Facility Evaluation Report

Facility Type: Residential Care Facility for Elderly (RCFE)

Application Type: Change in Ownership (CHOW)

COMP II Participants: Darius O. Stir, Administrator

On October 17, 2022 at 10:00 AM, 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. S

During COMP II, CAB Analyst confirmed 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 Administrator. Sent report via email pdf and informed to return signed copy by close of business day to CAB.