Facility Evaluation Report
Capacity6
Date signed10/25/2021 02:15:06 PM
COMP II Participants: Alvin Teodoro /Owner; Shannon Betker, analyst.
Applicant/administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the applicant and administrator was verified by confirming driver’s license number. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant and administrator were advised to email/fax signed LIC 809 with copy of photo ID to CAB.
During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas:
1. Staff qualifications and responsibilities
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction