Facility Evaluation Report

Quality Care Home, Simi Valley01/25/2022Licence 565800106

Capacity3
Census1
Date signed01/25/2022 02:52:20 PM
The inspector’s account

Licensing Program Analyst (LPA) Brian Balisi arrived at the facility unannounced to conduct a required annual. This annual had a specific emphasis on infection control practices and procedures. Upon arrival LPA was met by Administrator Maria Castillo.

Facility is a Level II home, vendored by Tri-Counties Regional Center serving a developmentally disabled client. There is currently one client residing at the facility, who does not require 1:1 staffing.

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. The carbon monoxide and smoke alarms were tested and all functioned properly. The fire extinguishers were fully charged and last serviced on November 2021. Kitchen: The kitchen appeared clean and the appliances and fixtures functional. LPA found a sufficient amount of perishable and non-perishable food at the facility; properly stored. Knives and sharps are stored in a locked drawer to the right of the fridge. Properly labeled medications were locked in a lock box in in a cabinet to the right of the microwave.

Bedrooms: There are five bedrooms total. One bedroom designated for clients' use. The bedroom was observed to be properly furnished and had appropriate bedding and linens. At 1:15pm, LPA observed client watching television in the room. Three bedrooms are occupied by the licensee and her family. One bedroom is being used as an office. LPA observed a sufficient supply of linens, and towels in the hallways closets.

Bathrooms: Bathroom was clean, properly supplied and had functional fixtures. Hot water temperature was measured at 113 degrees Fahrenheit.

Common Areas : These included the living rooms and dining areas. The common areas were properly furnished. Detergents and chemicals are kept in the garage, locked and inaccessible to the client. Emergency food supplies and water are kept in a pantry in the garage.

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