Facility Evaluation Report

On April 8, 2026 Licensing Program Analysts (LPAs) Brandon Lopez and Nancy Guillen made an unannounced visit to the facility to conduct the required annual inspection. LPAs were greeted and granted entry into the facility by staff after explaining the purpose for the visit. Administrator (AD) Ester Dela Cruz was notified via telephone and later arrived to assist with the inspection. LPAs observed that Ester Dela Cruz has a valid administrator certificate which expires on March 28, 2027.

The facility is a Residential Care Facility for the Elderly (RCFE) licensed for six non-ambulatory residents, and has a hospice waiver for five. The facility is a single story home with four resident bedrooms, two of which can be shared, one staff bedroom, three bathrooms, a living room, a dining room, a kitchen, and an unattached two car garage. LPAs, accompanied by the AD, conducted a tour of the interior portion of the facility. On today's visit, LPAs observed four residents in care and two staff present. LPAs observed residents relaxing in their respective bedrooms and in common areas. LPAs observed the See Something, Say Something poster (PUB 475) mounted on the wall by the dining room. LPAs inspected the four resident bedrooms and they were observed to be free of hazards. Resident bedrooms had the required furnishings of a bed, a chair, a chest of drawers, and a lamp. LPAs observed that Resident #4 (R4) has full bed rails, however, R4 is currently not receiving hospice care. LPAs observed resident beds had clean linens and blankets. LPAs observed additional linens to be stored in a hallway cabinet. LPAs tested the individual smoke detectors in each of the resident rooms which tested operational. LPAs observed the staff bedroom to be kept locked and inaccessible to residents in care. LPAs inspected the three bathrooms and they were observed to be clean. Resident bathrooms were equipped with grab bars and nonskid floor mats. Faucets and toilets were operational. Hot water temperature measured between 107.7 and 109.7 degrees Fahrenheit. CONTINUED ON LIC809-C