Senior Care Records.

Facility Evaluation Report

Select Senior Living III, Thousand Oaks10/27/2025Licence 565802432

Capacity6
Census3
Date signed10/27/2025 04:44:48 PM
Name of licensing program analystZabel Chochian
Name of licensing program managerDesaree Perera
The inspector’s account

Licensing Program Analyst (LPA) Zabel Chochian arrived at the facility to conduct a required annual visit. Upon arrival, LPA met with Administrator, Kim Anderson and the reason for the visit was explained. Entrance interview conducted.

At 1:45 p.m., the LPA along with the 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.

KITCHEN: The kitchen appeared clean and the appliances and fixtures functional. Refrigerated and frozen foods were stored at proper temperature. There was a sufficient amount of two (2) day perishable and seven (7) day non-perishable food. Food labels observed and checked for dates and expiration dates. Food had labels clearly marked with dates. Knives and sharps were observed locked in a drawer. Cleaning supplies were stored under the kitchen sink locked and inaccessible. There were no pesticides or poisons observed near any food areas. LIVING ROOM/DINING ROOM: The common areas were observed to be properly furnished and relatively clean at the time of the visit. Furniture was observed to be in good condition. Fireplace was observed to be adequately screened at the time of the visit. The facility maintained a comfortable temperature. Fire extinguishers were observed fully charged and purchased in 06/2025. The LPA observed required postings throughout the common spaces. The facility has a working telephone on premises. Auditory alarms on all doors were functional at the time of the visit. Entry/exits were free of obstruction. There is a washer and dryer on the premises. Activities were observed in the common areas. BEDROOMS: There are six (6) resident bedrooms. The resident bedrooms were properly furnished with a bed, night stand, and sufficient lighting for each resident. The bedrooms had appropriate and adequate bedding and linens such as sheets, pillowcases, mattress pads, and blankets. There is one (1) staff bedroom that is locked at all times. (Continue to LIC809c)

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