Inspection Reports for
Vista at Simi Valley

CA

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20 Reports

2020–2026

Inspection Report — Feb 12, 2026

Date: Feb 12, 2026

Visit Reason
Licensing Program Analyst Brian Balisi conducted an unannounced case management – legal/non-compliance visit to ensure the facility is maintaining substantial compliance with Title 22 Regulations.

Findings
The inspection included a walkthrough of resident bedrooms and bathrooms, review of resident records, and verification of fire extinguisher maintenance. No deficiencies were issued and the facility was found to be in compliance with health and safety standards.

Report Facts
Resident files reviewed: 8 Resident bedrooms inspected: 4

Employees mentioned
NameTitleContext
Brian BalisiLicensing Program AnalystConducted the inspection visit
Madison LewisExecutive DirectorOnsite during the inspection visit
Mariana CorralesResident Care CoordinatorMet with Licensing Program Analyst during the visit

Inspection Report — Nov 12, 2025

Annual Inspection
Date: Nov 12, 2025

Visit Reason
The inspection was a required unannounced annual visit conducted to evaluate the facility's compliance with licensing regulations and ensure health and safety standards are met.

Findings
The facility was found to be in compliance with Title 22 regulations, with no health or safety hazards observed. Resident rooms, common areas, kitchen, medication storage, and records were all in order. Emergency preparedness and infection control plans were adequate.

Report Facts
Hot water temperature range: 105 Hot water temperature range: 112.1 Fire extinguisher last serviced date: Aug 14, 2025 Personnel files reviewed: 10 Resident files reviewed: 10

Employees mentioned
NameTitleContext
Madison LewisAdministrator/DirectorFacility Administrator/Director met during inspection
Brimen VivarResident Care DirectorResident Care Director toured facility with LPAs
Brian BalisiLicensing Program AnalystLicensing Program Analyst conducting inspection
Martha ArroyoLicensing Program AnalystLicensing Program Analyst conducting inspection
Desaree PereraLicensing Program ManagerLicensing Program Manager overseeing inspection

Inspection Report — Aug 12, 2025

Date: Aug 12, 2025

Visit Reason
The visit was an unannounced case management – legal/non-compliance inspection to ensure the facility is maintaining substantial compliance with Title 22 Regulations and to check for any health and safety hazards.

Findings
The inspection found the facility to be in substantial compliance with no immediate health and safety concerns. Resident rooms and common areas were clean and well-maintained, medication storage and administration were proper, and required postings and emergency equipment were in place.

Report Facts
Resident files reviewed: 5 Hot water temperature range: 105 Hot water temperature range: 120

Employees mentioned
NameTitleContext
Madison LewisExecutive DirectorMet with Licensing Program Analyst during the inspection
Brian BalisiLicensing Program AnalystConducted the unannounced case management – legal/non-compliance visit
Desaree PereraLicensing Program ManagerNamed as Licensing Program Manager on the report

Inspection Report — Jun 13, 2025

Follow-Up
Date: Jun 13, 2025

Visit Reason
Unannounced inspection conducted on 06/13/2025 to follow up on a substantiated allegation from a prior complaint investigation regarding neglect and lack of supervision resulting in a resident's death.

Complaint Details
The visit was a follow-up to a substantiated complaint investigation concluded on February 21, 2024, involving allegations of questionable death due to neglect and lack of supervision. The complaint was substantiated.
Findings
The Department concluded that the facility failed to provide proper care and supervision, resulting in a resident's death due to intracranial hemorrhage from a fall. A civil penalty of $14,500 was issued following a prior immediate penalty of $500.

Citations (1)
Violation of CCR 87464(f)(1)(5) Basic Services and CCR 87468.2(a)(4) Additional Personal Rights of Residents in Privately Operated Facilities related to neglect and lack of supervision.
Report Facts
Civil penalty amount: 14500 Immediate civil penalty amount: 500

Employees mentioned
NameTitleContext
Madison LewisAdministrator/DirectorMet with during the inspection and named in the report.
Zabel ChochianLicensing Program AnalystConducted the unannounced inspection on 06/13/2025.

