Routine inspection·August 29, 2025

On August 29, 2025, Licensing Program Analyst (LPA) Brandon Lopez made an unannounced visit to the facility to conduct the required annual inspection. LPA was greeted and granted entry into the facility by care giving staff after explaining the purpose for the visit. Administrator (AD) Jae Wan Rim was present and assisted LPA on today's inspection. LPA observed that Jae Wan Rim has a valid Administrator certificate which expires on May 15, 2026. The facility is a Residential Care Facility for the Elderly (RCFE) licensed for one hundred and ninety seven residents and has a hospice waiver for twenty five. The facility is a two story building. The first floor consist of a lobby, five staff offices, an activity room, a lounge, a laundry room, a commercial kitchen, a dining room, a maintenance room, resident bedrooms, with bathrooms located in suite, and an outdoor courtyard area. The second story consist of a lounge, a dining room, resident bedrooms, with bathrooms located in suite, and a outdoor patio area. On today's visit, there are one hundred and fifty two resident in care. LPA observed the See Something, Say Something poster, (PUB 475) mounted on the wall by the entryway of the facility. LPA inspected ten resident bedrooms on the first and second floor and observed them to be free of hazards. LPA observed resident bedrooms to have the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPA observed resident beds to have clean linens and blankets. LPA observed additional linens to be stored in the laundry room. LPA additionally tested the alarm systems in the resident bedrooms which tested operational. LPA inspected the resident bathrooms in each of the resident bedrooms and observed them to be clean. Bathrooms were equipped with grab bars and non-skid floor mats. Faucets and toilets were operational. Hot water temperature measured between 106.8 and 116 degrees Fahrenheit. LPA observed the commercial kitchen to be kept off limits to residents in care. LPA observed the kitchen has a two day perishable and a seven day non-perishable food supply on hand. CONTINUED ON LIC809-C LPA observed kitchen appliances to be clean and operational. LPA observed knives and sharps to be stored in the kitchen. LPA observed fire extinguishers to be mounted on the walls throughout the first and second floor of the facility. LPA observed fire extinguishers to be charged and serviced as of December 19, 2024. LPA observed the facility passed their most recent fire inspection conducted on August 19, 2025. The fire inspection consisted of testing the facility smoke detectors, carbon monoxide detectors, and fire sprinklers, all of which tested operational. LPA observed the facility conducted their last emergency disaster drill on July 28, 2025. LPA observed the centrally stored medication to be kept in a locked cabinets located in the nurse's office located on the first floor. LPA also observed the facility has a First Aid Kit stored in the nurse's office and it has all the required components. LPA observed all facility common areas such as the lounges on the first and second floor, the dining rooms of the first and second floor, the activity rooms on the first and second floor, to be clear of any obstructions or hazards. LPA inspected all facility staircases and observed them to be clear of hazards. LPA also observed each staircase to have an emergency evacuation chair. LPA observed the facility has a three day emergency food and water supply stored in the kitchen pantry. LPA observed all facility chemicals and toxins to be kept locked in the maintenance room. LPA, accompanied by the AD, conducted a tour of the exterior portion of the facility. The exterior portion was observed to be free of hazards and obstructions. LPA observed a shaded outdoor seating area with furniture for resident use. There are no bodies of water on the premises. LPA reviewed fifteen resident files. All the required documentation were present and current in the resident file reviewed. LPA reviewed the residents' medication and medication records. LPA reviewed eight staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, no deficiencies are being cited per the Title 22 of the California Code of Regulations. An exit interview was conducted with Administrator Jae Wan Rim and a copy of the report was provided.