Routine inspection·April 9, 2026

At approximately 9:00 a.m. on 04/09/26 Licensing Program Analyst (LPA) Nicholas Reed conducted an unannounced annual inspection. LPA met with staff and later the licensee and disclosed the reason for the visit. A file review was conducted prior to today’s visit. The facility was last visited on 02/18/26 for a complaint visit. It is a two-story building with assisted living and memory care units, shared and private rooms, common areas, offices, beauty salon, theatre room, medication room, and outdoor areas. It has an approved fire clearance for one hundred eighty three (183) non-ambulatory residents of which eight (08) may bedridden. Approved hospice waivers for twenty-five (25). A Change of Management to include Valley Silvertown LLC as a partial manager was approved on 09/23/25. Facility postings at the main entrance included the facility license, Ombudsman contact, confidential complaint contact, Emergency Disaster Plan, personal rights in English and Korean, monthly and daily activity calendar, and the facility sketch with evacuation routes clearly labelled. Sprinkler systems and fire alarms are located throughout the building. Sign-in sheets are available for residents, agencies, and other visitors at the reception area. Walls, floors, ceilings, windows, screens, and blinds were clean and in good repair. Linen closets with adequate supplies of fresh linens, locked janitorial and electrical closets, and public restrooms were located on the first and second floor. The upstairs activity room contained card games, art supplies, reading materials, seating in good condition, and adequate space. Between 9:00 a.m. and 9:30 a.m. today, LPA observed the activity director providing a physical exercise routine for about seven (07) residents. At 10:30 a.m., LPA observed church services provided in the upstairs activity room. At approximately 10:35 a.m. LPA observed the room temperature to be 72 degrees Fahrenheit. Evacuation chairs were observed at the top of each stairway. LPA and the licensee inspected rooms on the first and second floors. The pull cord system in Room #106 was tested at 12:06 p.m., and staff responded by 12:08 p.m. At 12:10 p.m. the hot water in the bathroom was measured to be 112.5 degrees Fahrenheit. The pull cord system in #114 was tested at 12:12 p.m. and staff responded by 12:13 p.m. The hot water in the bathroom was measured to be 113.0 degrees Fahrenheit. Business offices and a staff training room were located on the first floor near the main entrance. At 12:15 p.m., LPA observed fully charged fire extinguishers on the first and second floor hallways which were last inspected on 05/22/25. Two (02) emergency exits on the southern perimeter of the building were unlocked and alarmed. The alarms were tested to be operational at 12:25 p.m. Emergency exit paths were unobstructed and free of debris. At 12:30 p.m. and 12:35 p.m., LPA measured the hot water in room #237 and the upstairs public restroom to be 109.6 degrees Fahrenheit. At 12:40 p.m. the memory care portion was surveyed. The memory care unit is equipped with 15-second delayed egresses at four (04) locations. The activity room in memory care contained art supplies, exercise equipment, and furniture in good repair. Resident bedrooms contained a chair, nightstand, appropriate lighting, storage, and bedding in good condition. At 12:45 p.m. LPA tested a delayed egress door to be operational. The patio area in the middle and rear of the facility contained maintained lawn areas, a smoking area, and shaded seating with furniture in good repair. Two (02) storage sheds near the parking lot were locked and contained chemicals and tools. The laundry area contained three (03) washers and three (03) dryers. Detergents were made inaccessible in an adjacent storage room. The facility elevator was functional. The dining room contained adequate seating. Daily and alternative menus were posted at each table. The kitchen area contained functional equipment and sanitary surfaces. Resident specialized diets were posted on the wall along with temperature logs. The pantry, refrigerator and freezer contained adequate supplies of perishable, non-perishable, and emergency foods. At 3:10 p.m. LPA measured the walk-in refrigerator and freezer temperatures to be 39 degrees and -11 degrees Fahrenheit, respectively. Due to time constraints, LPA to return to the facility tomorrow, 04/10/25 for an ANNUAL – CONTINUATION visit to complete the annual inspection. No immediate health or safety hazards were observed during today’s visit. Exit interview conducted. Copy of report provided.