Senior Care Records.

Facility Evaluation Report

Norma J'S Home for the Elderly II, the, Thousand Oaks08/08/2023Licence 565802455

Capacity6
Census6
Date signed08/08/2023 04:29:58 PM
The inspector’s account

Licensing Program Analyst (LPA) Elsie Campos arrived at the facility unannounced to conduct a required annual visit at 10:45 a.m. The LPA was greeted by staff and informed them of the reason for the visit. Administrator Loretta Tiede arrived shortly thereafter.

The LPA and staff 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 11:20 a.m. Knives and cleaning supplies are stored inaccessible. Kitchen appliances were in operable condition. The facility has a sufficient supply of perishable and non-perishable food.

BEDROOMS/BATHROOMS: Beginning at 11:28 a.m. the LPA inspected the bedroom and bathroom areas. Bedrooms were furnished appropriately with clean linens, appropriate furnishings and sufficient lighting. There are six designated resident rooms and one staff room. There was a linen closet in the hallway with extra towels and linens. The resident restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with soap and paper towels. The hot water temperature measured between at 106.7 and 109.9 degrees Fahrenheit.

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 76 degrees. Smoke detector(s) and carbon monoxide detector were tested at 3:45 p.m. and operational at the time of the visit. The fire extinguisher was fully charged and last serviced Oct 11, 2022. The LPA observed required postings throughout the common spaces.

OUTDOOR AREA: The backyard has a covered outdoor area equipped with furniture for resident use. There is a side gate for resident use and is single latched. No bodies of water noted and exits are free of obstructions.

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