Senior Care Records.

Facility Evaluation Report

Laigo-zanders Home for the Elderly II, Simi Valley07/06/2023Licence 561703785

Capacity6
Census6
Date signed07/06/2023 03:06:52 PM
The inspector’s account

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit. The last annual conducted at this facility was on 07/06/2022. Upon arrival, the LPA was greeted at the door by staff. The Administrator, Norma Zanders arrived shortly after and the reason for the visit was explained. Entrance interview conducted.

The 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.

KITCHEN: The LPA inspected the kitchen/food service area at 9:30 a.m. The LPA observed two residents having breakfast at the dining table. Knives are stored in a locked cabinet in the kitchen. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 9:35 a.m., the hot water temperature was measured in the kitchen at 113.7 degrees Fahrenheit. Cleaning supplies were observed locked and inaccessible under the kitchen sink.

COMMON AREAS: At the time of the visit, the living room furniture was observed to be in good condition. 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. At 9:45 a.m., the fire extinguisher was observed to be last charged on 09/14/2021. Administrator stated they were waiting on the service technician to recharge. All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings throughout the common space.

The backyard has a covered outdoor area equipped with furniture including a table and chairs for resident use. The LPA observed one (1) self-latching gate with clear passageways clear of obstruction. There were no bodies of water noted at the time of the visit.

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