Facility Evaluation Report

Licensing Program Analyst (LPA) Martha Guzman Chavez conducted an unannounced visit to Simi Hills Home Care Center, LLC to conduct a Required 1-Year Annual Inspection with focus on Infection Control. Last annual conducted was on 8-18-2019. LPA was greeted and screened at the door by staff Antonio Salazar. Administrator Lidia Medina and Angelica Medina arrived at the facility shortly after and were explained the reason for the visit. Entrance interview conducted.

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. LPA along with Administrator Lidia, initiated a tour at 9:38am and the following was observed:

There is a central entry point designated for universal screening for visitors by the entrance. At 10:27 am, Smoke detectors and Carbon Monoxide detector were tested and functioned properly. Fire extinguisher was observed to be fully charged on June 12, 2021. First-Aid Kit was observed to be complete. Medications are in the kitchen in a locked cabinet. Main temperature displayed by hallway and read at 74 degrees Fahrenheit for the facility. LPA conducted a file review for two (2) residents at facility. All required forms and pertinent documents were observed to be completed.

OUTDOOR SPACE: LPA observed the backyard to have a covered outdoor area with a tables and chairs for resident use. There is one (1) gate on the side of the house that has a single latch and remains unlocked.

KITCHEN: LPA observed the kitchen/dining area to be clean. Knives are stored in a locked cabinet under the kitchen sink. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food.