Senior Care Records.

Facility Evaluation Report

Mayall Home, Northridge01/17/2025Licence 197610743

Capacity4
Census4
Date signed01/23/2025 10:56:21 AM
The inspector’s account

COMP II Participants: Name - Charmiley Andres CEO/Administrator

On January 17, 2025, 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 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