Alexa Home Care

We haven’t transcribed this report yet. The complete document is on the state’s site.

Type of visit: Post Licensing

At approximately 12:30 PM, Licensing Program Analyst (LPA) Magdaleno arrived unannounced to conduct a post licensing inspection and met with Administrator Joy Dela Cueva. Facility is a Residential Care Facility for the Elderly (RCFE) with five (5) residents in care. Facility has a Dementia Care Plan, a Hospice waiver for three (3), with one (1) Hospice residents currently in care, and is approved for all non-ambulatory residents. LPA reviewed the Facility's Staff Roster and found that all staff on-site were background cleared and associated to the facility per regulation. At approximately 12:50 PM, LPA initiated a tour of the facility with Administrator and observed the following: Facility is a one (1) story home, was a comfortable temperature, and passageways were free from obstructions. Facility's fire extinguisher was observed charged and last serviced 3/25. Smoke and Carbon Monoxide detectors were tested and operational during inspection. Water temperature measured 112.4 degrees F, which is within the allowable range of 105 to 120 degrees F per Title 22 regulations. LPA observed a supply of clean linens, hygiene, incontinent care, and paper products available for residents. Residents' bedrooms were inspected and observed to have all the appropriate furnishings as outlined in Title 22 regulations. Cabinets containing cleaning supplies and other items that could pose a risk were locked. LPA observed at least a two (2) day supply of perishable and seven (7) day supply of non-perishable food, as well as an emergency water supply. Food was found to be stored in a safe manner with open items covered. There is a shaded seating area in the backyard with outdoor space for activities. LPA observed three (3) locked sheds in the backyard which LPA inspected and observed the contents to consist of old medical beds and assistive mobility devices. Facility pool was fenced off and LPA observed locks on two (2) of two (2) entrances. Continued LIC809C... Continued from LIC809... Facility has an internet access device and internet available to residents in care, and the phone was tested and operational during today's inspection. Facility conducts quarterly disaster drills, and the most recent drill was conducted 1/26. LPA reviewed emergency disaster plan which was last updated 3/26. LPA observed a supply of PPE, emergency supplies, a first aid kit, and flashlights. Medication is centrally stored and locked. At approximately 1:20 PM LPA conducted a review of five (5) resident records. All required documentation present. At approximately 1:50 PM LPA conducted review of three (3) staff records. All required documentation present. Joy Dela Cueva Administrator Certificate 7004869740 expires 6/25/2026. Updated copies of the following documents shall be submitted to CCL by 4/17/2026: Liability Insurance LIC500 - Personnel Report LIC308 - Designation of Responsibility LIC610E - Emergency Disaster Plan No deficiencies cited. Exit interview conducted with Administrator, whose signature on form confirms receipt.the state’s words, verbatim · CDSS document, Mar 16, 2026

The state marks this report as 4 pages; the online copy we transcribed has 3. You can request the full file from the county licensing office.

Type of visit: Prelicensing

At approximately 1:05 PM, Licensing Program Analyst (LPA) Elias Magdaleno arrived announced to conduct a pre-licensing inspection and was greeted by Applicant Joy Dela Cueva. This pre-licensing inspection is being conducted for a change of ownership for an existing facility identified as Excel Care #486801479. Facility is a Residential Care Facility for the Elderly (RCFE). Fire Clearance has been approved for six (6) non-ambulatory residents with a hospice waiver for three (3). At approximately 1:15 PM LPA conducted a walk-through of facility with Applicant and observed the following: Per facility sketch, facility is a one story residence with five (5) residents bedrooms, three (3) bathrooms, two (2) staff room, a living room, a dining room, with covered patios and a pool outside. LPA observed that pool was empty and fenced, Applicant stated that pool is kept drained and fence is always locked. Facility was found to be clean and at a comfortable temperature with all exits free from obstructions. Facility has an Infection Control plan on file. There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations. Facility's water temperatures for all sinks were within Title 22 Regulations of 105 degree F to 120 degrees F. There was an appropriate supply of cleaning products, linens, hygiene products, and paper products available for residents. Toxins were observed to be locked and inaccessible to residents. Bathrooms were equipped with necessary grab bars, and non-slip floors mats were present. All resident rooms were furnished with a bed, lamp, dresser, and chair with the shared room having two of each. Facility has sufficient items for cooking and serving. Staff and resident files are located in the medication closet. Medication closest was found to be locked. Facility has indoor/outdoor areas for visiting and activities. Signal system on all doors leading out of facility were tested and found operational. Facility's fire extinguisher was observed to be charged and last inspected 3/25. Facility's combination smoke and carbon monoxide detectors were tested and operational. LPA confirmed that contents of the facility's First Aid Kit was sufficient. Facility has internet accessible devices and internet available for residents in care. LPA and Applicants discussed many topics including reporting requirements, documentation requirements, grievance procedures, staffing, disaster drills, and yearly training requirements. All staff have background clearances and current first aid/CPR certificates. Continued LIC809C... Continued from LIC809... No Deficiencies or Advisories given during visit. Pre-Licensing completed. Facility is ready to be Licensed as a Residential Care Facility for the Elderly (RCFE). LPA will submit Pre-Licensing Application Report to the Application Unit Analyst in Sacramento. Application Unit Analyst will notify Applicant of Status. Exit interview conducted. Copy of report discussed and provided to Applicant. Signature on form confirms receipt of documents. Component III presentation conducted with Applicant.the state’s words, verbatim · CDSS document, Nov 13, 2025

Type of visit: Office

Facility Type: RCFE Application Type: CHOW Capacity: 6 Census (if any clients in care): 4 Method: Telephone call with CAB COMP II Participants: Cueva, Joy Dela On [DATE], the applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readinessthe state’s words, verbatim · CDSS document, Oct 31, 2025