Senior Care Records.

Facility Evaluation Report

Elemental Health, Thousand Oaks06/18/2025Licence 565850512

Capacity6
Census4
Date signed06/18/2025 03:36:55 PM
Name of licensing program analystErica Mosley
Name of licensing program managerKasandra Lopez
The inspector’s account

Licensing Program Analyst (LPA) Erica Mosley arrived at the facility unannounced to conduct a required annual visit at 10:15 a.m. LPA Mosley was greeted by Staff / Operations Manager, Anna Pinkerman who called the Administrator to inform them of the visit. The Administrator / Licensee Representative / Clinical Director, Dr. Shannon Dobbs arrived shortly after and the reason for the visit was explained. Entrance interview conducted. LPA and staff toured the physical plant areas inside and outside to ensure there are no immediate health and safety hazards and facility is in compliance with Title 22 Regulations.

BEDROOMS: There are four (4) total bedrooms in the facility; two (2) bedrooms are designated as private, single occupancy, client rooms and two (2) are designated for shared, double occupancy, client rooms. All client rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting.

BATHROOMS: There are three (3) total Bathrooms, one (1) is designated as a private client restroom, one (1) is a shared client restroom and one (1) is designated for staff/guests. All restrooms were supplied with appropriate paper and hygiene products. The hot water temperature was measured in all client bathrooms between 2:20 p.m. -2:25 p.m. and measured between 108.7 – 115.0 degrees Fahrenheit all within the required range.

KITCHEN: The LPA inspected the kitchen/food service area at 2:23 p.m. Knives and other sharps were observed to be locked in the chef pantry. Kitchen appliances were in operable condition.

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