Facility Evaluation Report

Facility Type: Adult Residential Facility (ARF)

Application Type: Change in Ownership (CHOW)

COMP II Participants: Thien Luu, Administrator

On September 21, 2022 at 10:00 AM, Administrator participated in COMP II. Identification of the Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Administrator confirmed the understanding of the California Code Title 22 Regulations.

During COMP II, CAB Analyst confirmed Administrator’s understanding of following areas:

1. Facility operation: License type, client/resident populations, and program.

4. Restrictive/Prohibited Health Conditions

Exit interview conducted with Administrator. A copy of the report sent via email pdf and request to return back to CAB by end of business day today.