Facility Evaluation Report
Capacity6
Census3
Date signed08/25/2025 12:55:27 PM
Name of licensing program analystArvin Villanueva
Name of licensing program managerStephen Richardson
Licensing Program Analyst (LPA) Arvin Villanueva arrived to conduct an unannounced Post Licensing inspection on 8/25/2025. LPA met with Youngsuk Cho and stated the purpose of the visit.
This visit was conducted along with the annual visit. CARE Tool was conducted in the annual report.
LPA conducted physical inspection including but not limited to, the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas.
LPA conducted record reviews of 3 resident records and 3 staff records.
Exit interview held with Administrator and a copy of report was given.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction