Facility Evaluation Report

On 06/06/2025, Licensing Program Analyst (LPA), Wendy Gibbs, conducted an unannounced Annual Visit to the facility listed above. LPA met with Licensee, Hai Nguyen, and the purpose of today’s visit was explained. LPA was granted entry into the facility. The facility is licensed to serve four (4) ambulatory clients of which two (2) may be non-ambulatory ages 18 through 59. Currently, there are no clients residing in the facility.

Physical Plant/Structure The facility is a single-story structure located in a residential neighborhood. It consists of four (4) client bedrooms, two (2) bathrooms, living room, dining room, kitchen, detached garage, and an outside activity area. All walkways around the facility were observed clean, clear, and free of debris, hazards, and obstructions. LPA did not observe any bodies of water on the premises.

Bedroom LPA inspected all client bedrooms. LPA observed client bedrooms were clean and in good repair. LPA observed bedrooms have the required furniture including a bed, dresser, nightstand, chair, and storage space for client’s personal belongings. LPA observed beds are in good repair. All beds have the required