Senior Care Records.

Facility Evaluation Report

Select Senior Living I, Thousand Oaks10/17/2025Licence 565802430

Capacity6
Census5
Date signed10/17/2025 12:49:56 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 10:22AM. LPA met with staff upon arrival and Administrators Kim Anderson and Dylan Hull who arrived shortly thereafter. Entrance interview conducted.

Beginning at 10:34AM, the LPA, along with Administrator Anderson, 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/GARAGE: At 10:34AM, LPA inspected the kitchen/food service area. 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 and emergency food and water. Knives and sharps are stored inaccessible in a locked drawer. The garage is adjacent to the kitchen and is maintained locked and inaccessible. LPA observed cleaning supplies, additional refrigerator/freezer, and a washer and dryer in the garage.

BEDROOMS: There are seven (7) total bedrooms in the facility; six (6) bedrooms are designated as private resident rooms and one (1) is designated as a staff room. The staff room is kept locked. All resident rooms were observed to be furnished appropriately with clean linens, appropriate furnishings, and sufficient lighting. All resident bedrooms have exits to the exterior and were equipped with functional auditory exit alarms.

BATHROOMS: There are three (3) bathrooms. Two (2) are designated for resident use and one (1) is a staff/guest restroom. LPA observed bathrooms to be clean, sanitary, and in operating condition with slip-resistant surfaces and grab bars. Hot water temperatures were measured in bathrooms and were between 105.3-115.9 degrees F, which is within the required range. Report Continued on LIC 809-C

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