Facility Evaluation Report, 05/02/2022 — Ingleside By the Lake, Atascadero CA

Facility Evaluation Report

Ingleside By the Lake, Atascadero05/02/2022Licence 405850247

Capacity6

Date signed05/02/2022 10:49:56 AM

The inspector’s account

COMP II Participants: Nikole Daugherty; Kristen Nudo completed comp. II on 4/20/22 for Ingleside Park -405850254

On 05/02/22, applicant/administrator participated in COMP II. Identification of the applicant and administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant and administrator confirmed the understanding of the California Code Title 22 Regulations. 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

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