Senior Care Records.

Facility Evaluation Report

Ebadat Residential Care Home #6, San Jose07/20/2022Licence 435202866

Capacity6
Date signed07/20/2022 03:34:55 PM
The inspector’s account

COMP II Participants: Corey Ebadat, Managing Member; Hassan Ebadat, Administrator

On 7/20/22, 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