Senior Care Records.

Facility Evaluation Report

Georgette Adult Residential, Fontana04/17/2024Licence 365530183

Capacity2
Census0
Date signed04/17/2024 12:53:01 PM
The inspector’s account

Facility Type: Adult Residential Facility (ARF)

COMP II Participants: J ean ette Garcia, Administrator/Applicant

On April 17, 2024 at 11:00 AM, Applicants and Administrator participated in COMP II. Identification of the Applicants and Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Applicants 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 Applicants and 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 Applicants and Administrator. Copy of report sent via email and informed to send sign copy to CAB by end of business day today.

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