Correction check·December 8, 2021

Licensing Program Analyst (LPA) Kimberly Lyman made an unannounced plan of correction visit to follow up on citations issued on 11/04/2021 and 11/08/2021. LPA was greeted and granted entry into the facility by Administrator Haeryun Cho and explained the reason for the visit. Bong Cho was present as well. At 11:20 AM, LPA toured the facility and observed the following: *Deficiency cited under Title 22 Regulation 87705(f)(2) pertaining to Inaccessible Items has been cleared. All noted items have been secured. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87608(a)(B) pertaining to Postural Supports has been cleared. Bed rails have been lowered below the bed ensuring rails are not being used. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87705(c)(5) pertaining to Medical Assessments has been cleared. Facility obtained current physician reports for residents. Licensee has complied with the terms of the POC. *Deficiency cited under Title 22 Regulation 87307(a)(3)(A) pertaining to Equipment and Supplies has NOT been cleared. Facility provided authorization from family for sleeping on the floor but no exception request to Licensing. Facility to submit exception request by 12/15/2021. CONTINUED ON LIC 809C DATED 12/08/2021 *Deficiency cited under Title 22 Regulation 87465(h)(2) pertaining to Incidental Medical and Dental, Medications, has NOT been cleared. During tour of facility, LPA observed unsecured medications such as Aleve, Zenpep and acid controller. Licensee has NOT has complied with the terms of the POC. CIVIL PENALTY ISSUED. Advisory note dated 11/04/2021 advised the following: Facility does not have the "Let Us No" poster in the facility. Please post the poster in regulation size, 20" X 26." Poster is not posted in facility. Facility does not have any covid signage at entrance of facility. Please post covid precautions/ visitor policy at entrance to facility. Facility has Covid signage at entrance. Facility does not have hand washing signs in facility restrooms. Please post hand washing signs in restrooms. Facility has hand washing signs posted. Administrator advised to post instructional hand washing signs signs in restrooms Facility does not have an ample supply of emergency food. Please obtain an emergency food supply. LPA observed ample emergency food during today's visit. Based on the observations made during today's visit, deficiencies are being cited per Title 22 Division 6 of the California Code of Regulations. This report was discussed with the facility representative and a copy was provided as well as appeal rights.