Senior Care Records.

Facility Evaluation Report

Caccam's Stanton Residence, Simi Valley09/12/2025Licence 565801291

Capacity4
Census4
Date signed09/12/2025 04:15:31 PM
Name of licensing program analystBrian Balisi
Name of licensing program managerDesaree Perera
The inspector’s account

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual visit. Upon arrival, LPA met with staff and explained the reason for the visit. Administrator Venis Caccam arrived shortly after.

LPA 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.

At approx 09:30 a.m. The LPA inspected the kitchen/food service area. Kitchen appliances appeared clean and to be in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates. The knives and sharp objects were observed locked and inaccessible to residents in care underneath the sink. Medication cabinet was located next to the dining room. LPA observed cabinet to be locked and inaccessible to residents in care.

LPA observed four (4) resident bedrooms , which were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. The resident bathrooms were observed to be clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured between 105 - 120 degrees Fahrenheit. The fire door was observed to be closed during the visit. There are two (2) staff rooms. LPA observed staff rooms to be empty as well as locked and inaccessible to residents in care.

At the time of the visit, the common area furniture's were observed to be in good condition. A sufficient supply of clean linen and towels were observed stored in a hallway closet. There is a cabinet adjacent to the living room with resident’s personal hygiene items locked at the time of the visit.The facility maintained a comfortable temperature of 72 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit.

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