Facility Evaluation Report

Facility Type: Adult Residential Facility (ARF)

Application Type: Change in Ownership (CHOW)

COMP II Participants: Deborah Seifert, Applicant/Administrator

On November 9, 2023, applicant/administrator participated in COMP II. Identification of the applicant/administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant/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. S

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

Exit interview conducted with Applicant/Administrator. Copy of report sent via email and informed to return sign copy by end of business today.