Senior Care Records.

Facility Evaluation Report

Kings Peak Home Care, Roseville06/21/2024Licence 315920132

Capacity6
Date signed06/21/2024 12:24:22 PM
The inspector’s account

COMP II Participants: Julie Malitskiy, Admin/Member

On June 21, 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 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.

During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas:

1. Facility operation: License type, client/resident populations, and program

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