Facility Evaluation Report

On May 21, 2026, at 8:00 AM, Licensing Program Analyst (LPA) Edward Kim conducted an unannounced case management visit for a Health and Safety check. LPA Kim was greeted and granted entry by Caregiver (CG) Yumi Lumuthang. LPA Kim spoke over the telephone with Administrator (ADMIN) Heddy Mae Oyson and explained the purpose of the visit. ADMIN Oyson stated she could not make today's visit and CG Lumuthang could sign on behalf of the facility.

LPA Kim conducted a health and safety check. During the visit, LPA toured the facility and observed the following: LPA observed two staff on duty providing care to four residents. Facility maintained ample 2-day perishables and 7-day non-perishables in the kitchen. Staff stated food gets delivered one time per week. Resident hygiene supplies are stored in their bathrooms and extra supplies in the garage. The hot water temperature measured at 124.8 degrees F and 125.6 degrees F. The indoor temperature measured at 76 degrees F. All smoke detectors and carbon monoxide detectors were operational. All emergency disaster supplies were prepared and available in the garage. Facility land line (714) 646-9615 was tested and remains available. No obstacles observed in the backyard. All staff on LIC 500 are cleared and associated to the facility. Residents interviewed stated satisfaction with facility services and denied any issues with food supply or utilities. LPA conducted interviews with three residents and two staff. LPA observed valid certificate of liability insurance effective April 2, 2026, and expires on April 2, 2027. LPA spoke with residents and resident responsible parties who stated they were not provided written notice that the Department is commencing proceedings to revoke the facility's license