Pre-licensing visit·November 13, 2025

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.