Senior Care Records.

Facility Evaluation Report

Jireh Senior Home Corporation, Santa Maria04/07/2025Licence 425850629

Capacity6
Date signed05/16/2025 04:59:33 AM
Name of licensing program analystBethany Hunter
Name of licensing program managerBiridiana Cisneros
The inspector’s account

Facility Type: Residential Care Facility for the Elderly

On April 07, 2025, 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. Restricted/Prohibited Health Conditions

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