Senior Care Records.A MITRYXA product
For operatorsSign in

Facility Evaluation Report

Miles Place of Fountain Valley 2, Fountain Valley03/08/2022Licence 306006113

Capacity6
Date signed03/09/2022 08:04:08 AM
The inspector’s account

Method: Telephone call Applicant/Administrator

COMP II Participants: Avendano, Reiner - applicant & Cruz, Mark - Administrator

Applicant/administrator participated in COMP II via telephone call with the analyst at CAB. Identification of the applicant and administrator was verified by photo ID. During COMP II, applicant and administrator confirmed the understanding of Title 22. Component II was successfully completed. Applicant has been advised to transmit signed LIC 809 with copy of photo ID to CAB.

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