Senior Care Records.

Facility Evaluation Report

Alamo Residence Home, Alamo12/27/2021Licence 079201127

Capacity6
Census5
Date signed12/27/2021 09:36:26 AM
The inspector’s account

COMP II Participants: Joy Manalang Enriquez (Applicant/Administrator)

Applicant/Administrator participated in COMP II at CAB via telephone with analyst at CAB. Identification of the Applicant and Administrator was verified by providing California Driver License number. During COMP II, Applicant and Administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and Administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB.

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

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

2. Staff qualifications and responsibilities

3. Applicant and Administrator qualifications

4. Program policy: Abuse, admission agreement, medication management, reporting

incidents to CCL, restricted & prohibited conditions

5. Grievances, Complaints, Community resources

Application document review and technical assistance: Criminal record clearance,

Health screening, Fire clearance, First Aid/CPR certificate, Administrator

certificate, Financial verification, Pre-licensing inspection, Compliance history,

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