Senior Care Records.

Facility Evaluation Report

Woods Residential Facility, Pittsburg04/18/2024Licence 079201291

Capacity6
Date signed04/18/2024 08:24:14 AM
The inspector’s account

Facility Type: Adult Residential Facility

COMP II Participants: Theodore L Woods Jr

On April 18, 2024, 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 the understanding of the California Code Title 22 Regulations. 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. Restricted/Prohibited Health Conditions

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