Office review·November 27, 2023

Component II completion: Unsuccessful Facility Type: Residential Care Facility for Elderly (RCFE) Application Type: Initial Capacity: 6 Census (if any clients in care): none COMP II Participants: Hyo Sook Kim, Administrator Byunk Hak Yoo, Applicant Interview Method: Telephone interview Virtual interview ( Microsoft Teams) On November 27, 2023, applicant and administrator participated in COMP II. Previous dates 10/23/2023, 11/1/2023, and 11/20/2023. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During the COMP II, applicant and/or administrator did not provide sufficient knowledge of the program and/or community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Component II will be rescheduled to December 15, 2023 at 9:00 AM.. Exit interview conducted with Applicant and Administrator. Report sent via email and informed to return signed back to CAB by end of business day today.