Senior Care Records.

Facility Evaluation Report

Pacific Grove Senior Living, Pacific Grove09/19/2022Licence 277209241

Capacity150
Date signed09/20/2022 07:30:12 AM
The inspector’s account

Facility Type: Residential Care Facility for the Elderly with Continuing Care Retirement Community

COMP II Participants: Sharon Fay, Sarah Ehret

On September 19, 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. Restricted/Prohibited Health Conditions

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