Inspection Report — May 12, 2025

Complaint Investigation
Date: May 12, 2025

Visit Reason
An unannounced visit was conducted in conjunction with an investigation of complaint control #29-AS-20240912104318 to evaluate compliance and investigate the complaint allegations.

Complaint Details
The visit was triggered by a complaint investigation under control #29-AS-20240912104318. Deficiencies unrelated to the complaint allegation were observed.
Findings
During the investigation, deficiencies unrelated to the complaint allegation were observed, specifically the failure to complete a new service plan for Resident #1 after significant changes in condition including admission to hospice care and hospitalization.

Citations (1)
Failure to complete a new service plan for Resident #1 after admission to hospice care and hospitalization, violating Title 22 CCR 87463(a) regarding reappraisals.
Report Facts
Plan of Correction Due Date: May 27, 2025

Employees mentioned
NameTitleContext
Kelly DulekLicensing Program AnalystConducted the unannounced visit and investigation
Madison LewisAdministrator/DirectorFacility representative met during inspection
Kristin HeffernanLicensing Program ManagerNamed in report as Licensing Program Manager

Inspection Report — May 6, 2025

Date: May 6, 2025

Visit Reason
The visit was an unannounced case management – legal/non-compliance inspection to ensure the facility is maintaining substantial compliance and there are no health and safety hazards.

Findings
The inspection found the facility to be in compliance with Title 22 Regulations with no immediate health and safety concerns. Resident rooms and common areas were clean and safe, emergency equipment and postings were in place, and records reviewed were in order.

Employees mentioned
NameTitleContext
Madison LewisExecutive DirectorMet with during the inspection and involved in the visit focused on compliance.
Brian BalisiLicensing Program AnalystConducted the unannounced case management – legal/non-compliance visit.

Inspection Report — Jan 23, 2025

Date: Jan 23, 2025

Visit Reason
The visit was an unannounced case management – legal/non-compliance inspection to ensure the facility is maintaining substantial compliance with Title 22 Regulations and that there are no health and safety hazards.

Findings
The facility was found to be in compliance with no immediate health and safety concerns. The environment was clean and safe, resident bedrooms and restrooms were appropriately furnished and sanitary, emergency equipment was in place and functional, and resident records were in order.

Report Facts
Resident files reviewed: 5 Fire extinguisher last serviced: 2024 Hot water temperature range: 105 Hot water temperature range: 120 Inspection start time: 1320 Inspection end time: 1530

Employees mentioned
NameTitleContext
Madison LewisAdministratorMet with Licensing Program Analyst during inspection
Brian BalisiLicensing Program AnalystConducted the unannounced case management – legal/non-compliance visit

Inspection Report — Nov 20, 2024

Annual Inspection
Date: Nov 20, 2024

Visit Reason
The inspection was an unannounced required annual visit to evaluate the facility's compliance with regulations and ensure health and safety standards.

Findings
The facility was found to be in compliance with health and safety regulations, including proper food storage, clean and safe resident rooms, adequate emergency preparedness, and proper medication management. All reviewed resident and personnel records were in order.

Report Facts
Resident files reviewed: 10 Personnel files reviewed: 10 Fire extinguishers last serviced: Dec 17, 2023 Last fire drill date: Oct 10, 2024 Temperature range: 110.4-119.6 Facility temperature: 73 Cameras observed: 3 Resident bedrooms observed: 11

Employees mentioned
NameTitleContext
Madison LewisAdministratorMet with LPAs during inspection
Brian BalisiLicensing Program AnalystConducted inspection and signed report
Martha ArroyoLicensing Program AnalystConducted inspection
BrimaResident Care DirectorAccompanied LPAs during physical plant tour
Desaree PereraLicensing Program ManagerNamed as Licensing Program Manager on report

Inspection Report — Nov 22, 2023

Annual Inspection
Date: Nov 22, 2023

Visit Reason
Licensing Program Analyst Zabel Chochian conducted a required annual unannounced visit to the facility to evaluate compliance with Title 22 Regulations and ensure health and safety standards were met.

Findings
The facility was found to be in compliance with health and safety regulations. Rooms and restrooms were clean and properly furnished, common areas were well maintained, and the kitchen was clean with sufficient food supply. Some equipment such as a thermostat in one room was noted as not functioning properly but did not affect room comfort.

