Facility Evaluation Report
On 9/5/25, Licensing Program Analyst (LPA) Felisa Shirley conducted an unannounced annual. LPA was met by the Administrator, Renette DeLaCruz and explained the purpose of today’s visit. The facility has a census of 2.
This facility is a one-story structure located in a residential neighborhood. The facility consists of (4) resident bedrooms, of which two (2) are vacant, (2) bathrooms, living room, den, kitchen, dining area, shaded patio, garage used for storage and laundry area. Facility maintains all required posting throughout the facility. LPA reviewed both resident files and found that they contained all required documents. LPA reviewed three (3) staff files and found they contained the required documents, and trainings. LPA reviewed their Liability Insurance. LPA reviewed the training logs for staff.
LPA Shirley and Renette walked through the kitchen and all appliances were in good working order. Medications were locked and inaccessible to residents. All knives and sharpes were locked and inaccessible to residents. LPA observed a 3-day supply of perishable and a 7-day supply of nonperishable foods. The water temperature measured between the required 105 and 120 degrees Fahrenheit.
Bedrooms 1 through 4 contains the mandated furniture. The (2) bathrooms are clean and operational. The first aid kit is fully stocked with manual. There are two (2) fire extinguishers. No firearms are stored at this facility and no bodies of water are present. This facility is in good repair.
LPA Shirley and Renette walked through all common areas. In the living room, kitchen, dining room there is ample seating and space for all residents. All rooms and walkways were clean, and clear of obstructions and hazards. All areas have ample lighting. All rooms, hallway, and living room have working smoke detectors. The backyard is clean, clear of obstructions has shade and there are no bodies of water or hazards present.
An exit interview was conducted, and a copy of this report was provided to the Administrator, Renette DeLaCruz.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction