Facility Evaluation Report

COMP II Participants: Merilyn Bergstrom(Applicant/Administrator)

Interview Method: Telephone interview with CAB

Applicant/Administrator participated in COMP II. During COMP II, Applicant/ Administrator confirmed the understanding of the California Code Title 22 Regulations.

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

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

2. Applicant and Administrator qualifications

3. Staff Qualifications - hiring procedures, responsibilities; training

4. Program policies -restricted/prohibited health conditions, medication management; incident reporting to CCLD; food service and management, Activities program

5. Grievances, Complaints, Community resources; Abuse reporting

6. Application document review and technical assistance- Criminal record clearance, Health screening, Fire clearance, First Aid/CPR certificate, Administrator Certificate, Financial verification, Pre-licensing inspection, Compliance history, Control of property