Routine inspection·April 14, 2026

On this day, April 14, 2026, at 10:35 am, Licensing Program Analyst (LPA) Delmundo arrived unannounced to conduct an annual required inspection. LPA was granted entry by staff, Dong Kim, and informed the reason for visit. LPA called and spoke over the phone with Yong Akaosugi, administrator (ADM). ADM gave permission to Dong KIm to be with LPA in touring the facility. ADM arrived around 10:50 am.. LPA started the inspection with Dong Kim and continued with ADM. LPA inspected the kitchen, dining area, living room, bedrooms, bathrooms, side yard and backyard. Food supplies were observed good for 2 days of perishables and 7 days of non-perishables. Fire extinguisher was observed fully charge with tag showed serviced August 14, 2025. Carbon monoxide and smoke detectors were tested and observed in operating condition. Hot water temperature in the common bathroom was tested and measured at 113.7 degrees Fahrenheit. Facility conducts disaster drills at least quarterly and records showed last conducted March 15, 2026. LPA reviewed 3 residents and 3 staff records, and interviewed 3 residents. Medications were checked and compared with doctor's orders and LIC622 Centrally Stored Medication and Destruction Records. Facility does not handle residents' cash resources/P&I. LPA observed the following: -at 10:42 am, nasal spray medication in resident's room. -at 12:10 pm to 12:30 pm, staff (S2 and S3) have no postural support and restricted health training. S3 does not have first aid training. LPA received on this day updated/current copies of the following 1. LIC308 Designation of Facility Responsibility 2. LIC500 Personnel Report 3. LIC610E Emergency Disaster Plan (9 pages) 4. $3M liability insurance certificate Deficiencies are cited from Title 22 California Code of Regulations, and listed on 809Ds. Failure to submit proof of corrections by plan of correction due dates and any repeat violation within 12 month period may result in civil penalty. Deficiencies and plan and proof of corrections were discussed with the administrator. Exit interview conducted. Appeal Rights , LIC9098 Proof of Correction form and copy of this report provided.