Facility Evaluation Report

Facility Type: Adult Residential Facility (AFR)

Application Type: Change of Facility Type (CHOFT)

Kris Eryk Bartolome, Director/Administrator

On December 9, 2022 , Applicant and Administrators participated in COMP II. Identification of the Applicant and Administrators was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Applicant and Administrators 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 and Administrator’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 and Administrator. Report sent via email PDF and informed to return signed copy by end of business day today.