Facility Evaluation Report

Millennium Care II, Simi Valley09/10/2025Licence 565801056

Capacity6
Census5
Date signed09/10/2025 01:47:55 PM
Name of licensing program analystMartha Arroyo
Name of licensing program managerDesaree Perera
The inspector’s account

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit. Upon arrival, there were three (3) staff and five (5) residents present. The LPA was greeted by staff and at this time the reason for the visit was explained. The Administrator, Iris Van Kralingen arrived at approximately 09:15 a.m. Entrance interview conducted.

During today’s inspection, the LPA along with the Administrator 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. The following was observed:

Kitchen: The LPA inspected the kitchen/food service area at approximately 09:18 a.m. Knives and sharps were observed locked and inaccessible in a kitchen drawer. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. Refrigerator and food pantry were checked for proper labels and expiration dates.

Common Areas: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. The LPA observed several fire extinguishers throughout the facility to be recently charged with a date of 06/15/2025. Required postings were observed throughout the common space. There is a working telephone on premises. Activities were observed in the living room. Auditory alarms were observed functioning during the inspection. No hazards/obstruction observed inside or out.

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