Inspection Reports for
Varenita of Simi Valley

The visit was complaint-related, following a report that Resident #2 allegedly hit Resident #1 in the face. The allegation was not substantiated due to lack of evidence and no visible injuries.

The investigation found no immediate health or safety concerns, no visible injuries on the resident involved, and no witnesses to the incident. The allegation could not be substantiated due to insufficient evidence, and no citations were issued.

The facility was found to be in compliance with health and safety regulations, including proper food storage, clean and appropriately furnished resident rooms, adequate emergency preparedness, and proper medication management. No citations were issued during the inspection.

The complaint alleged residents were not given 90 days written notice for a rate increase. The allegation was unsubstantiated after review of documents and interviews with staff and residents.

The investigation found that the facility issued written notices dated 11/01/2025 to all affected residents, with the new rates effective 02/01/2026. Interviews with residents confirmed receipt of the notice and no concerns were reported. The allegation was deemed unsubstantiated due to insufficient evidence.

The facility was toured to check for health and safety hazards and compliance with Title 22 Regulations. Resident bedrooms, common areas, fire safety equipment, and food service areas were inspected. Some expired cereal boxes were noted, but the facility had sufficient food supplies and planned to order more non-perishable items.

The medication review revealed that 3 out of 5 residents had routine medications started but not documented on the CSMDR, and 2 out of 5 residents had medications missing start dates on both the CSMDR and medication labels. Additionally, Resident #1 had prescribed bedtime medications missing one dosage each without documented staff observation notes.

The Licensing Program Analyst reviewed ten resident files and ten personnel files, finding all files complete with no deficiencies issued. An exit interview was conducted and a report copy was issued.

The facility was generally found to be in compliance with infection control, fire safety, kitchen, common areas, and medication storage regulations. However, deficiencies were cited related to staff criminal record clearance and incomplete annual training for some staff members.

The inspection found that resident rooms and bathrooms were appropriately furnished and stocked, hot water temperatures were within required ranges, fire extinguishers were fully charged, and there were no obstructions or hazards observed. The facility's new resident Admissions Agreement and Assessment Tool need updating to meet Title 22 Regulations. No deficiencies were issued.

During the visit, the Licensing Program Analyst met with staff, conducted a record review, and obtained copies of pertinent documents. An exit interview was conducted and the report was reviewed and issued.

The facility was generally found to be in compliance with regulations including kitchen safety, common areas, bedrooms, restrooms, medication storage, and infection control. However, a deficiency was noted regarding expired non-perishable food items which were discarded and replaced during the inspection.

The visit was complaint-related, investigating an incident where Resident #1 slapped Staff #1, who then slapped the resident back. The incident was substantiated based on evidence obtained.

The investigation found that Staff #1 slapped Resident #1 while providing care after being slapped by the resident, which violated residents' personal rights and posed an immediate safety risk.

The complaint involved an incident where Resident #1 slapped Staff #1, who then responded by slapping the resident. Staff #2 witnessed the event. The investigation is ongoing.

During the visit, the Licensing Program Analyst conducted interviews, toured the Memory Care Unit, and reviewed relevant documents. Further investigation was deemed necessary and a follow-up visit will be conducted.

The visit was triggered by complaint # 29-AS-20230801143754. The deficiency was substantiated as the centrally stored medication records were incomplete and not updated as required.

During the complaint investigation, it was found that Resident #1's centrally stored medication and destruction record was not updated with medication expiration and start dates. Staff interviews confirmed that these records were not being completely filled out for all residents' centrally stored medication.

The complaint alleged that the resident care plan was not updated. The investigation substantiated this allegation based on interviews and record reviews. The failure to update the care plan posed a potential health, safety, and personal rights risk to residents in care.

The investigation found that the care plan for resident #1 was not updated or signed by the responsible person during a period of change in the resident's condition from 02/2022 to 03/2022. This deficiency was substantiated and cited under CCR 87463(c).

The facility was found to be in compliance with Title 22 Regulations, with adequate infection control practices including symptom screening, PPE supply, and cleaning protocols. Fire extinguishers were recently serviced and smoke and carbon monoxide detectors were tested and cleared.

The complaint was substantiated. The facility was found not to be following COVID-19 protocols during an outbreak, with improper mask usage by staff and residents.

The investigation found that staff and residents were not properly wearing face masks during a COVID-19 outbreak, with staff observed wearing masks on their chins. The allegation that the facility was not following COVID-19 protocols was substantiated.

The facility was inspected for fire safety, personal accommodations, services, and food service. All areas including bedrooms, memory care rooms, kitchen, common areas, and outdoor areas were found to be clean, properly furnished, and compliant with regulations. No corrections were needed at this time.

The applicant and administrator successfully completed the Component II evaluation, demonstrating understanding of Title 22 regulations, facility operations, staff qualifications, program policies, and application document requirements.