Senior Care Records.

Facility Evaluation Report

Marinwood Homecare Inc-heatherstone Home, San Rafael03/14/2024Licence 216804205

Capacity6
Date signed03/14/2024 10:31:11 AM
The inspector’s account

On March 14, 2024, 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 that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. 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

2. Day Program/ Activities/ Facility coverage

54. General provisions / readiness for pre licensing inspection

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