Facility Evaluation Report
Capacity4
Census0
Date signed05/02/2022 09:50:36 AM
On 4/21/22 Licensing Program Analyst (LPA) Kevin Gould conducted a component III pre licensing meeting with Licensee Raehan Astronomo via powerpoint presentation for Sunni Vista Care Home. LPA Gould conducted the component III with the licensee.
LPA Gould discussed Operating Requirements, Physical Environment, Personnel Requirements, Resident Records, and Health Related Services and Conditions.
LPA discussed the department's and LPA's responsibilities and the responsibilities of the Administrator and reporting requirements including but not limited to the forms required for reporting and documenting any changes in resident files.
Source: California Department of Social Services, Community Care Licensing. Methodology · Report a correction