Senior Care Records.

Facility Evaluation Report

Appleton Homes, Simi Valley08/08/2025Licence 567610022

Capacity6
Census5
Date signed08/08/2025 04:38:55 PM
Name of licensing program analystQuoc Huynh
Name of licensing program managerKristin Heffernan
The inspector’s account

Licensing Program Analyst (LPA) Quoc Huynh arrived at the facility unannounced to conduct a required annual visit at 8:57AM. The LPA met with the Licensee Myline Olivas and explained the reason for the visit. Entrance interview conducted.

Beginning at 9:12AM, the LPA and Licensee toured the physical plant areas inside and outside to ensure there are no health and safety hazards, and the facility is in compliance with Title 22 Regulations. The facility is a single-story residential home. The following was observed:

COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The living room had a screened fireplace that was inoperable. Required postings were observed in the living room. The facility maintained a comfortable temperature throughout the visit. The facility had an office area located between the kitchen and entryway hallway. The office area contained a desk with files and furniture in good condition.

KITCHEN: The LPA observed knives stored inaccessible in a locked drawer. Kitchen appliances were clean and in operable condition. The facility had a supply of perishable and non-perishable food, as well as emergency food. The LPA observed non-perishable food cans expired between November 2024 and June 2025. Food in the refrigerator and freezer were observed to be of good quality and properly stored. One (1) fire extinguisher was observed and last serviced on 08/09/2025.

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