Facility Evaluation Report

On 03/19/2026, at 2:00pm, Licensing Program Analyst, LPA Zina Brown conducted a Case Management – Deficiencies for complaint Control Number 11-AS-20260220083158. LPA met with Renette De La Cruz (Administrator) as the purpose of the visit was explained.

On 02/24/2026, between the hours of 10:48am – 1:22pm, LPA conducted an initial unannounced complaint investigation at the facility. The complaint investigation included interviews with the Administrator (A1), staff, and residents, as well as a review of facility records.

This requirement was not met by, based on interviews, observation, and records review, LPA observed the following:

The Administrator Renette De La Cruz is listed as the instructor for the In-Service Education Record. The following training was on file:

· 06/04/2024 – Safety in the Home: Fall Prevention

· 02/10/2025 – Basic Life Support (10:00am – 1:00pm) – 2 staff in attendance

· 02/10/2025 – Annual Staff Training (20 Required Hours) – Completed by 1 staff

· 02/18/2025 – Medication Administration – 6 staff in attendance

· 05/17/2025 – Personal Hygiene (9:00am – 12:00pm) – 2 staff in attendance

· 02/24/2026 – Review of Dementia, Alzheimer's, Sundowning & Parkinson's (3:00pm – 4:00pm) – 3 staff in attendance

· 02/25/2026 – Client Rights (9:00am – 12:00pm) – 4 staff in attendance

· 02/27/2026 – Dehydration and the Importance of Hydration – 2 staff in attendance

All staff do not have the required training for Title 22 regulations.