Facility Evaluation Report

On 12/11/2023, administrator and program director participated in COMP II. Identification of the administrator and program director was verified through interview questions based on photo ID and other identifying personal information. During COMP II, administrator and program director 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. Restrictive/Prohibited Health Conditions