Facility Evaluation Report

Licensing Program Analysts (LPAs) Jessica Cho and Ebony Bentley arrived unannounced for the purpose of conducting the Required 1 Year Inspection. LPAs observed trash and debris in a trailer parked in the driveway. LPAs observed a sign indicating facility closure due to a water leak. LPA Cho contacted Administrator (Admin) Muqeet Dadabhoy by telephone at 12:37pm and stated the purpose of the visit. Admin stated that the water leak occurred from the kitchen approximately April 2024. There were two residents residing at the time of the leak. Two residents had agreed to relocate and was placed at another facility operated by the administrator. Admin stated that he is not accepting any residents until the renovation is complete. Admin acknowledged that the Department was not notified of the leak and the alterations made inside the facility. Approximately 12:56pm, Caregiver Christopher Martinez arrived to the facility on behalf of Admin to assist LPAs with the annual inspection. LPAs conducted a tour of the facility and observed there were no residents/staff on site. LPAs observed part of the floors replaced, installation of a small bathroom which used to be a closet, renovated one large bathroom as well as expanding a bathroom and eliminating a closet in Room #6, and renovating the backyard landscape. Facility is not accepting residents at this time.

The annual licensing fee remains current with a balance of $0.

Admin was advised on the following: to submit a written report of any major occurrences which threatens the health, safety, and welfare of residents within 24 hours, to notify the Department when renovations or alterations being made to the facility and upon completion and prior to admitting a new resident.

Based on the observations made during today's visit, deficiencies are being cited on the attached LIC9099Ds.

Administrator Dadabhoy verbally authorized Caregiver Martinez to sign the report on his behalf. An exit interview was conducted with Caregiver Christopher Martinez, and a copy of this report, along with the LIC9099s, and the appeal rights were provided at exit.