Senior Care Records.

Facility Evaluation Report

Ibarra Adult Residential Care Home, Simi Valley01/21/2022Licence 561701197

Capacity4
Census4
Date signed01/21/2022 01:22:45 PM
The inspector’s account

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual. This annual had a specific emphasis on infection control practices and procedures. Upon arrival LPA was met by Administrator Maria Ibarra.

LPA 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 carbon monoxide and smoke alarms were tested and all functioned properly. The fire extinguisher was fully charged and last serviced Aug 2021.

Kitchen: The kitchen appeared clean and the appliances and fixtures functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives and sharps are stored in a locked cabinet to the right of the oven.

Bedrooms: There were three bedrooms designated for clients' use. All bedrooms were properly furnished and had appropriate bedding and linens. There is a staff room that is kept locked when not in use. LPA observed staff room to be empty at this time.

Bathrooms: There were two bathrooms designated for clients' use. Both bathrooms were clean, properly supplied and had functional fixtures. Hot water temperature was measured at 110 degrees Fahrenheit.

Common Areas : These included the living rooms and dining areas. The common areas were properly furnished. Properly labeled medications were locked in a cabinet in the dining area. The laundry area was in the back room off the dining area, detergents and cleaning supplies are kept in a locked cabinet.

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