Facility Evaluation Report

On 10/06/25, Licensing Program Analyst (LPA), Wendy Gibbs conducted an unannounced Annual Visit to the facility listed above using the CAREs Tool. LPA met with Designee, Mariel Ventura Suarez and was later joined by 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 six (6) developmentally disabled clients between ages of 18 to 59 year. They are approved for four (4) ambulatory and two (2) non-ambulatory residents.

Physical Plant/Structure The facility is a single-story structure in a residential neighborhood. The facility consists of the following, four (4) Client rooms, Office, Supply room, three (3) bathrooms, activity room/office, living room, kitchen, dining room, shaded area, outdoor activity area, laundry room and attached garage. All walkways outside were observed clean, clear, and free of debris, hazards, and obstructions. LPA did not observe any bodies of water on the premises.

Bedrooms LPA inspected all bedrooms and found them to be clean and in good repair. All client bedrooms had the required furniture, including a bed, dresser, nightstand, chair, and ample storage space for Client's personal belongings. All beds were observed with the required linens including a mattress cover, fitted sheets, blanket, comforter and pillows. All bedding was observed to be in good repair. LPA observed an ample supply of bed linens in a cabinet in the bathroom. All bedrooms had ample lighting.

Bathrooms LPA inspected all bathrooms and found them to be within Tittle 22 regulations. All bathrooms were observed clean and operational. LPA observed showers had nonskid mats, shower chairs available, and secured safety handrails. LPA observed an ample supply of towels and hygiene products in a closet in the bathroom. The water temperature measured 115.2-degrees, 114.7-degrees, and 114.8-degrees Fahrenheit.

Kitchen LPA inspected the kitchen and found it to be clean and sanitary. LPA observed all appliances to be operational and in good repair. LPA observed an ample supply of cookware, dishware, and cutlery in good