Correction check·September 3, 2024

Licensing Program Analyst (LPA) Jose Villalobos conducted a Plan Of Correction Visit (POC) to follow up on deficiencies cited on the Post-Licensing visit conducted on 8/22/24. The purpose of this visit is to follow-up on the POC's that were due on 08/23/24. Upon arriving at the facility, LPA met with staff Eun Kee Byun and explained the purpose of this visit as well as explained to administrator Hyo Kim via phone call. LPA Villalobos verified the following deficiencies cited on 8/22/24 to be cleared: CCR 87465(h)(5) Facility to return medications to pill bottles contact pharmacy to discharge medications removed from bubble packs by POC due date . LPA observed medications to be in order. Deficiency Cleared. CCR 87355(e)(4) Administrator associated the staff via guardian during the visit. Deficiency was cleared during the initial visit. CCR 87465(h)(2) Administrator placed medications in locked medications cart. Deficiency was cleared during the initial visit CCR 87204(a) Licensee to create and follow plan of relocating residents until they reach the proper capacity they are licensed for by POC due date. LPA to conduct follow up visit to verify. 9/3/24 LPA Villalobos conducted POC Visit and observed facility capacity to be within approved License amount. POC is cleared. CCR 87307(a)(2)(B) Facility to place Resident #8 in an approved bedroom or relocate resident to proper placement by POC due date. LPA Villalobos to conducted follow up visit to verify. 9/3/24 LPA Villalobos conducted POC Visit and observed deficiency to be cleared. All above citations are cleared at the time of this visit. No further citations provided on this report. Exit Interview conducted and a copy of this report was provided.