Senior Care Records.

Facility Evaluation Report

Halifax House, El Monte11/17/2022Licence 198603609

Capacity4
Date signed11/17/2022 02:20:19 PM
The inspector’s account

COMP II Participants: Wanda Magee , Administrator; David Bernstein, CEO; Shannon Betker, analyst.

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 DOB/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

2. Staff qualifications and responsibilities

4. Applicant and Administrator qualifications

5. Grievances, Complaints, Community resources

8. Application document review and technical assistance: Pre-licensing inspection

9. Analyst explained Guardian procedures for adding staff

Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction