Facility Evaluation Report

Facility Type: Adult Residential Facility (ARF)

Application Type: Change in Ownership (CHOW)

On June 15, 2022, Administrator participated in COMP II. Identification of the Administrator was verified through interview questions based on photo ID and other identifying personal information. During COMP II, Administrator confirmed the understanding of the California Code Title 22 Regulations.

During COMP II, CAB Analyst confirmed 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 Administrator. Report sent via email pdf and informed Administrator to return sign copy to CAB by end of business day.