Facility Evaluation Report

On 4/14/2025, Licensing Program Analyst (LPA) Janette Romero made an unannounced visit to the facility to conduct a required annual inspection. LPA met with Executive Director (ED) Anand Mehta, Clinical Director Kristian Concepcion, and Resident Services Director (RSD), Melissa Mortford who were informed of the purpose of the visit. The social rehabilitation facility has a fire clearance to serve six (6) ambulatory clients. During today's visit, there was four (4) staff and five (5) clients present.

LPA toured the facility with RSD and observed the facility is made up of a two-story home with six (6) client bedrooms, three (3) restrooms, a kitchen, dining room, two (2) living rooms, laundry room, and attached garage. The facility has a gated in-ground pool in their backyard that is locked. Indoor and outdoor pathways were free of obstruction. LPA toured the kitchen and observed the facility had more than a two-day supply of perishable foods and seven-day supply of non-perishable foods. Medications are secured in a locked cabinet in a medication room located near the kitchen. LPA toured the garage and observed an emergency supply of food and water. RSD tested one (1) of the smoke alarms/carbon monoxide detectors and LPA observed it to be operational. LPA also observed charged fire extinguishers mounted throughout the facility. The facility's certificate of liability insurance expires on 11/1/2025. Staff present have a criminal record clearance and are associated with the facility. Client files reviewed had signed physician's reports, admission agreements, and needs and services plans. The facility's last fire drill was conducted on 4/14/2025. Clients' personal rights, complaint procedures and facility sketch are visibly posted near the front entrance. During today's visit, LPA did not observe any issues or concerns. An exit interview was conducted and a copy of this report was reviewed and provided to ED Mehta.