Facility Evaluation Report

Los Robles Guest Home, Pasadena02/13/2023Licence 198603584

Capacity12
Date signed02/13/2023 09:46:27 AM
The inspector’s account

Facility Type: Adult Residential Facility

COMP II Participants: Leah Avila, Lily McColgan

On February 13, 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 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. Restricted/Prohibited Health Conditions

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