MILLENNIUM CARE II

5694 FEARING STREET, Simi Valley CA 93063

Facility 565801056 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Sep 10, 2025Licensed

Additional info
Licensee
DAVIDSZ, MAYA X.
Administrator
IRIS VAN KRALINGEN
Contact
IRIS VAN KRALINGEN
License first date
Sep 9, 2004
License effective date
Sep 9, 2004
District office
WOODLAND HILLS N.ASC · (818) 596-4334
Regional office
29
Clients served
983 - RCFE / DEMENTIA

Summary

The available records show 1 Type A and 1 Type B deficiencies for this facility.

Most recent inspection
Sep 10, 2025
Most recent deficiency
Sep 10, 2025

No later report is available, so the records do not show what happened afterward.

What Type A and Type B mean
Type A
Violations of licensing requirements that, if not corrected, have a direct and immediate risk to the health, safety, or personal rights of persons in care.
Type B
Violations of licensing requirements that, without correction, could become a risk to the health, safety, or personal rights of persons in care.

Both classifications are published by California CDSS and are shown as published. SeniorLivingFacts does not rename them or add a severity level of its own.

At a glance

Counts cover the five-year public record. Typical figures are the median for the 218 Ventura County facilities licensed for 6 or fewer beds.

In the available public five-year record, CCLD published 4 reports for this facility: 4 inspections, 0 complaint investigations, and 0 licensing or administrative records.

Those records contain 1 Type A and 1 Type B deficiencies.

0 deficiencies have explicit official correction or clearance evidence in the loaded records.

Official inspections
4

About the same as most this size

1 in the last 12 months

Recorded deficiencies
2

About the same as most this size

1 in the last 12 months

Type A deficiencies
1

About the same as most this size

0 in the last 12 months

Type B deficiencies
1

About the same as most this size

1 in the last 12 months

Substantiated complaints
0

Most this size also have none

0 in the last 12 months

Repeated topics
0

Last 36 months

Repeated topics

Topics cited in more than one report during the last 36 months. A repeat may show a pattern worth asking about. Each date opens its report below.

No topic repeats in the last 36 months

No deficiency topic appears in more than one report during that window. This does not establish that nothing repeated earlier in the five-year record, and it is not a statement about current conditions.

Official report history

All preserved reports from the most recent to the oldest, sortable by report type.

Inspection
Medical and dental careType B
Official classification
Type B
Official code
87465(a)(4)
Regulation authority
CCR

What the official deficiency says

(4) The licensee shall assist residents with self-administered medications as needed. This requirement is not met as evidenced by: Deficient Practice Statement Based on observation and record review, the licensee did not comply with the section cited above as 2 out of 4 residents medications pill count did not match that with start dates documented on centrally stored during medication review, which poses/posed a potential health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/19/2025 Plan of Correction The Administrator has agreed to have an in-house staff training on medication administration and submit proof to CCL no later than POC due date.

Plan of correction recorded
Correction not verified in available records
View official report
Inspection
Dementia careType A
Official classification
Type A
Official code
87705(g)
Regulation authority
CCR

What the official deficiency says

(g) As required by Section 87468(a)(12), residents with dementia shall be allowed to keep personal grooming and hygiene items in their own possession, unless there is evidence to substantiate that the resident cannot safely manage the items. This requirement is not met as evidenced by: Deficient Practice Statement Based on record review, the licensee did not comply with the section cited above as R! and R2 are not allowed to have access to personal grooming and hygiene item accessible per LIC 602A, which poses an immediate health, safety or personal rights risk to persons in care.

Official plan of correction

POC Due Date: 09/22/2023 Plan of Correction The Administrator locked all items immediately at the time of the visit. POC has been met.

Plan of correction recorded
Correction not verified in available records
View official report

Source and limits

California Department of Social Services, Community Care Licensing Division. Public facility history is described by the source as a five-year window. Older records and previous-licensee history may require a regional-office request. Type 741 RCFE-CCRCs, nursing homes, and other care settings are excluded from this page.

Read the data methodology