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Inspection visit

Routine inspection

Clean visit · 0 citations

Inspector’s narrative

What the inspector wrote

Licensing Program Analyst (LPA) Martha Arroyo arrived at the facility unannounced to conduct a required annual visit today. Upon arrival, the LPA was greeted by facility staff who contacted the Administrator via telephone. At this time, the reason for the visit was explained. The Administrators, Maria Mendez and Jennifer Fulgentes arrived during the inspection. Entrance interview conducted. The LPA 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. The following was observed: KITCHEN: The LPA inspected the kitchen/food service. Knives and sharps were observed in a locked drawer. Kitchen appliances were in operable condition. Refrigerator and food pantry were checked for proper labels and expiration dates. 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. The smoke detector(s) and carbon monoxide detector were tested and operational at the time of the visit. The fire extinguisher was observed and fully charged 08/05/2024. The LPA observed required postings throughout the common space. Activities were observed in the common areas. LPA observed a locked closet by the main hallway with personal hygiene items for resident use. RESTROOMS: The two (2) resident restrooms were clean and sanitary and in operating condition with grab bars and non-skid surfaces. The bathrooms were sufficiently stocked with supplies and paper towels. The hot water temperature was measured; the first bathroom measured at 107.2 degrees Fahrenheit at 9:33am; and the second bathroom measured at 106.7 degrees Fahrenheit at 9:37am. Report Continued on LIC 809C... Report Continued from LIC 809... BEDROOMS: There are five (5) total bedrooms in the facility: one (1) bedroom is designated as a shared room, three (3) bedrooms are designated as private resident rooms; and 1 (one) is utilized as a staff room. All resident rooms were observed to be furnished appropriately with linens, appropriate furnishings, and sufficient lighting. GARAGE/BACKYARD: There is a washer and dryer inside the garage. Laundry detergent and cleaning supplies were observed in a locked cabinet. The backyard has a covered patio area with patio furniture including a table and chairs for resident use. All passageways were observed to be clear. LPA observed two (2) self-latching gates. There were no bodies of water noted at the time of the visit. RECORDS: LPA did not conduct record review as there is currently no residents residing at the facility at this time. MEDICATIONS: LPA did not conduct medication review as there is currently no residents residing at the facility at this time. Exit interview conducted. A copy of the report was provided.

Citations

No citations recorded on this visit

The inspector found no violations of California child care regulations during this visit.

FAQ · About this visit

Common questions about this visit

What happened during the October 8, 2024 inspection of SIMI VALLEY RESIDENTIAL CARE IV?

This was a inspection inspection of SIMI VALLEY RESIDENTIAL CARE IV on October 8, 2024. The inspection found no deficiencies and no citations were issued.

Were any citations issued to SIMI VALLEY RESIDENTIAL CARE IV on October 8, 2024?

No citations were issued during this inspection. The facility was found to be in compliance with all applicable regulations.

What type of inspection was this?

This was a inspection inspection. inspection inspections are conducted by CCLD as part of their licensing oversight.

SourceView on CCLDView original report

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Data from CCLD public records. Last updated . If you believe any information is inaccurate, report it here.