Routine inspection·April 24, 2026

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. Continued on LIC 809-C. Bathrooms were observed to be in good repair, toilets and faucets were operational and showers were equipped with grab bars and non-skid floor mats. Water temperature in the bathrooms were measured to be 111.7 degrees Fahrenheit. Facility met the minimum two-day perishable and seven-day non-perishable food supplies. Sharp items and knives were locked in a kitchen cabinet and inaccessible to residents in care. Fire extinguisher was charged, mounted and located in the kitchen. Fire extinguisher was dated 2026. LPA observed all the required postings in the hallway. LPA observed the facility conducted their last emergency disaster drill on January 2, 2026. Facility had back-up emergency food and water supply, located in the garage. LPA observed that the First Aid kit had all the required components. Medications were observed to be locked in a medication cabinet in the kitchen, inaccessible to residents in care. Chemicals were observed to be locked in the garage and underneath the kitchen sink. LPA observed the door leading to the attached two car garage is kept locked and inaccessible to residents in care. The garage is used for storage and laundry. For the exterior portion, LPA observed patio furniture under shading, and the grounds were free of any hazards or obstructions. There are two exit gates in the backyard that can be opened in case of an emergency. A pool was observed in the backyard. However, there is a fence surrounding it and a padlock on the gate. The pool has been drained. During this visit, five resident files and three staff files were reviewed. All staff are background cleared and associated with the facility. LPA reviewed residents’ medication and medication records and one resident interview was conducted. The facility has valid liability insurance that expires in May 1, 2026. Based on today's observations, there are no deficiencies being cited per Title 22 of the California Code of Regulations. An exit interview was conducted with the house manager. This report was reviewed with authorized representative and a copy was provided at the end of the visit.