Facility Evaluation Report

On 6/30/26, Licensing Program Analyst (LPA) Kyle Wellington arrived unannounced to conduct an annual inspection. LPA was greeted and granted entry by Caregiver, Yolanda Pedraza, who was informed of the purpose of the visit. Caregiver called Administrator (Admin), Nelly Navarro, to inform her of the visit but she was unavailable. LPA was informed the census at the facility is four (4) clients. LPA received a staff roster and client roster from Caregiver. LPA toured the facility with Caregiver. LPA conducted an observation and record review for the inspection.

Facility Overview: The facility is a one story house with four (4) client bedrooms, three (3) client bathrooms, office, kitchen, dining room, family room, activity room, laundry room and attached garage. There are no pools, bodies of water or firearms at the facility. The facility has a fire clearance to serve four (5) non-ambulatory adults.

Infection Control: LPA observed soap dispensers and hand sanitizers throughout the facility. Cleaning equipment and cleaning supplies were kept in a locked closet in the hall and available for regular facility maintenance. LPA reviewed the facility’s infection control plan which met the department’s requirements.

Physical Plant: LPA observed the inside and outside of the facility to be clean, safe and well kept. The floors, windows and doors were clean and well maintained. The family room and dining room furniture was in good repair. The residents’ bedrooms were neat, organized and contained the required bedding, lighting and furniture. Bathrooms were clean, tidy and had grab bars, paper towels, soap and non-slip mats in the showers. Extra linen and towels were kept in cabinets in the bathrooms. Laundry equipment appeared to be in good working condition. Laundry supplies were kept in a locked cabinet in the laundry room. The two (2) fire extinguishers were charged and tested on 2/13/26 which was within the last year. LPA tested the smoke