Senior Care Records.

Facility Evaluation Report

Casa Blanca Senior Living, Simi Valley11/19/2024Licence 565850167

Capacity4
Census4
Date signed11/19/2024 02:06:49 PM
The inspector’s account

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit. Upon arrival, there were two (2) staff and four (4) residents present. The LPA was greeted by the Administrator, Monica Vigil and the reason for the visit was explained. Entrance interview conducted.

Starting at 10:44 a.m., 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 10:44 a.m. Knives and sharps were observed locked and inaccessible in a kitchen drawer. The LPA observed cleaning supplies in a locked cabinet and under the kitchen sink inaccessible to residents in care. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates. At 10:51 a.m., the hot water temperature was measured in the kitchen sink, and it measured at 114.6 degrees Fahrenheit.

COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. The LPA observed the fire extinguisher to be fully charged with a date of 04/23/2024. Required postings were observed throughout the common space. The LPA observed a fireplace adequately covered at the time of the visit. Activities were observed in the living room and dining room. There is a working telephone on premises. Cameras observed in the common areas. The LPA observed a closet in the hallway with additional clean linens and towels. Auditory alarms were observed at the time of the visit.

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