Facility Evaluation Report

Licensing Program Analyst (LPA) Beena Singh conducted an unannounced visit to the facility to verify clearance of Plan of Correction from visit on 10/16/2025. LPA Singh met with a Staff and was granted entry to the facility. Licensee/Administrator Ann Phumirat Voodtikon arrived at the facility during the visit.

The following deficiencies were cleared during the time of the visit.

The Licensee was cited on 10/16/2025, for HSC 1569.605- F acility has no Liability insurance coverage, the licensee provided the Liability Insurance certificate, Valid through 10/30/2025 to 10/30/2026 , in the amount of at least one million dollars ($1,000,000) per occurrence and three million dollars ($3,000,000) in the total annual aggregate, caused by the negligent acts or omissions to act of, or neglect by, the licensee or its employees . The Plan Correction was cleared and a copy of clearance letter was provided to Licensee/Administrator Ann Phumirat Voodtikon..

An exit interview was conducted and this report, LIC809, cleared POC letter were reviewed and provided to Licensee/Administrator Ann Phumirat Voodtikon.