Facility Evaluation Report

Facility Type: Residential Care Facility for Elderly (RCFE)

Application Type: Change in Ownership (CHOW)

COMP II Participants: Hershey Ann Duenas, Administrator

On October 25, 2022 at 10:00 AM, Applicant/Administrator participated in COMP II. Identification of the Applicant/administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Applicant/Administrator confirmed the understanding of the California Code Title 22 Regulations.

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

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

3. Staffing Requirements/CPMB associations & Training

4. Restrictive/Prohibited Health Conditions

Exit interview conducted with Applicant/Administrator. Report sent via email pdf and informed to return signed copy back to CAB close of business day today.