Facility Evaluation Report

Ayla House for Elderly Care, Burbank11/14/2024Licence 197610595

Capacity6
Date signed12/19/2024 05:06:06 PM
The inspector’s account

COMP II Participants: Avetisyan, Armen & Kordonskiy, Elena

On 11/14/24, the applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB.

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