Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived at the facility unannounced to conduct a Required-1 Year Annual Inspection and met with David Kim, Administrator and Jina Kim, Administrator. Also present was care staff, Julie Smith.

LPA and Administrator toured the interior of the first floor, and the exterior of the facility including the common areas, (4) private resident rooms, (1) shared resident room, (2) resident bathrooms, kitchen, laundry and garage. The second floor is used by staff and has a gate so residents do not access. LPA observed the facility to be clean, in good repair and odor-free and each bathroom has the necessary grab bars, non-skid flooring, paper towels, trash can with lid and 20-second hand-washing poster. There is sufficient 2+day perishable and 7+day non-perishable supply of food, and sharps, toxins and medications are locked in the kitchen. Hot water measured 111*F in the kitchen.

LPA obtained updated facility phone number.

Due to time constraints today, the annual inspection will be continued to a later date, by 8/31/2025.

There are no deficiencies in this report.