Facility Evaluation Report

Soliven Care Home, Buena Park10/19/2021Licence 306006057

Capacity6
Date signed10/19/2021 02:24:01 PM
The inspector’s account

COMP II Participants: Joselolito Soliven , Administrator/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. Facility operation: License type, client/resident populations, and program

2. Staff qualifications and responsibilities

4. Applicant and Administrator qualifications

5. Grievances, Complaints, Community resources

8. Application document review and technical assistance: Pre-licensing inspection

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