Senior Care Records.

Facility Evaluation Report

Oceanside Care Home LLC, Fort Bragg10/14/2022Licence 236804088

Capacity5
Census5
Date signed10/14/2022 02:00:46 PM
The inspector’s account

Facility Type: Residential Care Facility for Elderly (RCFE)

Application Type: Change in Ownership (CHOW)

COMP II Participants: Sylvester Okoro, Administrator

On October 14, 2022 at 1:10 PM, 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

3. Staffing Requirements/CPMB Associations & Training

4. Restrictive/Prohibited Health Conditions

Exit interview conducted with Administrator. Copy of report sent via email pdf and informed to return back to CAB by end of business day.

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