Facility Evaluation Report, 03/15/2022 — Tabitha Care Corporation, Paramount CA

Facility Evaluation Report

Tabitha Care Corporation, Paramount03/15/2022Licence 198603547

Capacity4

Census0

Date signed03/15/2022 10:37:46 AM

The inspector’s account

Facility Type: ARF Application Type: INITL Capacity: 4 COMP II Participants: Adekele, Omobola (Administrator and Corporate Board Member)

On 3/15/22, 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 the understanding of the California Code Title 22 Regulations. 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

4. Restrictive/Prohibited Health Conditions

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