Facility Evaluation Report

At 7:52am, on 4/23/2026, Licensing Program Analyst (LPA) Haner-Tomasko arrived at the facility unannounced to conduct the annual facility inspection. LPA met with Administrator Junsik Kim, announced who he was and the reason for the visit.

Administrator and LPA conducted a full tour of the facility. This facility is a single-story residential home with four single occupancy client bedrooms, one full shared/public bathroom, and the primary bedroom with en suite full bathroom is for live-in staff. There is a living room, dining space, kitchen and office area. The living room has a fire place with barrier for client safety. Access to the laundry room and garage is through a locked door for client safety. LPA noted that the backyard has seating and shade for residents and visitors. LPA noted fresh fruit and snacks in the kitchen for residents to enjoy freely. The facility has battery operated smoke detectors in each room that are all working, the carbon monoxide detector is in the dining area and functioning normally. LPA observed a fire extinguisher near the kitchen that was tagged current and in the green compression range, serviced on 1/15/2026. LPA tested facility hot water at 113.2°F, within regulation temperatures 105-120°F. LPA observed at least 2-days of perishable and at least 7-days of nonperishable foods. LPA noted that the facility is clean and in good repair with no obstructions in hallways, doorways or exits. Medications are locked in a cabinet in the kitchen area. LPA conducted a sample medication audit and reviewed the facilities Centrally Stored Medication Records. Staff and client files are locked. LPA conducted a staff and resident file review.

The Administrator needed to leave and lead staff Vicky Hong took over. LPA and lead staff conducted a review of the annual care tool modules. There were no deficiencies cited at this time.

Exit interview conducted, report signed, and report provided to the lead staff.