Facility Evaluation Report

COMP II Participants: Greg (A) and Diana Hernandez (C)

On September 13, 2024, 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

that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained.

During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following

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

2. Activities/Day Program/ Unusual Incidents