Report Facts
Fire extinguisher last inspection date: Aug 1, 2023 Carbon monoxide, smoke alarms and fire suppression system last test date: Sep 29, 2023 Hot water temperature range (°F): 113 Hot water temperature range (°F): 116 Room temperature (°F): 81

Employees mentioned
NameTitleContext
Zabel ChochianLicensing Program AnalystConducted the annual inspection and evaluation
Madison LewisManaging DirectorMet with the Licensing Program Analyst during the inspection
Precious GardnerStaff who toured the physical plant areas with the Licensing Program Analyst

Inspection Report — Nov 10, 2022

Annual Inspection
Date: Nov 10, 2022

Visit Reason
The Licensing Program Analyst conducted an unannounced required annual visit with a specific emphasis on infection control practices and procedures.

Findings
The facility was generally found to be in compliance with Title 22 Regulations, with clean and well-maintained areas and proper infection control measures in place. However, deficiencies were cited related to unsafe storage of over-the-counter medications and room deodorizers in unlocked cabinets in three out of ten resident rooms observed.

Citations (1)
Over-the-counter medication and room deodorizer were stored in unlocked cabinets in three out of ten resident rooms, posing an immediate health, safety, or personal rights risk to persons in care.
Report Facts
Resident rooms observed: 10 Deficiency count: 1 Plan of Correction Due Date: Nov 18, 2022

Employees mentioned
NameTitleContext
Manuel HernandezResident Care Director, LVNMet with Licensing Program Analyst during inspection
Teresa CamaraLicensing Program AnalystConducted the inspection and authored the report
Jeralyn Ann PfannenstielSupervisorSupervisor overseeing the inspection

Inspection Report — Sep 1, 2022

Complaint Investigation
Date: Sep 1, 2022

Visit Reason
The visit was a case management - incident investigation regarding an incident that took place on 07/28/2022.

Complaint Details
The visit was triggered by an incident reported on 07/28/2022. No findings were issued yet as further investigation is needed.
Findings
The Licensing Program Analyst conducted interviews and reviewed records but stated that further investigation is required prior to issuing findings.

Employees mentioned
NameTitleContext
Chad BoeddekerExecutive DirectorMet with Licensing Program Analyst during the incident investigation visit.
Teresa CamaraLicensing Program AnalystConducted the case management - incident visit and interviews.
Jeralyn Ann PfannenstielLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report — Jun 3, 2022

Complaint Investigation
Date: Jun 3, 2022

Visit Reason
An unannounced complaint investigation visit was conducted due to an allegation that Resident #1 sustained unexplained pressure injuries due to lack of adequate care and supervision.

Complaint Details
The complaint alleged that Resident #1 sustained unexplained pressure injuries on the left heel, right Achilles tendon, and underneath the left breast due to lack of care and supervision. The allegation was investigated through interviews, medical record review, and observation. The complaint was found to be unsubstantiated.
Findings
The investigation found insufficient evidence to support the allegation of lack of care and supervision causing the pressure injuries. The resident's pressure injuries were documented and treated, and home health care was provided. The allegation was deemed unsubstantiated.

Report Facts

Employees mentioned
NameTitleContext
Teresa CamaraLicensing Program AnalystConducted the complaint investigation visit and authored the report
Chad BoeddekerExecutive DirectorMet with Licensing Program Analyst during the visit
Jeralyn Ann PfannenstielLicensing Program ManagerNamed as Licensing Program Manager on the report
Edward HectorCCLD Investigations Branch InvestigatorAssisted in complaint investigation and interviews

Inspection Report — Feb 10, 2022

Complaint Investigation
Date: Feb 10, 2022

Visit Reason
The inspection was an unannounced complaint investigation visit triggered by a complaint received on 2022-01-25 regarding staff response times, resident room safety, cleanliness, and disrepair.

