Senior Care Records.

Facility Evaluation Report

Country House, Chico10/02/2023Licence 045920038

Capacity20
Date signed10/02/2023 01:24:28 PM
The inspector’s account

Facility Type: Residential Care Facility for the Elderly

COMP II Participants: Meryl Foz, Romerico Foz

On October 02, 2023, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained.

During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas:

1. Facility operation: License type, client/resident populations, and program

4. Restricted/Prohibited Health Conditions

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction