Senior Care Records.

Facility Evaluation Report

Calle Del Cid Guest Home, Mission Viejo04/03/2024Licence 306006502

Capacity6
Date signed05/08/2024 04:18:30 PM
The inspector’s account

COMP II Participants: PRISCILLA CELIS, LIZA DELA CRUZ

On April 03, 2024, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. 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. Restricted/Prohibited Health Conditions

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