Senior Care Records.

Facility Evaluation Report

Ivy Park at San Juan Capistrano, San Juan Capistrano09/12/2022Licence 306006203

Capacity120
Date signed09/12/2022 09:48:49 AM
The inspector’s account

COMP II Participants: Eric Mensah (Administrator)

On 09/12/2022, 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. Restrictive/Prohibited Health Conditions

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