Facility Evaluation Report
Capacity6
Date signed07/28/2023 11:32:31 AM
Capacity: Census (if any clients in care): 6
On July 28, 2023, 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 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.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction