Senior Care Records.

Facility Evaluation Report

Senior Social Club of Mission Viejo, Mission Viejo04/17/2023Licence 306006298

Capacity60
Date signed04/17/2023 03:31:54 PM
The inspector’s account

COMP II Participants: Mark Hansen, Rabbi Zalman Marcus

On April 17, 2023, 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