Routine inspection·October 27, 2021

Licensing Program Analyst (LPA) Ruth Martinez conducted an unannounced visit for the purpose of conducting a required annual inspection. LPA was greeted and granted entry into the facility by Administrator. LPA met with Daniel Yoo, Administrator and explained the nature of the visit. LPA Martinez accompanied by Administrator began the tour of the inside and outside of the facility. There are four residents in care and there is no active covid-19 case in the facility. LPA observed two residents in the living room upon entry to the facility. All residents appeared to be clean and well taken care of. LPA observed a check in station in the entry of the facility, where visitors are screened upon entry. LPA observed required department postings and covid-19 precautionary postings signs throughout the facility. Bathrooms were observed to have supply of soap and appeared to be clean. LPA inspected residents’ bedrooms and they appeared to be clean and sanitary. All bedrooms observe to have all required components. LPA observed the emergency disaster and evacuation plan. Facility has supply of emergency food and water, as well as PPE supply in the kitchen and attached garage. LPA toured the outside of the facility and observed a gated pool and shaded seating for resident’s enjoyment. The facility has a second floor in the facility and no residents reside in the second floor. The facility has completed the LIC808 Mitigation Plan, LPA reviewed and approved the plan on today’s visit. LPA emailed the signed and approved plan to the Administrator for their records. Based on the observation made during today’s visit, no deficiencies were noted today per Title 22 Division 6 of the California Code of Regulations. This report was reviewed with the Administrator and a copy of this report was provided to the facility.