Senior Care Records.

Facility Evaluation Report

Brian Schwichtenberg ARF, Apple Valley10/05/2023Licence 365530143

Capacity4
Date signed10/05/2023 03:05:02 PM
The inspector’s account

Application Type: CHOW (365530143), Initial (365530155)

COMP II Participants: Brian Schwichtenberg, Licensee/Administrator

On 10/5/2023, applicant/administrator participated in COMP II for the below pending facilities: 365530143/Brian Schwichtenberg ARF and 365530155/Brian Schwichtenberg ARF II. Identification of the applicant/administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant(s) 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. Signed LIC 809 with copy of photo ID have been obtained.

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

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