Senior Care Records.

Facility Evaluation Report

Peaceful Kingdom Home Care 2, Reseda12/17/2021Licence 197610245

Capacity6
Census5
Date signed12/17/2021 02:03:08 PM
The inspector’s account

COMP II Participants: Starr Craver, Applicant

On December 17, 2021 at 1:00 PM, Applicants and Administrator participated in COMP II. Identification of the Applicants and Administrator was verified through interview questions based on photo ID (CA Driver License) and other identifying personal information. During COMP II, Applicants and Administrator confirmed the understanding of the California Code Title 22 Regulations.

During COMP II, CAB analyst confirmed Applicants and Administrator’s understanding of following areas:

1. Facility operation: License type, client/resident populations, and program

4. Restrictive/Prohibited Health Conditions

Exit interview conducted with Applicants and Administrator. Analyst will send report via PDF email and informed, Applicants and Administrator to sign and return back to CCL.

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