Facility Evaluation Report

On January 12, 2026, Licensing Program Analyst (LPA) Eboni Bentley conducted an unannounced required 1-Year annual visit using the CARE Inspection Tool. Upon arrival at the facility, LPA Bentley introduced self and was granted entry into the facility by staff, after stating the purpose of the visit. Licensee (LI) Mai Nguyen was contacted via telephone and granted permission of Caregiver Tuyet Nguyen to sign the facility report in her absence.

The facility is licensed to operate for six (6) non-ambulatory residents, with a Hospice waiver for two (2) residents. The building is a single-story home located in a residential neighborhood. It consists of the following: five (5) resident bedrooms, two (2) bathrooms, living room area, dining area, kitchen, an outdoor covered seating areas, and an attached two car garage.

During the visit, LPA toured inside and outside of the physical plant with staff and spoke with LI via telephone. There were no bodies of water or obstructions on the premises. All rooms were inspected. Beds and bedding supplies were in good condition, storage for each resident’s personal belongings was observed. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. A comfortable temperature of 70 degrees F was maintained in the facility. Bathrooms were found to be clean and operational; however, the water temperature in two resident bathrooms measured between 131.2 degrees F and 139.1 degrees F. The kitchen was inspected and LPA observed four non-operational range burners on the stove, used for preparing meals for residents in care. Deficiencies were being cited.