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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 198603687
Report Date: 11/27/2024
Date Signed: 11/27/2024 10:07:47 AM

Document Has Been Signed on 11/27/2024 10:07 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 1000 CORPORATE CNTR DR. ST 500
MONTEREY PARK, CA 91754
FACILITY NAME:ART OF LIVING SILVERTOWNFACILITY NUMBER:
198603687
ADMINISTRATOR/
DIRECTOR:		KIM, HYO SOOKFACILITY TYPE:
740
ADDRESS:15431 GARO STREETTELEPHONE:
(213) 820-3244
CITY:HACIENDA HEIGHTSSTATE: CAZIP CODE:
91745
CAPACITY: 6CENSUS: 6DATE:
11/27/2024
TYPE OF VISIT:OfficeANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
08:55 AM
MET WITH:Administrator Hyo Sook KimTIME VISIT/
INSPECTION COMPLETED:
10:15 AM
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Licensing Program Analyst (LPA) Jose Villalobos and Licensing Program Manager (LPM) Fernando Fierros conducted an informal office meeting with Hyo Sook Kim (Monica) Administrator for Art of Living Silver Town and Julie Coreas Office Manager. The meeting is to discuss the citations issued on the facility dated 8/22/24 and 9/3/2024.

LPM discussed the following regulations and provided copies of the regulations to Administrator:
  • Title 22 Regulation 87412 Personnel Records
  • Title 22 Regulation 87465 Incidental Medical and Dental Care
  • Title 22 Regulation 87355 Criminal Record Clearance
  • Title 22 Regulation 87202 Fire Clearance
  • Title 22 Regulation 87204 Limitations - Capacity and Ambulatory Status
  • Title 22 Regulation 87307 Personal Accommodations and Services
  • Title 22 Regulation 87458 Medical Assessment
  • Health & Safety Code 1569.618 Administration and Management of Resident Care Facilities...

Note: Facility has since cleared deficiencies issued on previous visits

Current Census is (6) residents of which three (3) are non-ambulatory, three (3) are ambulatory and zero (0) bedridden. Administrator stated to LPM and LPA that they are interested in receiving more information regarding the departments Technical Support Program (TSP). Monica also expressed interest in increasing the facility capacity. LPM and LPA informed Monica that an updated facility sketch designating number of residents per room and an LIC 200 Increase of Capacity form would be needed from the Licensee on file.

Exit Interview conducted and a copy of this report was provided.
SUPERVISORS NAME: Fernando Fierros
LICENSING EVALUATOR NAME: Jose Villalobos
LICENSING EVALUATOR SIGNATURE: DATE: 11/27/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 11/27/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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