Facility Evaluation Report

Licensing Program Analyst (LPA) Sabrina Calzada arrived at the facility unannounced to continue and complete the required annual inspection. LPA met with Jina Kim, Administrator. Also present were care staff, Julie Smith, and Jenice Beecher. LPA observed (1) resident in the common area and (3) residents resting in their rooms. LPA was advised that (1) resident remains out of the facility currently.

LPA conducted a tour and observed the facility to be clean, in good repair and odor free. The inside temperature measured 75*F.

During today's inspection, LPA reviewed (2) resident files and found them to be complete with all required documentation. Medications were reviewed for (1) resident. Documentation is current and medications are being administered per orders. LPA reviewed (2) staff files and found them to contain current training documentation, including First Aid/CPR certification. Staff have completed the required (20) hours of annual training. Administrators have current First Aid/CPR certifications. Both RCFE Administrator certificates are pending renewal. (valid thru June/July 2025).

Discussed updates to Dementia Regulations and other regulations from Jan 2025. An updated copy of liability insurance was obtained (exp 10/24/25) as well as LIC308.

There were no deficiencies observed during today's inspection.