Facility Evaluation Report
Capacity6
Date signed07/18/2023 03:06:47 PM
Capacity: Census (if any clients in care): 5
COMP II Participants: Yuriy Drobenyuk, corp member/administrator
On July 18, 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 / 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. Signed LIC 809 with copy of photo ID have been obtained.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction