Inspector’s narrative
What the inspector wrote
On 02/18/2026 around 9am Licensing Program Analysts (LPA) Jose Calderon conducted an announced face to face visit with Licensee Janghoon Kim for purpose of a pre-licensing evaluation for HNS Living LLC. The requested capacity is for 6 adult residents of which there is 1 bedridden. 5 non-ambulatory Adult Residents.
Currently there are 0 adult residents living at the facility. Facility is a 4 bedroom, 2 bathrooms, one-story house. The client bedrooms are spacious and will easily accommodate the client's furnishings. There is a backyard with a covered patio for shade. The patio contained 1 small table and 4 chairs. Outdoor passageways, walkways, driveways, steps, and patios are free from obstructions. LPA Calderon did not observe hazards, such as ladders, gardening tools and/or motorized equipment in the front, back and/or side areas of the facility
.
Residents Bedrooms
:
All 4 Bedrooms are for non-ambulatory clients. Bedrooms 1 and #2 have 2 beds, 3 and #4 have one bed each, one chair, one-night stand, one lamp. There are dressers within the closet for each resident. Bedrooms #1, #2 #3 and #4 all comply with the requirement of 8 cubic feet of space.
Bathrooms:
Have a working toilet, wash basins, and walk-in shower. Bathroom #1 & 2 walk-in showers have grab bars. LPA Calderon observed adequate lighting in hallway leading to bathrooms.
Lines & Hygiene Supplies:
Beds have the required linen/supplies which include pillowcase, mattress pads, fitted sheet, blanket and bedspreads. Adequate supply of linen stored in hall closet.
Emergency Phone Numbers, Exit Plan & Menu:
The telephone system is landline and operable. Emergency Disaster Plan and "See something, say something Let Us Know" were noted. 1 Fire Extinguisher mounted on the wall in the kitchen.
Food Service:
Dishes, cups, and flatware are stored in the kitchen cupboards, inspected and in good repair. Knives, cutlery, and other sharp kitchen utensils are stored in a locked cabinet located in the kitchen area. Food supply is adequate; 7 days of dry food was found in the kitchen pantry which consisted of dry pasta, canned foods. Facility did have 7 days of emergency water located in the garage
.
Smoke Detectors: 6
smoke detectors are hard wired operated & working. 7 Carbon monoxide detector operational.
Appliances:
Gas
Stove, oven, microwave, washer, and dryer working. Refrigerator in the kitchen has a measured temperature of at least 41 degrees Fahrenheit for appropriate food storage. Freezer is 19 degrees Fahrenheit. The residence is equipped with central air and heat, and each client bedroom is individually climate controlled.
Toxins
:
Locked/stored in the storage room located in the kitchen.
Water Temperature:
Bathrooms’ water temperature tested in #1 at 132 F. and #2 132 F. degrees, kitchen sink temperature tested at 132 F degrees.
Medications, First-Aid Kit & Book:
Medication administration records storage area, and first aid kit have been inspected, which are stored in locked kitchen cabinet, available for staff use but inaccessible to clients.
Reading Material, Games, Equipment & Materials:
The facility has board games, books, and other recreational materials for the client's use. LPA Calderon did not observe any pet or bodies of water at the facility. LPA Calderon observed delayed egress, no chain locks, or dead bolts on exits. LPA Calderon did not observe pad locks or other mechanisms which may be obstructions for safe and quick egress during an emergency on side gates and front exits.
Pool/Jacuzzi & Pets:
LPA Calderon did not observe any pet or bodies of water at the facility.
Fire clearance:
Fire Clearance was approved on
01/30/2026
for 1 bedridden/5 non-ambulatory clients with no special instructions. LPA Calderon did not observe delayed egress, no chain locks, or dead bolts on exits. LPA Calderon did not observe pad locks or other mechanisms which may be obstructions for safe and quick egress during an emergency on side gates and front exits.
Component III:
(02/18/2026)
about how to operate the facility within substantial compliance was reviewed by the licensee with LPA Calderon at this time. The licensee did not have any questions regarding component III for the LPA.
LPA Calderon noted the following deficiencies: deficiencies to be cleared by 02/27/2026
Bedroom 1, missing lamp, dresser, chair
Bedroom 2, missing lamp, bed, chair, dresser
Bedroom 3, missing lamp, dresser, chair
Bedroom 4, missing lamp, dresser, chair
Missing signage
Hot water 132 degrees
Chemicals not locked up
No 7-day water supply
No liability insurance shown
Lock up knives
An exit interview was conducted, and a copy of this report has been furnished by the applicant Licensee Janghoon Kim by hand. Accordingly, LPA Jose Calderon will submit a copy of this facility evaluation report to the Central Applications Bureau (CAB) for review. If the applicant has questions regarding the status of the application, they have been instructed to communicate with the CAB Analyst assigned to their application.