Facility Evaluation Report

On January 5, 2026, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. Administrator Hyo Kim was notified via telephone and later arrived to assist with the inspection.

The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents, and has a hospice waiver for six. The facility is a two story home with three private resident bedrooms, three resident bathrooms, two of which are private, a living room, a dining room, a kitchen, a staff office, a laundry room, a courtyard patio, a casita, and an attached two car garage. The second story of the facility is for staff use only and is used for storage. On today's visit, LPA observed that the facility was vacant and that there were no resident's currently in care.

LPA was informed by the AD during the visit that the last resident left the facility on December 1, 2025. The AD also informed LPA that they intended on submitting a Change of Ownership application in the near future. LPA accompanied with AD conducted a walk-through of the interior and exterior portions of the facility and confirmed that the facility is not in operation and that there are no residents in care at the time of visit. LPA advised the AD to notify the department if they admit a resident in the future to ensure the facility remains in compliance.

Based on the observations made during today's visit, no deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. An exit interview was conducted with Administrator Hyo Kim and a copy of this report was provided.