Senior Care Records.

Facility Evaluation Report

America's Care, Simi Valley08/27/2024Licence 565850357

Capacity6
Census4
Date signed08/27/2024 02:10:27 PM
The inspector’s account

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit today. Upon arrival, there were two (2) staff and four (4) residents present. LPA met with the Administrator, Maria Calles and explained the reason for the visit. Entrance interview conducted.

The LPA 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:

KITCHEN: The LPA inspected the kitchen/food service area at 8:57 a.m. Knives and sharps were observed locked and inaccessible under the kitchen sink. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. The kitchen faucet was measured for hot water temperature, and it measured 113.5 degrees Fahrenheit at 9:00 a.m.

COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. Smoke and carbon monoxide detectors were tested, and all were functional at the time of the visit. Fire extinguisher was observed and fully charged on 05/17/2024. No fire clearance concerns were observed. The LPA observed required postings throughout the common space. Activities were observed in the common areas. There is a working telephone on premises.

RESTROOMS: The two (2) resident restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces.

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