Senior Care Records.

Facility Evaluation Report

Applegate @ Berkshire, Thousand Oaks07/03/2025Licence 567610056

Capacity6
Census6
Date signed07/03/2025 01:35:56 PM
Name of licensing program analystAngela Barutyan
Name of licensing program managerKristin Heffernan
The inspector’s account

Licensing Program Analyst (LPA) Angela Barutyan arrived at the facility unannounced to conduct a required annual visit at 10:30AM. LPA met with facility staff and Administrator Cynthia Alvarez who arrived at 11:15AM. Entrance interview conducted.

Beginning at 10:33AM, the LPA, along with staff and Administrator toured the physical plant areas inside and outside to ensure there are no health and safety hazards and that facility is in compliance with Title 22 Regulations. The following was observed:

KITCHEN/LAUNDRY/GARAGE : LPA inspected the kitchen at 10:33AM. Kitchen appliances appeared clean and were in operable condition at the time of the visit. The facility had a sufficient supply of perishable and non-perishable food. At 10:40AM, LPA observed three (3) cans of jelled cranberry sauce expired on 04/03/2025 and three (3) dented cans of evaporated milk. Staff discarded the cans immediately. Cleaning supplies are located in a locked under-sink cabinet. Knives are in a locked kitchen cabinet. Laundry room contains locked storage for cleaning chemicals. The LPA observed the garage to be locked and contained an office area, extra food, emergency water supply, and additional storage.

BEDROOMS : There are eight (8) total bedrooms in the facility; two (2) are designated as staff rooms; both staff rooms were observed to be locked. There are six (6) private resident bedrooms, all with private bathrooms and exits to the exterior. Auditory exit alarms were tested and functioned properly. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings and sufficient lighting.

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