Senior Care Records.

Facility Evaluation Report

Familycare Cottage IV, Thousand Oaks07/17/2025Licence 565801978

Capacity6
Census5
Date signed07/17/2025 03:10:39 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 and entered the facility at 9:30 a.m. Upon arrival, LPA Mosley was greeted by staff who called the Administrator to inform them of the visit. The Administrator, Marisol Flamenco arrived shortly after and the reason for the visit was explained. Entrance interview.

The LPA and 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.

COMMON AREAS: At the time of the visit, furniture in the common areas was observed to be in good condition. The facility maintained a comfortable temperature. At 10:11 a.m., hardwire combination of smoke / carbon monoxide detector and fire doors were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged on 07/22/2024 with a new one purchased on 07/17/2025.The emergency exiting plans/sketch are posted in every room. The emergency telephone numbers are posted in common hallway. The LPA observed required postings throughout the common space. The last emergency disaster drill took place on 05/13/2025 and are conducted quarterly. Activities were observed in the common areas. The fireplace in the living room was adequately screened.

INTERVIEWS : Starting at 9:50 a.m. LPA conducted one (1) staff and two (2) resident interviews. Staff interview revealed that staff are knowledgeable in Resident rights, different forms of abuse, and reporting procedures. Resident interviews revealed that no concerns were noted or voiced at the time of the visit.

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