Senior Care Records.

Facility Evaluation Report

Serene Residential Care Home, Stockton10/25/2022Licence 392701203

Capacity5
Census0
Date signed10/25/2022 02:31:53 PM
The inspector’s account

Facility Type: Residential Care Facility for Elderly (RCFE)

COMP II Participants: Chukwudi Ikiseh, Administrator

On October 25, 2022 at 1:00 PM, 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

3. Staffing Requirements/CPMB Associations & Training

4. Restrictive/Prohibited Health Conditions

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

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