Senior Care Records.

Facility Evaluation Report

Bernie's Care Home Services LLC, Stockton11/01/2022Licence 392701205

Capacity6
Census0
Date signed11/01/2022 10:49:08 AM
The inspector’s account

Facility Type: Residential Care Facility for Elderly (RCFE)

COMP II Participants: Bernadette Vargas, Administrator/Applicant

On November 1, 2022, Applicant/Administrator participated in COMP II. Identification of the Applicant/ Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Applicant/Administrator confirmed the understanding of the California Code Title 22 Regulations.

During COMP II, CAB Analyst confirmed Applicant/Administrator’s understanding of following areas:

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

3. Staffing Requirements/CPMB associations & Training

4. Restrictive/Prohibited Health Conditions

Exit interview conducted with Applicant/Administrator. Report sent via email PDF and informed to return back to CAB signed by end of business day today.

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