Facility Evaluation Report

Facility Type: Residential Care Facility for Elderly (RCFE)

Application Type: Change in Ownership (CHOW)

Census (if any clients in care): unknown.

COMP II Participants: Donelle Williams, Administrator

On August 22, 2023, applicant(s)/administrator participated in COMP II for the below pending facilities:

Poway Gardens Senior Living - Magnolia #374604648

Poway Gardens Senior Living - The Palms #374604645

Poway Gardens Senior Living - The Pine #374604634

Identification of the applicant(s) and 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