Custom Home Modifications 

Designed to fit your unique needs

With 25 years of combined expertise in occupational therapy, 

you're in the right hands.

Damian and Catia have more than 25 years of combined expertise in Occupational Therapy ranging from geriatrics in the skilled nursing/home health area to infants and children in school and hospital settings. Damian and Catia both graduated from the University of Southern California with degrees in Occupational Therapy. Each has found that supporting safe and independent living for their clients in their own homes is the most important and rewarding aspect of what they do. They have provided Occupational Therapy in all different parts of the world, from the mainland to Guam and Australia, helping them to understand the diverse needs of their clients.

Our Educational Development

Beyond their academic credentials, both hold the Certified Aging in Place Specialist designation from the National Association of Homebuilders and the Executive Certification in Home Modifications (ECHM) from the University of Southern California. Catia and Damian are pursuing further credentials in home modifications through the American Occupational Therapy Association’s Specialty Certification in Environmental Modifications (SCEM) – a rigorous, peer-reviewed process.

There's No Place Like Home

With the average costs of a nursing home in Hawai’i exceeding $150,000 per year and the sometimes-difficult transition that is required when older adults move into supportive care or assisted living environments, we look at what it would take to enable clients to stay at home. Oftentimes, our custom-designed home modifications can provide a less expensive and more satisfying alternative for clients, families, caregivers, and the insurance companies that service them.

Experts Every Step Of The Way

Our knowledge of the healthcare industry, insurance coverage, cost/benefit concerns, and patient well-being gives us a distinct advantage when it comes to decision-making around adjusting to life and a new lifestyle after a serious illness. The medical background we have allows us to understand the specific complications that come with conditions such as dementia, catastrophic injuries, stroke, ALS, multiple sclerosis, traumatic brain injury, cerebral palsy and normal aging.

Our Founders

Damian Sempio

Home Modification and Accessibility Specialist, OTR, CAPS, ECHM, CEAC

Damian received his BS in Occupational Therapy from the University of Southern California and has been practicing for 17 years.  His diverse experience ranges from geriatrics in the skilled nursing/home health area, adults with spinal cord injuries, to infants and children in school and hospital settings.  A natural progression of his career led him to partner with Catia Garell and start Thrive For Life LLC, a solution driven accessibility consulting and home modification firm.    Damian is an Accessibility Consultant with a medical mindset to help guide decisions and provide unique solutions for his clients.  He is an experienced project manager and can take a project from "soup to nuts" in order to make for a successful project.  Damian is also adept in ADA regulations and can help guide organizations through their compliance needs via assessment, audit, and planning.  Though above all the most rewarding part of Damian's life is having an awesome family to explore the hidden gem's of Hawai'i...oh and squeeze in a surf every once in a while!


Catia Garell

Home Modification & Accessibility Specialist, MA, OTR, CAPS, ECHM, CEAC

Catia is the co-founder of Thrive For Life LLC, which is the only known premier residential, and commercial accessibility consulting firm in Hawaii with a medical background in Occupational Therapy.  Catia's medical background gives her a unique problem solving perspective when working with clients and accessibility needs which have included private, state, commercial and federal sectors.  Catia contributes over 16 years providing accessibility solutions for clients with disabilities.  Catia has also acquired international experience working with clients in Guam and Australia performing accessibility assessments and identifying barriers to function & access. 

Catia loves spending time on Oahu and Maui with friends and family. When not working she can be found in and around the ocean – surfing, paddling, or swimming. She loves achieving her clients' goals: to be safe, comfortable, and thriving in their homes!


Accessibility Consultants in Hawaii | Thrive for Life

Contact Us Today!

Call Us: 808-797-2590

Get your FREE initial Home Accessibility Consultation and discover how Thrive For Life can modify your home needs.

Home Modifications For Accessible Living

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Service Areas | Honolulu, HI | Oahu, HI | Maui, HI