Facility Evaluation Report

Facility Type: Adult Residential Facility (ARF)

COMP II Participants: Marian Pitschner, Administrator

On September 19, 2023 at 10:00 AM , Applicant and 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.

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

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

4. Restrictive/Prohibited Health Conditions

Exit interview conducted with Applicant and Administrator. Copy of report sent via email and request to return sign copy to CAB by end of business day today.

Note: Document amended to change to correct facility type. ***amended***