Complaint Details
The complaint investigation was substantiated for allegations that staff were not responding timely to calls for assistance, and that a resident's room was unsafe, in disrepair, and not clean. Other allegations about urine on bathroom floors, laundry not being done, and facility malodor were unsubstantiated.
Findings
The investigation substantiated that staff did not respond timely to calls for assistance, with some response times over an hour. Resident room safety and disrepair issues were substantiated due to a bathroom door with protruding screws and inability to lock. Cleanliness issues were substantiated due to a soiled diaper left on the bathroom floor. Other allegations regarding urine on bathroom floors, laundry not being done, and malodorous conditions were unsubstantiated.

Citations (2)
Response times to calls for assistance have taken over an hour in some instances, posing a potential health, safety or personal rights risk.
Resident's room was unsafe due to protruding screws, bathroom door not closing/locking properly, and motion sensor malfunction.
Report Facts
Deficiencies cited: 2 Plan of Correction Due Date: Feb 17, 2022

Employees mentioned
NameTitleContext
Teresa CamaraLicensing Program AnalystConducted the complaint investigation and authored the report
Carol Ann LeRoseAdministratorFacility administrator met during the investigation
Debbie DoeringBusiness Office ManagerMet with Licensing Program Analysts during the investigation
Brimen ViverResident Care DirectorCommented on cleanliness deficiency regarding soiled diaper
Elsie CamposLicensing Program AnalystAssisted in conducting the complaint investigation
Jeralyn Ann PfannenstielLicensing Program ManagerOversaw the complaint investigation

Inspection Report — Nov 5, 2021

Annual Inspection
Date: Nov 5, 2021

Visit Reason
Licensing Program Analyst Teresa Camara conducted an unannounced Required - 1 Year inspection to evaluate compliance with licensing requirements including building and grounds, resident rooms, bathrooms, kitchen, food and first aid supplies, emergency preparedness, fire safety, medication storage, and infection control practices.

Findings
The facility was found to be in compliance with no deficiencies observed. The environment was clean and safe, emergency supplies were sufficient, fire extinguishers were charged, and infection control practices were discussed and observed.

Report Facts
Hot water temperature range: 112.5 Hot water temperature range: 113.9 Date of last fire inspection: Oct 7, 2021

Employees mentioned
NameTitleContext
Carol Ann LeRoseExecutive DirectorMet with Licensing Program Analyst during inspection and participated in exit interview
Teresa CamaraLicensing Program AnalystConducted the inspection

Inspection Report — Nov 23, 2020

Original Licensing
Date: Nov 23, 2020

Visit Reason
The visit was an announced pre-licensing inspection to evaluate the facility's compliance with regulations prior to licensing approval.

Findings
The facility was found to be in compliance with Title 22 regulations, with clean and safe common areas, operational safety systems, and appropriate physical plant conditions. Some Assisted Living bathrooms require additional grab bar installation, which has been ordered with an estimated delivery date of 11/23/2020.

Report Facts
Rooms in Memory Care Unit: 20 Water temperature range: 106 Water temperature range: 116 Food delivery frequency: 2

Employees mentioned
NameTitleContext
Ashley SmithLicensing Program AnalystConducted the pre-licensing inspection and signed the report.
Carol Ann LeRoseExecutive DirectorMet with the Licensing Program Analyst during the inspection.
Jeralyn Ann PfannenstielLicensing Program ManagerNamed as Licensing Program Manager on the report.

Inspection Report — Nov 16, 2020

Original Licensing
Date: Nov 16, 2020

Visit Reason
Initial licensing evaluation of the facility Vista at Simi Valley to assess compliance with regulatory requirements and confirm understanding of Title 22 regulations.

Findings
The applicant and administrator successfully completed Component II via telephone call, demonstrating understanding of facility operation, staff qualifications, program policies, grievance procedures, physical plant, and application document review including criminal record clearance and other licensing requirements.

Report Facts

Employees mentioned
NameTitleContext
Dan ZaharonIParticipant in COMP II telephone call confirming understanding of Title 22
Carol Ann LeRoseParticipant in COMP II telephone call confirming understanding of Title 22
Mirella QuarantaLicensing Program ManagerNamed as Licensing Program Manager on the report
Stefania FontenoLicensing Program AnalystNamed as Licensing Program Analyst on the report

Report — August 13, 2026

August 13, 2026

Report — May 8, 2026

May 8, 2026

Report — September 1, 2022

September 1, 2022

Report — November 5, 2021

November 5, 2021

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