Senior Care Records.

Facility Evaluation Report

Amerihome, INC, Van Nuys02/25/2022Licence 195850227

Capacity6
Census0
Date signed02/25/2022 11:58:56 AM
The inspector’s account

Facility Type: Residential Care Facility for the Elderly (RCFE)

COMP II Participants: Jasmine Sargsyan, Administrator

On February 25, 2022, Administrator participated in COMP II. Identification of the Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Administrator confirmed the understanding of the California Code Title 22 Regulations.

During COMP II, CAB analyst confirmed 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 Administrator. A hard copy of LIC 809 sent via PDF email and Administrator will return signed copy by close of business day.

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