Facility Evaluation Report
Capacity6
Date signed06/12/2023 01:23:35 PM
COMP II Participants: Jessica Dawn Bernhardt, manager/admin
On June 12, 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 that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction