Facility Evaluation Report
Capacity6
Date signed12/02/2021 12:57:43 PM
On 12/2/2021, 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. Applicant and/or administrator did not provide sufficient knowledge the program and the California Code Title 22 Regulations. Component II will be rescheduled. Signed LIC 809 with copy of photo ID have been obtained.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction