Facility Evaluation Report
On 9/27/2025 Licensing Program Analysts (LPA) M. Medina conducted an unannounced Case Management Annual Continuation visit. LPA arrived, introduced self, and stated purpose of visit. LPA met with Administrator, Dennis Dela Cruz to conduct visit. .
Annual continuation visit is being conducted to complete items from previous visit on 9/23/2025. Case management visit was a continuation for staff file review, resident records review, and a completion of the care tool.
Licensee to submit the following updated documents to Fresno Regional office no later than 10/10/2025: Copy of Administrator certificate, copy of liability insurance, LIC 308 (Designation of Administrative Responsibility), LIC 500 (Personnel Report), and LIC 9020 (Register of Facility Clients/Residents)
Exit interview conducted and facility report signed by Administrator and a copy provided for facility records.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction