SIMI VALLEY RESIDENTIAL CARE IV

2378 E. KENTFIELD STREET, Simi Valley CA 93065

Facility 565800417 · RESIDENTIAL CARE ELDERLY (740)

6 bedsLatest official report Oct 2, 2025Licensed

Additional info

Telephone: (805) 583-3182
Licensee: MENDEZ, WALTER & MARIA L.
Administrator: GIOVANNI E FULGENTES
Contact: GIOVANNI E FULGENTES
License first date: Oct 19, 1998
License effective date: Oct 19, 1998
District office: WOODLAND HILLS N.ASC · (818) 596-4334
Regional office: 29
Clients served: 983 - RCFE / DEMENTIA

Summary

The available records show 2 Type A and 1 Type B deficiencies for this facility.

Most recent inspection: Oct 2, 2025
Most recent deficiency: May 12, 2023

3 later reports, from Oct 23, 2023 through Oct 2, 2025, recorded no deficiencies, though the records do not say whether they were follow-ups.

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 6 reports for this facility: 5 inspections, 1 complaint investigation, and 0 licensing or administrative records.

Those records contain 2 Type A and 1 Type B deficiencies.

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

Official inspections: 5
Recorded deficiencies: 3
Type A deficiencies: 2
Type B deficiencies: 1
Substantiated complaints: 1
Repeated topics: 0

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.

May 12, 2023Complaint

Allegations1 substantiated · 2 unsubstantiated · 0 unfounded · 1 cited

Resident rightsType B

Official classification: Type B
Official code: 87468.1(a)(2)
Regulation authority: CCR

What the official deficiency says

87468.1 Personal Rights of Residents in All Facilities (a) Residents in all residential care facilities for the elderly shall have all of the following personal rights: (2) To be accorded safe, healthful and comfortable accommodations, furnishings and equipment. This requirement was not met as evidenced by: Based on interviews and observation, the licensee did not comply with the section cited above. LPA observed staff working with residents while not wearing facemasks, which posed a potential health and safety risk to residents in care.

Official plan of correction

During LPA’s visit, the administrator counseled staff regarding wearing masks in the facility at all times. Administrator stated she would ensure staff wears masks when mandated by the government (federal, state, and local authorities).

Deadline recorded: May 12, 2023. A deadline is not proof that correction was completed.

Plan of correction recorded

Correction deadline recordedDeadline May 12, 2023

Correction not verified in available records

View official report

View official source

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