Facility Evaluation Report

On November 24, 2025, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by Administrator (AD), Ngoc Mai. For this visit, there are two staff members on duty, including the AD, both of which are background cleared and associated.

The PUB475 ‘See Something, Say Something’ poster was observed to be located in the hallway. LPA observed the Administrator's Certificate for Ngoc Mai, which expires on July 11, 2027.

The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, six of which may be non-ambulatory, two of which may be bedridden, and a hospice waiver for six. LPA toured the interior and exterior portions of the facility with the AD. For this visit, there are a total of two non-ambulatory and three ambulatory residents in care, one is on hospice, and none are bedridden.

The facility is a single story home. There are a total of six bedrooms, five of which are resident bedrooms, and one bedroom is for staff. LPA toured each bedroom with the AD and observed that bedrooms were provided with furniture in good repair, clean linens, and adequate storage space. LPA observed the staff room is kept locked and inaccessible to residents in care. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of two bathrooms for both staff and residents.