Facility Evaluation Report

On April 24, 2026, Licensing Program Analyst (LPA) Garlli Tat conducted an unannounced visit to the facility for the purpose of a required annual inspection. LPA explained the purpose for the visit and was greeted and granted entry by staff on duty. During the visit, staff on duty contacted the facility administrator (AD) Dennis De La Cruz about the visit. For this visit, there are two staff members on duty, both of which are background cleared and associated. AD was unable to assist with the inspection.

The PUB475 ‘See Something, Say Something’ poster was observed to be located near the front door. LPA observed that Dennis De La Cruz has a valid Administrator certificate expiring on January 18, 2028.

The facility is a Residential Care facility for the Elderly (RCFE) licensed for six residents, six of which may be non-ambulatory, none of which may be bedridden, and a hospice waiver for four. LPA toured the interior and exterior portions of the facility with staff. For this visit, there are a total of five non-ambulatory residents in care, two of which are on hospice, and none are bedridden.

The facility is a two story home. The upper level is only for staff. There are a total of five bedrooms, three of which are shared resident bedrooms and two are staff bedrooms. LPA toured each bedroom with staff and observed that bedrooms were provided with furniture in good repair, clean linens, adequate storage space, and free of any hazards. LPA observed the staff rooms are kept locked and inaccessible to residents in care. Smoke and carbon monoxide detectors as well as auditory exit alarms were tested and operational. There are a total of three bathrooms, two are for residents and one is for staff.