Senior Care Records.

Facility Evaluation Report

Love Circle Home Care LLC, Simi Valley05/19/2023Licence 565802407

Capacity5
Census1
Date signed05/19/2023 02:47:02 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 06/22/2022. Upon arrival, there was one staff and one resident present. The LPA was greeted by staff and the reason for the visit was explained. The Administrator arrive shortly after. Entrance interview conducted.

At 9:30 a.m. the 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.

KITCHEN: The LPA began the inspection in the kitchen/food service area at 9:35 a.m. Knives are kept locked under the kitchen sink. Cleaning supplies and disinfectants are kept locked under the sink inaccessible to residents. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 9:37 a.m., the hot water temperature was measured in the kitchen at 128.6 degrees Fahrenheit.

INFECTION CONTROL: Upon entry, the facility has a central entry point for symptom screening, temperature checks, and sanitation station. At this time, the staff will continue to keep up signs that promotes good hand hygiene. The facility has an adequate supply of Personal Protection Equipment (PPE) and the facility is able to obtain additional supplies as needed. The facility’s cleaning protocol is sufficient. If needed, the facility has the capacity to designate a single isolation room if the facility has a confirmed infectious disease case. The facility’s policies and procedures as it pertains to infection control are adequate.

GARAGE AND GROUNDS : The garage is attached to the house and locked at all times. The laundry room is in the garage locked and inaccessible. Facility has an adequate amount of emergency food and emergency water. There is a covered patio area with patio furniture including a table and chairs for resident use. Facility has one (1) fence gate that self-latches with clear passageways for emergency exit use. There were no bodies of water noted.

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