Senior Care Records.

Facility Evaluation Report

S & S Adult Residential Facility INC, North Hollywood09/10/2024Licence 195850507

Capacity4
Date signed12/10/2024 11:12:09 AM
The inspector’s account

COMP II Participants: Ghazaryan, Yeranuhi

On 9/10/24, 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