Senior Care Records.

Facility Evaluation Report

Cambrian Senior Living, San Jose11/29/2021Licence 435202854

Capacity6
Date signed11/29/2021 12:24:19 PM
The inspector’s account

COMP II Participants: Justin Ladwig, Managing Member/Administrator; Irish Ladwig, LLC Member

On 11/29/21, applicant/administrator participated in COMP II. Identification of the applicant/administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, applicant/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