Facility Evaluation Report

Abundant Grace Home LLC, Irwindale04/14/2025Licence 198603811

Capacity4
Date signed05/06/2025 01:52:38 PM
Name of licensing program analystMorrison Ambrose
Name of licensing program managerTammy Edwards
The inspector’s account

COMP II Participants: Osibogun, Olaide & Adesoye, Oluwamayowa

On 4/14/25, 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