Facility Evaluation Report

Facility Type: Residential Care Facility for Elderly (RCFE)

Application Type: Change in Ownership (CHOW)

COMP II Participants: Diana Covich, Corporate Board Member

On September 29, 2022 at 10:00 AM, Applicant participated in COMP II. Identification of the Applicant was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Applicant confirmed the understanding of the California Code Title 22 Regulations.

During COMP II, CAB Analyst confirmed Applicant's nderstanding 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 Corporate Board Member. Copy of report will be sent via email PDF to Administrator and Corporate Board Member and informed to return signed copy by end of business day today.