Facility Evaluation Report
On August 7, 2025, at 8:00 AM, Licensing Program Analyst (LPA) Edward Kim conducted a continuation visit for a required 1-year annual visit. LPA Kim met with Administrator Tami Ojwang and explained the purpose of the visit.
LPA Kim conducted a record review on resident files (R1-R19), staff files (S1-S12), and medications and medication administration record. LPA Kim observed R1, R2, and R3 were diagnosed with dementia. R1's physician's report dated July 22, 2024, R2's physician's report dated August 5, 2024, and R3's physician's report dated June 30, 2023. LPA Kim conducted interviews with eight staff. First Aid was maintained and contained all the necessary elements.
A Technical Violation was assessed during the visit. LPA observed R1, R2, and R3 with a dementia diagnosis. R1's physician's report dated July 22, 2024, R2's physician's report dated August 5, 2024, and R3's physician's report dated June 30, 2023.
An exit interview was conducted and a copy of this report, LIC811, and LIC9102 were provided to Administrator Tami Ojwang.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction