Senior Care Records.

Facility Evaluation Report

JJ Residential Care II, Simi Valley12/02/2025Licence 565802466

Capacity4
Census4
Date signed12/02/2025 02:14:32 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. LPA met with facility staff and explained the reason for the visit. Facility Assistant Administrator Amelia Banas arrived shortly after.

At approx 09:45a.m. LPA along with the facility staff toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed: LPA observed the kitchen area to be clean. Kitchen appliances were in operable condition. The facility has a sufficient supply of two (2) days perishable and seven (7) days non-perishable food. LPA observed a fire extinguisher to be fully charged and last serviced on 03/15/2025. LPA observed the garage to contain one (1) extra refrigerator, adequate emergency food and water supplies, and a locked storage cabinet. The cabinet was observed to contain cleaning supplies and chemicals.

There are five (5) bedrooms in the facility; four (4) are designated for resident use and one (1) is designated as a staff room. All four (4) resident bedrooms are private rooms. LPA and the facility staff member toured all four (4) resident rooms. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, emergency flashlights, and sufficient lighting. Bedroom number four (4) contains a direct exit to the outside of the facility.

There are two (2) bathrooms at the facility. Both are designated as a common resident bathrooms. All bathrooms were observed to be clean and were equipped with nonskid surfaces. LPA observed both bathrooms to contain locked under sink cabinets. The cabinets contained personal grooming supplies. The water temperature was measured in all bathrooms between 105 degrees Fahrenheit and 120 degrees Fahrenheit.

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