Facility Evaluation Report

Licensing Program Analyst (LPA) Araceli Canela arrived unannounced to conduct an Annual Required 1 Year inspection and met with Licensee, Mahindra Rai.

LPA toured the inside and outside of this facility, which was found to be clean at a comfortable temperature and with all walkways and exits unobstructed. Client rooms were furnished per regulation. Water temperature accessible to clients in care measured 115 degrees F which are within the required regulation range of 105 to 120 degrees F.

Extra hygiene products and linens were available. Cleaning supplies are locked and not accessible to clients. Facility has more than two days of perishable and one week of non-perishable foods which appeared to be of quality and stored per regulation. Medications were centrally stored and locked in medication cabinet.

Fire extinguishers were last serviced 1/31/2023. Smoke/Carbon Monoxide detectors were operational. Most recent fire/disaster drill was documented and conducted April 1, 2023.

Staff and Client files were reviewed. Staff have required First Aid and CPR certificates. Administrator Certificate #6022342735 for Administrator, Kamal Rai expires 12/1/2024.

LPA also went over a recent incident report that was called in and submitted timely by the facility that involved client C1 being aggressive towards client C2.