Routine inspection·April 8, 2026

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 LPAs observed the kitchen has a two day perishable and a seven day nonperishable food supply on hand. LPAs observed kitchen appliances to be clean and operational. LPAs observed the four burner gas stove lights unassisted. LPAs observed kitchen knives and sharps to be stored in a locked kitchen cabinet. LPAs observed chemicals and toxins to be stored in a locked kitchen cabinet under the sink. LPAs observed three fire extinguishers to be mounted in the facility. Fire extinguishers were observed to be charged and serviced as of March 10, 2026. LPAs tested the individual carbon monoxide detectors which tested operational. LPAs observed the facility did not complete an emergency disaster drill in the previous quarter with the last emergency disaster drill completed on November 25, 2025. LPAs observed the centrally stored medication to be stored in a locked storage cabinet in the kitchen. However, LPAs observed that there were two medications stored in an hallway cabinet with a broken lock. LPAs observed the facility has a first aid kit stored in a closet by the living room and it had all the required components. LPAs observed a fire place in the living room to not be in operation at time of visit. LPAs, accompanied by the AD, conducted a tour of the exterior portion of the facility. The exterior portion was observed to be free of hazards and obstructions. LPAs observed a shaded outdoor seating area with furniture for resident use. LPAs observed the perimeter gates of the facility to be self latching and can be opened in an evacuation. LPAs observed the door leading to the unattached garage to be kept locked and inaccessible to residents in care. LPAs observed the garage to be used for storage. LPAs observed the facility has a three day emergency food and water supply to be stored in the garage. There are no bodies of water on the premises. LPAs reviewed all four resident files. All the required documentation were present and current in the resident files reviewed. LPAs reviewed all four residents' medication and medication records. LPAs reviewed five staff files. All staff are background cleared and associated to the facility. Based on the observations made during today's visit, deficiencies are being cited on the attached LIC809-D pages. An exit interview was conducted with Administrator Ester Dela Cruz. A copy of the report and Appeal Rights were provided.