Routine inspection·November 17, 2025

On 11/17/2025, Licensing Program Analyst, Arvin Villanueva (LPA) arrived unannounced at this facility to conduct their annual inspection visit. LPA met with Administrator Okgi Min (AD), and stated the purpose of the visit. Overview : Facility is a one-story home located in a residential neighborhood. Facility is licensed to serve up to 6 elderly residents. Facility is cleared to accept up to 6 non-ambulatory, 2 of which can be bedridden status. Facility is approved to retain/accept up to 3 residents receiving hospice services. Facility has fire sprinkler system installed. Initial Observation: Upon arrival LPA observed AD with one staff on duty. All 6 residents were present. LPA observed required posters and facility license at the entrance. Room temperature was at 74 degrees Fahrenheit upon arrival. Physical Inspection : Areas inspected include, but not limited to, the kitchen, resident bedrooms, resident bathrooms, living and dining room and outdoor areas. LPA inspected 5 resident bedrooms and the 3 bathrooms. LPA measured the hot water temperature in the 1 of 2 bathrooms to be at 105 degrees Fahrenheit. Resident bathrooms were observed to be in clean and good repair at this time. Fire extinguisher was observed in the kitchen area and was last inspected on 8/13/2025. Smoke and carbon monoxide detectors were observed throughout. LPA observed centrally stored medications, toxins, sharp objects and other dangerous items were kept locked and inaccessible to residents in care. {1 of 2} In the kitchen area, LPA observed sufficient seven day non-perishable and two day perishable food supplies. Pantry was observed to be fully stocked with non-perishable food items. Proper storage of food items were observed. Kitchen refrigerator and freezer were maintained at regulatory temperature. The garage houses additional food supplies and chemicals were observed to be locked. Outdoor area was inspected. LPA observed outdoor furniture for resident use. Ramps were observed to be in good repair at this time. Emergency walkways were observed to be unobstructed. Fence and gate were in good repair. Record Reviews: Review of 2 of 6 resident files was conducted, included review of Admission Agreement, Physician Reports, Needs and Services Plan, Centrally Stored Medication Record and Ambulatory Status. No issues were noted at this time. Review of 2 staff files, included review of background clearance, First Aid/CPR certificate, Health Screen, Initial and Ongoing Training. No issues were noted at this time. LPA also reviewed fire drill/disaster drill records; facility conducts quarterly drill. Documents Requested: LPA requested a copy of current Liability Insurance Certificate, LIC500, LIC308 and updated Dementia Care Plan to be emailed to arvin.villanueva@dss.ca.gov. Per the California Code of Regulations, Title 22, Division 6, Chapter 8, no deficiencies were cited. Exit interview was conducted with AD. A copy of the report was provided upon exit. {2 of 2}