Facility Evaluation Report

Maratha Manor, Antelope04/18/2022Licence 345002896

Capacity6
Census6
Date signed04/18/2022 10:12:56 AM
The inspector’s account

Facility Type: Residential Care Facility for Elderly (RCFE)

Application Type: Change in Ownership (CHOW)

COMP II Participants: Benedicta Nwaukoni, Administrator

On April 18, 2022, Administrator participated in COMP II. Identification of the Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Administrator confirmed the understanding of the California Code Title 22 Regulations.

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

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

4. Restrictive/Prohibited Health Conditions

Exit interview conducted with Administrator. Copy sent via PDF email and Administrator informed to return sign copy by end of business day today.

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