Facility Evaluation Report

COMP II Participants: Etta Simpson (Licensee), Monica Montgomery (Administrator), & Tammy Edwards, (Analyst).

Licensee & administrator participated in COMP II via Telephone call with CAB Analyst. Identification of licensee/ administrator was verified by confirming driver’s license numbers. During COMP II, licensee/ administrator confirmed the understanding of Title 22. Component II was successfully completed. Licensee/administrator were advised to email signed LIC 809 with copy of photo ID to CAB.

During COMP II, CAB analyst confirmed licensee's/administrator’s understanding of following areas:

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

4. Restrictive/Prohibited Health Conditions