admission Appraisal, Needs and Services Plans, Hospital Discharge documents, and Home Health Records.

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 at time of visit.