When the inspection notice arrives —
call Kohama first.

An on-site visit — standard format 10:00–15:00 — during which all records, care documentation, and billing are physically reviewed and assessed against actual regulatory inspection criteria. The key difference from a self-check: we evaluate your facility from the same vantage point as the inspector. This is why the majority of retained clients achieve zero deficiency findings at their actual inspections.

Kohama visits the facility to deliver a staff-facing regulatory inspection preparedness course and Q&A. The "Regulatory Inspection Simulation Service" — a 1–2 day deep-dive review of every department's care plans, daily records, financial logs, and billing — has been delivered nationwide to exceptional acclaim for over 15 years.

The critical distinction: the simulation does not merely ask whether records exist. It asks whether staff can explain the billing basis for their own records under direct inspector questioning. This depth of preparation is what drives the sustained zero-deficiency results among retained clients.

Kohama maintains retained consulting relationships with medical corporations, social welfare corporations, and for-profit care operators across Japan, conducting monthly on-site visits and staff interviews. Services extend to staff training, physician-facing long-term care insurance seminars, and structuring facility-run care manager networking sessions that build local profile.

All retained engagements are fully custom-designed. The process begins with an initial on-site meeting and senior management interviews, after which a written consulting proposal is presented for review.