Senior Care Records.

Facility Evaluation Report

North Hills Villa, North Hills09/28/2022Licence 197610277

Capacity6
Census0
Date signed09/28/2022 10:51:54 AM
The inspector’s account

Facility Type: Residential Care Facility for Elderly (RCFE)

COMP II Participants: Arsen Ter-Arsenyan, Administrator

On September 28, 2022 at 10:00 AM, Administrator participated in COMP II. Identification of the Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Administrator confirmed the understanding of the California Code Title 22 Regulations.

During COMP II, CAB Analyst confirmed Administrator’s understanding of following areas:

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

3. Staffing Requirements/CPMB Associations & Training

4. Restrictive/Prohibited Health Conditions

Exit interview conducted with Administrator. Copy of report sent via email pdf and informed Administrator to return sign copy by end of close of business today.

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