Facility Evaluation Report

On 01/30/2025 Community Care Licensing Division (CCLD) staff conducted an unannounced required 1-year annual visit to Excelsior House Facility with the primary focus on Infection Control measures and using the new CARE Inspection Tool. Upon arrival at the facility, CCLD staff conducted a risk assessment. Based on the assessment, the facility is clear of COVID-19 infection. CCLD staff met with Director Cassandra Winters. CCLD staff explained the purpose of today's Annual Inspection. CCLD staff verified that the facility has an approved mitigation plan report and infection control report. The facility's annual fees are current. The facility currently has ten (10) ambulatory clients in placement.

The facility is a two-story building located in a business/residential neighborhood. Director Winters and CCLD staff made a complete tour of the facility which consisted of upstairs and downstairs. The facilities’ last fire drill was conducted on 01/14/2025 . CCLD staff noted the Administrator Elan Javanfard Certification # 7016559735 expiration date of 7/9/2026 was valid at time of inspection. The facility does not handle clients’ money/cash resources and no surety bond is needed. Commercial General Liability Policy #202402240 policy period from 04/01/2024 to 04/01/2025 underwritten by Proassurance Insurance Company, coverage 1,000,000/3,000,000 is valid at time of inspection. Director Winters to email CCLD staff a full copy of the commercial insurance policy including all endorsements no later than 02/10/2025 . All the required documents are posted in the facility in a clearly visible area