Senior Care Records.

Facility Evaluation Report

Hazel Home for Seniors, Fair Oaks01/21/2022Licence 345002868

Capacity6
Census3
Date signed01/21/2022 11:43:14 AM
The inspector’s account

Facility Type: Residential Care Facility for the Elderly (RCFE)

Application Type: Change in Ownership (CHOW)

COMP II Participants: Harjot Singh, Applicant

On January 21, 2022 at 10:30 AM, Applicants and A dministrator participated in COMP II. Identification of the Applicants and Administrator was verified through interview questions based on photo ID and other identifying personal information. Applicant and Administrator did not provide sufficient knowledge the program and the California Code Title 22 Regulations. Component II will be rescheduled.

Exit interview conducted with Applicants and Administrator. Report sent via email pdf and informed to return signed copy to Analyst.

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