Senior Care Records.

Facility Evaluation Report

Fountain Valley Care Home, INC, Fountain Valley05/12/2022Licence 306006161

Capacity6
Census5
Date signed05/12/2022 10:02:44 AM
The inspector’s account

Facility Type: Residential Care Facility for Elderly (RCFE)

Application Type: Change of Ownership (CHOW)

COMP II Participants: Dulce Argosino, Administrator

On May 12, 2022 at 9:00 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. Copy of report sent via email PDF and informed Administrator to return sign copy by end of business day today.

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