Facility Evaluation Report, 06/15/2023 — ST. Mary's Home Care, Simi Valley CA

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit. The last annual conducted at this facility was on 06/16/2022. Upon arrival, the LPA met with Administrator, Marilou Mallari and the reason for the visit was explained. Entrance interview conducted.

The 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.

KITCHEN: The LPA began the inspection in the kitchen/food service area at 11:30 a.m. Knives are stored in a locked cabinet in the kitchen. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food. At 11:38 a.m., the LPA observed perishable items in poor condition – ranch (expired 05/2023) and two canned good (expired 12/2022 and 03/2023). These items were discarded upon observation. At 11:34 a.m., the hot water temperature was measured in the kitchen at 109.4 degrees Fahrenheit. Cleaning supplies were observed locked and inaccessible under the kitchen sink.

COMMON AREAS: At the time of the visit, living room and dining room furniture was observed to be in good condition. The facility maintained a comfortable temperature of 74 degrees Fahrenheit. Smoke detector(s) and carbon monoxide detector were operational at the time of the visit. The fire extinguishers were fully charged and were last serviced 09/2022. All exits have functioning auditory devices and were operational at the time of the visit. The LPA observed required postings throughout the common space.

The backyard has a covered outdoor area equipped with furniture for resident use. The LPA observed one (1) self-latching gate with clear passageways clear of obstruction. There were no bodies of water noted. There is a separate laundry room, which is kept locked at all times. Cleaning supplies and disinfectants are kept locked inside the laundry room. Emergency water was observed in a closet by the entrance.