Senior Care Records.

Facility Evaluation Report

La Senior Home, North Hollywood03/10/2023Licence 195850350

Capacity5
Census0
Date signed03/10/2023 02:38:01 PM
The inspector’s account

COMP II Participants: Tigran Gevorgyan CEO/ Naira Spry Administrator

On March 10, 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/ 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 the

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