Facility Evaluation Report
Capacity94
Census51
Date signed08/07/2023 03:33:15 PM
Licensing Program Analyst (LPA) Anna Bueno conducted an unannounced visit to this facility to continue the investigation of the following complaints listed below and to deliver amended allegation finding for complaint number: 18-AS-20201203110823. LPA met with Tae Kim, Administrator.
The following complaint allegations were fount to be UNSUBSTANTIATED.
Complaint control number 18-AS-20201203110823 has been amended to UNSUBSTANTIATED.
Administrator Kim signed all LIC 9099 and LIC 809 during today's visit. All reports were discussed with and copies were provided to Administrator Kim at the conclusion of today’s visit.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction