Senior Care Records.

Facility Evaluation Report

Simi Hills Home Care Center, LLC, Simi Valley10/06/2023Licence 565801871

Capacity6
Census4
Date signed10/06/2023 01:44:34 PM
The inspector’s account

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced for a required one-year annual inspection today at 8:00 a.m. The last annual conducted at this facility was on 09/01/2022. When the LPA arrived, there were two (2) staff and four (4) residents present. The LPA was greeted at the door by staff Eloisa Vasallo and the reason for the visit was explained. The Administrator, Lidia Medina arrived at 8:40 a.m. Entrance interview conducted.

At 8:43 a.m., 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.

KITCHEN: The LPA inspected the kitchen/food service area at 8:50 p.m. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility has a sufficient supply of perishable and non-perishable food. Food labels were inspected and checked for dates and expiration dates and food labels had expiration date clearly markedThe knives and sharps stored in a locked cabinet in the kitchen. Cleaning supplies and disinfectants are stored under the kitchen sink inaccessible to residents.

COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The LPA observed two residents having breakfast in the dining room during the inspection. The facility maintained a comfortable temperature. At 9:07 a.m., smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguishers were observed fully charged and last serviced on 3/15/2023.

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