Routine inspection·August 31, 2023

On 8/31/2023, Licensing Program Manager (LPM) Ulysses Coronel & Licensing Program Analyst (LPA) Socorro Leandro conducted an unannounced annual required visit. LPM & LPA met with administrator Ki Hwan Kim and explained the purpose of today’s visit. The facility is licensed to operate for (6) non-ambulatory elderly residents ages 60 and above. The facility is approved for (1) hospice resident. There are currently five (5) residents in care. The facility is a single-story structure located in a residential neighborhood. It consists of the following: six (6) resident's rooms, six (6) bathrooms, a living area, a dining area, a kitchen, and outside patio area. LPM & LPA toured the physical plant .All rooms were inspected. Beds and bedding supplies were in good condition, lighting was provided, storage for resident personal belongings was observed. Bed linens, comforters, and bath towels stocked at the time of visit. Bathrooms were operational. The water temperature measured 118.6 F. A comfortable temperature of 74 degrees was maintained in the facility. LPA observed the facility to be furnished at the time of visit. The kitchen was inspected and there is sufficient perishable and non-perishable food available maintained properly. The facility has (2) fire extinguisher that is charged, smoke detectors operable. A working landline telephone remains available. The facility maintains 2 days of perishable and 7 days of non-perishable food supplies. Due to lack of time an unannounced continuation of this visit will be conducted. No deficiencies were cited. An exit interview was conducted. A copy of this report was provided to Ki H. Kim, Administrator.