Facility Evaluation Report

FACILITY NAME: ANGEL'S HAVEN CARE ASSISTED LIVING

ADMINISTRATOR: RICARDO GARCIA FACILITY TYPE: 740

ADDRESS: 32056 DAYSPRING WAY TELEPHONE: (951) 452-1216

TYPE OF VISIT: Office ANNOUNCED TIME BEGAN: 03:00 PM

MET WITH: Ricardo Garcia TIME COMPLETED: 03:20 PM

COMP II Participants: Ricardo Garcia, Administrator

On 06/11/24, 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

During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding

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

4. Restrictive/Prohibited Health Conditions