Senior Care Records.

Facility Evaluation Report

Mental Health House, LLC, Fountain Valley11/15/2024Licence 306006505

Capacity6
Census0
Date signed11/19/2024 12:23:07 PM
The inspector’s account

Application Type: 306006505/INITL, 306006508/CHOW, 306006509/CHOW

Census (if any clients in care): 306006505/0, 306006508/6, 306006509/6

COMP II Participants: Licensee Paul Alexander & Administrator Cole Dyar

Interview Method: Virtual interview (Teams)

On 11/15/2024, applicant & administrator participated in COMP II for the below pending facilities: Mental Health House LLC/306006505, Mental Health House LLC/306006508 and Mental Health House LLC/306006509 . 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