Facility Evaluation Report

Valley Spring Memory Care, Los Banos01/13/2022Licence 247209172

Capacity50
Census0
Date signed01/14/2022 07:19:19 AM
The inspector’s account

Facility Type: Residential Care Facility for the Elderly

COMP II Participants: Arthur Heady, Fred Guzzi, Brett Staples

On January 13, 2022, 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 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