Senior Care Records.

Facility Evaluation Report

Borol Place, Simi Valley05/19/2024Licence 197607438

Capacity4
Census4
Date signed05/19/2024 02:20:22 PM
The inspector’s account

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced for a required one-year annual inspection today. The last annual conducted at this facility was on 05/24/2023. When the LPA arrived, there were three (3) staff and four (4) clients present. LPA met with staff, and the Administrator, Kathy Adedigba arrived at 9:15 a.m., and at this time the reason for the visit was explained. Entrance interview conducted.

At 9:18 a.m., the LPA along with the Licensee toured the physical plant areas inside and outside to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN: The LPA inspected the kitchen/food service area at 9:30 a.m. Kitchen appliances were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. Knives and sharps were observed locked and inaccessible in a kitchen cabinet. At 9:32 a.m., the hot water temperature measured at 113.5 degrees Fahrenheit.

COMMON AREAS: Living room and dining room furniture was observed to be in good condition at the time of the visit. The facility maintained a comfortable temperature. At 9:33 a.m., the smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguisher was observed to be charged on 08/21/2023. LPA observed required postings throughout the common space.

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction