Senior Care Records.

Facility Evaluation Report

Ibarra Adult Residential Care Home, Simi Valley12/22/2022Licence 561701197

Capacity4
Date signed12/22/2022 11:49:28 AM
The inspector’s account

Licensing Program Analyst (LPA), Martha Arroyo arrived unannounced to conduct a Required 1-Year Annual Inspection with focus on Infection Control at 9:45 a.m. The last Annual visit conducted at this facility was on 01/21/2022. Upon arrival, the LPA was scanned and greeted at the door by Administrator, Maria Ibarra and the reason for the visit was explained. Entrance interview.

At 9:56 a.m., the LPA began the physical plant tour of the common areas, kitchen area, client bedrooms, bathrooms, staff room, and outdoor area to ensure there are no health and safety hazards and facility is in compliance with Title 22 Regulations.

KITCHEN: The kitchen appeared clean and the appliances and fixtures functional. The facility has a sufficient supply of seven (7) days perishable and two (2) days non-perishable food. The LPA observed one designated cabinet next to the oven where knives and sharps kept locked and inaccessible to clients.

BEDROOMS: The LPA observed all three (3) client rooms which were properly furnished, and had appropriate bedding, linens, and sufficient lighting. There is one (1) staff room that is kept locked.

RESTROOMS: Client restrooms are clean and sanitary and in operating condition with functional fixtures. Restrooms are sufficiently stocked with hand liquid soap and paper towels. The appropriate hand-washing signs were observed throughout. Bathrooms were measured for hot water; the first bathroom measured at 105.6 degrees Fahrenheit at 10:05 a.m. and the second bathroom measured at 108.1 degrees Fahrenheit at 10:12 a.m.

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