Senior Care Records.

Facility Evaluation Report

Lourdes TLC, INC., Galt11/18/2024Licence 342701429

Capacity4
Census0
Date signed11/18/2024 11:59:53 AM
The inspector’s account

Facility Type: Adult Residential Facility (ARF)

COMP II Participants: Arabella Mathis, Applicant/Administrator

On November 11, 2024 at 11:00 AM, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22.

During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of following areas:

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

4. Restrictive/Prohibited Health Conditions

Exit interview with Applicant/Administrator. Report sent via email and request to return sign copy to CAB by end of business day.

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