Senior Care Records.

Facility Evaluation Report

Konice Care INC, La Mirada06/29/2023Licence 198603647

Capacity4
Date signed10/09/2023 12:37:33 PM
The inspector’s account

COMP II Participants: John Wilson Ekaun, admin & Ifunanya Ifeacho, member

On June 29, 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