Facility Evaluation Report, 03/09/2023 — A Place Called Home Residential Care A1, Clovis CA

Facility Evaluation Report

A Place Called Home Residential Care A1, Clovis03/09/2023Licence 107209264

Capacity1

Census0

Date signed03/15/2023 09:59:31 AM

The inspector’s account

COMP II Participants: Licensees/Administrators, David Murchison & Colin Murchison

On 3/9/2023 applicant(s)/administrator participated in COMP II for the below pending facilities: A Place Called Home Residential Care A2/107209263. 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