Facility Evaluation Report
Capacity4
Date signed12/07/2021 02:31:45 PM
COMP II Participant: Stephanie Henry, Administrator
On 12/7/21, 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. Signed LIC 809 with copy of photo ID have been obtained.
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
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction