Facility Evaluation Report

Angels II, Simi Valley07/01/2025Licence 565801215

Capacity6
Census6
Date signed07/01/2025 01:52:49 PM
Name of licensing program analystBrian Balisi
Name of licensing program managerDesaree Perera
The inspector’s account

Licensing Program Analyst (LPA) Brian Balisi conducted an unannounced cased management – legal/non-compliance visit. The purpose of today’s visit was to ensure the facility is maintaining substantial compliance. LPA met with staff and explained the reason for the visit. Joann Trupiano was contacted, but could not be onsite during the visit. They stated Rolando could sign the report for them. The LPA focused today’s visit on ensuring there are no health and safety hazards, and the facility is in compliance with Title 22 Regulations.

At approx 12:18pm conducted a walk through of the facility. Resident rooms were observed to be furnished appropriately with sufficient lighting. Four (4) residents were observed to be sleeping during the visit. One (1) resident was watching television and (1) resident was relaxing in their room. Resident bathrooms were sufficiently stocked with supplies and paper towels. Hot water temperature was measured. Water temperature measured within 105- and 120-degrees Fahrenheit. Fire extinguishers were observed fully charged and last serviced on 06/03/2025. The facility has a sufficient supply of perishable and non-perishable food. No obstructions or hazards were observed inside or out. LPA observed a cleaning company arrive to deep clean the floors.

LPA’s reviewed staff Records at 12:40 p.m. Five (5) Personnel records were reviewed for, but not limited to: personnel records, health assessments, criminal record clearances, first aid/CPR training, and the appropriate training. All records were observed to be in order at this time.

No deficiencies issued. Exit interview conducted. Report was reviewed and copy was issued.

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