Facility Evaluation Report

Facility Type: Residential Care Facility for Elderly (RCFE)

Application Type: Change in Ownership (CHOW)

COMP II Participants: Adalberth Bancu, Administrator/Licensee

On August 22, 2022 at 1:00 PM, Licensee/Administrator participated in COMP II. Identification of the Licensee/Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Licensee/Administrator confirmed the understanding of the California Code Title 22 Regulations.

During COMP II, CAB Analyst confirmed Licensee/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/Licensee. Report sent via email pdf with pre-licensing check list and informed to return signed LIC 809 to CAB by close of business today.