Senior Care Records.

Facility Evaluation Report

Medo Peaceful Home, Simi Valley12/05/2025Licence 565850572

Capacity4
Census4
Date signed12/05/2025 02:47:21 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 Administrator Emmanuel Kangala arrived shortly after.

At approx 09:50a.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 purchased within the year.

There are four (4) bedrooms in the facility. 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 is an attached garage that was inaccessible to clients in care. LPA observed the garage to contain an extra freezer, adequate amount of emergency food and water. LPA also observed a locked storage cabinet for cleaning supplies.

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