Senior Care Records.

Facility Evaluation Report

Fillmore Country Club, Fillmore12/12/2025Licence 565801892

Capacity66
Census27
Date signed12/12/2025 01:52:48 PM
Name of licensing program analystBrian Balisi
Name of licensing program managerDesaree Perera
The inspector’s account

Licensing Program Analysts (LPAs) Brian Balisi and Martha Arroyo arrived at the facility unannounced to conduct a required annual visit at approx 9:00 a.m. Upon arrival, LPAs were greeted by the front desk receptionist and explained the reason for the visit. LPA's met with Executive Director Connie Smiley shortly after. At approx 09:40 a.m. LPAs along with Executive Director Connie Smiley, 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. The following was observed:

LPAs inspected the kitchen/food service area. Knives are stored and inaccessible to residents. Kitchen appliances were observed to be in operable condition. The facility has a sufficient supply of perishable and non-perishable food properly stored. Refrigerator and food pantry were checked for proper labels and expiration dates and food labels had expiration date clearly marked. A sufficient amount of emergency food was observed properly stored.

The furniture in the common areas were observed to be clean and in good condition. The facility maintained a comfortable temperature. LPAs observed required postings throughout the common space.

At approx 10:06 a.m LPA's observed that One (1) out of (3) Stairwells did not have an emergency evacuation chair.

LPA's did not observe any obstructions and/or tripping hazards throughout the facility. Emergency exiting plans/sketch are posted throughout the facility. LPAs observed multiple randomly selected resident bedrooms on the first and second floor.

All resident bedrooms were furnished appropriately and had sufficient lighting. All resident restrooms appeared to be clean, sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 109– 117 degrees Fahrenheit.

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