Senior Care Records.

Facility Evaluation Report

New Haven, Victorville09/14/2022Licence 365530037

Capacity4
Census4
Date signed09/14/2022 11:01:22 AM
The inspector’s account

Facility Type: Adult Residential Facility (ARF)

Application Type: Change in Ownership (CHOW)

COMP II Participants: Oyewole Joseph Jose, Administrator

On September 14, 2022, Administrator participated in COMP II. Identification of the Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Administrator confirmed the understanding of the California Code Title 22 Regulations.

During COMP II, CAB Analyst confirmed 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 Administrator. Report email via PDF and informed to return document signed by end of close of business today with pre-licensing checklist.

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