Facility Evaluation Report

On 01/14/26 Licensing Program Analyst (LPA) Mario Leon conducted an annual/random visit at the facility.

Upon entrance, LPA was met by staff one, Renette De La Cruz - Licensee (S1) and the purpose of the visit was explained. Upon entrance, LPA observed a previous annual visit conducted on 09/05/25.

The facility is a single-story home located in a residential neighborhood, which consists of the following: The facility consists of (4) resident bedrooms, of which one (1) 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 two (2) staff files and found they contained the required documents, and trainings. LPA reviewed their Liability Insurance. LPA reviewed the training logs for staff . The facility has a current census of three (3) residents (R1-R3). S1 and LPA toured the facility, inside and out.

LPA did not find any deficiencies during today's visit.

An exit interview was conducted with Renette De La Cruz - Licensee (S1) and a copy of this report has been provided.