Facility Evaluation Report

Facility Type: Adult Day Care (ADC - seniors)

COMP II Participants: Janna York, Applicant/Administrator

On September 29, 2023 at 10:10 AM, Applicant/Administrator and manager participated in COMP II. Identification of the Applicant/Administrator and manager was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Applicant/Administrator and manager 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 Applicant/Administrator and manager’s understanding of following areas:

1. Facility Operation: License type, client/resident populations, and program.

4. Restrictive/Prohibited Health Conditions

Exit interview conducted with Applicant/Administrator and manager. Copy of report sent via email and request to return sign copy by end of business day today.

*Amended report to change new capacity request to 60***