Facility Evaluation Report

Montoak One, Lomita02/13/2024Licence 198320425

Capacity6
Date signed02/13/2024 02:45:45 PM
The inspector’s account

COMP II Participants: Najma Shaheen, admin/applicant

On February 13, 2024, 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.

During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas:

1. Facility operation: License type, client/resident populations, and program

2. General Provisions; staffing requirements and training

3. Staffing requirements and pre-licensing readiness

4. Reporting Unusual Incidents/Admin Requirements

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