Senior Care Records.

Facility Evaluation Report

Nyumbani Home, Ukiah11/30/2021Licence 236803990

Capacity4
Date signed11/30/2021 11:33:46 AM
The inspector’s account

COMP II Participant: Jotham Gikuhi, Managing Member/Administrator

On 11/30/21, applicant/administrator participated in COMP II. Identification of the applicant/administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant/administrator confirmed the understanding of the California Code Title 22 Regulations. 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

4. Restrictive/Prohibited Health Conditions

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