Facility Evaluation Report

*************Amended Report**************

Facility Type: Residential Care Facility for the Elderly (RCFE)

Application Type: Change in Ownership (CHOW)

COMP II Participants: Kyle Wolden, Applicant

On August 8, 2024 at 8:00AM, Applicants and Administrator participated in COMP II. Identification of the Applicants and Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Applicants 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 Applicants 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 Applicants and Administrator. Report sent via email and request to return sign copy to CAB by end of business day.