Senior Care Records.

Facility Evaluation Report

Caccam's Stanton Residence, Simi Valley09/10/2024Licence 565801291

Capacity4
Census4
Date signed09/10/2024 02:06:33 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 present. The four (4) clients were in day program at the time of the inspection. LPA was greeted by facility staff who contacted the Administrator via telephone. The Administrator, Venis Caccam arrived at 10:00am. Entrance interview conducted.

At 10:05am, 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 10:15am. 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; properly stored. Refrigerator and food pantry were checked for proper labels and expiration dates; labels had dates clearly marked.

COMMON AREAS: This includes the living room and dining room area. The common areas were furnished appropriately, and all furniture was observed 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. There is a cabinet adjacent to the living room with resident’s personal hygiene items locked at the time of the visit. Activities were observed in the living room. LPA observed auditory alarms at the time of the visit. There is a working telephone on premises. No obstructions or hazards were observed inside or out.

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