Senior Care Records.

Facility Evaluation Report

Zephyr Loving Care LLC, Roseville05/30/2024Licence 315920085

Capacity6
Date signed05/30/2024 11:16:53 AM
The inspector’s account

COMP II Participants: Russel Romero (A) & Jeroboam Ninobla (C)

On May 30, 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

4. General Provisions/Pre Licensing readiness

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