Senior Care Records.

Facility Evaluation Report

Appleton Homes, Simi Valley09/26/2024Licence 567610022

Capacity6
Census4
Date signed09/26/2024 04:04:19 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 three (3) staff and four (4) residents present. LPA was greeted by facility staff who contacted the Administrator via telephone. The Administrator, Myline Olivas arrived at 9:57am. Entrance interview conducted.

At 9:58am, the LPA along with the Administrator 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 10:01am. Knives and sharps were observed in a locked drawer inaccessible to residents in care. Kitchen appliances were 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. At 10:08am, the hot was temperature was checked in the kitchen sink and it measured 107.6 degrees Fahrenheit.

COMMON AREAS: This includes the living room and dining room area. The common areas were furnished appropriately and appeared to be in good condition at the time of the visit. The facility maintained a comfortable temperature. LPA observed required postings throughout the common space. Activities for resident use were observed by the hallway. LPA observed auditory alarms at the time of the visit. There is a working telephone on premises. LPA observed fireplace adequately covered during the inspection.

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