Facility Evaluation Report

Devoted Family Care Home, Santa Ana03/07/2023Licence 306006266

Capacity6
Census4
Date signed03/07/2023 01:54:09 PM
The inspector’s account

Facility Type: Residential Care Facility for Elderly (RCFE)

Application Type: Change in Ownership (CHOW)

COMP II Participants: Abel Marica, Administrator/Applicant

On March 7, 2023 at 1:00 PM, Applicant and 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 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.

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 and Administrator. Copy of report sent via email pdf and informed to return signed copy to CAB by end of business today.

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