Senior Care Records.

Facility Evaluation Report

Mary's Loving Care B, Costa Mesa01/18/2023Licence 306006221

Capacity6
Census3
Date signed01/18/2023 12:58:19 PM
The inspector’s account

On Jan 17, 2023, applicant(s)/administrator participated in COMP II for the below pending facilities: [MARY'S LOVING CARE A/306006220; MARY'S LOVING CARE B/306006221]. Identification of the applicant(s) and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant(s) 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 areas:

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

4. Restrictive/Prohibited Health Conditions

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