Facility Evaluation Report

Villa Nueva Care Home 4, Martinez05/10/2024Licence 079201323

Capacity6
Census6
Date signed05/10/2024 11:49:16 AM
The inspector’s account

COMP II Participants: Mylin Villanueva (Corporate Board Member/Administrator)

On May 10, 2024, applicant(s)/administrator participated in COMP II for the below pending facilities: [list out all of the applicable pending applications in the following format: Villa Nueva Care Home 4/079201323, Villa Nueva Care Home 5/079201326. Identification of the applicant(s) and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant(s) 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.

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

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

4. Restrictive/Prohibited Health Conditions

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