Facility Evaluation Report
Capacity6
Date signed07/15/2022 12:26:28 PM
Method: Telephone call with Applicant and administrator
COMP II Participants: Charmaine Alcantara, Admin & Charesa Reyes, applicant
Applicant/administrator participated in COMP II via telephone call with the analyst at CAB. Identification of the applicant and administrator was verified by photo ID. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant has been advised to transmit signed LIC 809 with copy of photo ID to CAB.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction