Facility Evaluation Report

On 08/20/21 at 12:10pm, Licensing Program Analyst (LPA) D. Panlilio conducted a Component III Review, for the Pre-licensing Inspection which was conducted on this date.

LPA reviewed Component III with applicant Rolando Gil. Common deficiencies cited at ARF facilities were discussed and how to mitigate their occurence. Applicant has knowledge / understanding of Title 22 regulations and agreed to be in compliance.

A license has not yet been granted to this facility. Licensure is subject to final review and approval by the Centralized Applications Unit. Licensee is not to accept residents until notified by Community Care Licensing that the license has been approved.

See LIC809 (Pre-licensing Inspection) Report dated 08/20/21, for the Pre-licensing Inspection conducted in relation to this report.