Routine inspection·June 2, 2025

Licensing Program Analyst (LPA) Mayra Cota conducted an unannounced required annual visit. LPA met with Steve Kim, Administrator and explained the reason for the visit. The facility is licensed to serve adults in the age range of (60) and over; approved for (32) ambulatory only and approved for (40) non-ambulatory, of which (6) may be bed ridden. Facility is approved for Hospice waiver for (10). The facility is operating within the scope of its license. The facility is a two story building located in a residential area of Los Angeles and contains the following: Thirty-nine (39) Bedrooms, (42) bathrooms, kitchen, dining room, library, TV room, activity room/exercise area, main office, medication room with locked storage cabinet for medications and sharps, (5) storage closets for linen, cleaning supplies and dry food, (2) laundry rooms and a center courtyard with shaded area and seating for resident use. LPA observed the following during today's visit: Facility was observed to be clean and walkways were clear of obstructions and debris. Resident bedrooms have the required furniture such as bed frames, dressers, lamps/overhead lighting, and chairs. Bedrooms also have sufficient closet space. Resident beds have the required linen and and beds with adaptive handrails have physician order documentation on file. ***Continues on LIC 809-C Resident bedrooms are equipped with call buttons in the bathroom and at bedside. During visit, call buttons were tested and observed operable. Resident rooms with individuals requiring oxygen have the required postings. Six (6) resident bathrooms were observed clean and sanitary. Bathrooms have a working toilet, wash basin, shower, grab bars and nonskid mats. The water temperature was tested in resident bathrooms and measured within the required 105 - 120 degrees F. Kitchen was inspected, however, storage cabinets were observed to have grease stains on the exterior and inside the storage area. Appliances were observed to be clean and working properly. Food inside refrigerators was observed to be properly stored and dated. Sharps are kept locked in a kitchen drawer and are inaccessible to clients. Sufficient supply of 2 day perishable and 7 day non-perishable food was observed and additional emergency food supply was observed in the dry food storage room. Food in the refrigerators and dry food storage room is labeled and kept within expiration limits. The dining area has enough seating for residents and furniture was observed to be in good repair. Rodent droppings were observed in storage cabinets during visit. Facility has a contract with outside vendor for food delivery. Facility manages food preparation and distribution to residents. Menus were observed posted in the dining area. The center courtyard was inspected and observed to be clean. Shaded areas were observed and outdoor furniture is in good repair. Garden is maintained and free of dry plants and fallen foliage. Resident medications and MARs were reviewed and found to be properly dispensed per physician orders and documented accordingly. Eight (8) resident and (6) staff files were reviewed and contained all proper documentation. Fire extinguishers were observed throughout the facility and were charged and last inspected on 12/20/24. Fire alarm system was last inspected on 6/1/25 and the facility conducted their last emergency drill on 4/25/25. Facility is equipped with a sprinkler system and resident rooms are equipped with combination smoke and carbon monoxide detectors which were tested in (4) resident bedrooms and were working properly. Per California Code of Regulations, Title 22, and California Health and Safety Code, deficiencies are cited today (see LIC 809-D). Exit interview conducted with Steve Kim, Administrator and a copy of the report and Appeal Rights were provided during visit.