Follow-up·July 2, 2021

Licensing Program Analyst (LPA) Crystal Colvin arrived at the facility unannounced for the purpose of investigating recent concerns received regarding facility operations. LPA Colvin met with Assistant Administrator Tae Kim and advised him of the purpose of the visit. Below is a summary of items discussed/addressed: Bed Bugs - Issue currently resolved according to Assistant Administrator Tae Kim Roommate Issues/ Smoking in Rooms - Issue resolved according to staff. Sale of Postal Stamps - Title 22 Regulations discussed and Tae Kim was informed on how to comply with the Regulations in this regard. A Technical Violation is being issued to the facility in lieu of a deficiency. Broken Laundry Machine - LPA Colvin confirmed that one of the two facility's washing machines is broken, and the facility is not expecting to have a repairman be able to come out until 7/8/21. Staff accounts vary on the date that the washing machine broke down. LPA Colvin reviewed the Maintenance Log and observed notes on 6/16/21, 6/24/21, 6/29/21, and 6/30/21 regarding the washing machine not working and calling various persons to investigate getting it repaired. While the facility does still have one operating washing machine, the housekeeping staff is having to prioritize which articles to wash first, and hold off on other items (such as blankets and comforters) in order to ensure that towels and sheets are kept clean and available to change for residents. The facility has not taken additional measures to ensure that there is adequate equipment available for the washing of resident's clothing and other necessary items (towels, sheets, blankets).Deficiency cited. During today's visit, LPA Colvin was additionally informed by Assistant Administrator Tae Kim that the Administrator (Kyong "Clara" Suk Lee) is currently on medical leave and Tae will be filling in as Assistant Administrator in the meantime. The facility was cited a deficiency which is detailed on the LIC809D. A copy of this report, LIC809D, LIC9102TV, and appeal rights were provided to Assistance Administrator Tae Kim during the exit interview.