Senior Care Records.

Facility Evaluation Report

Inclusion Specialized Programs - Dawn Way, Fairfield02/01/2023Licence 486804106

Capacity4
Date signed02/01/2023 10:28:48 AM
The inspector’s account

Application Type: Change of Facility Type

COMP II Participant: Vanessa Baldwin, Administrator

On 2/1/23, 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 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. Signed LIC 809 with copy of photo ID have been obtained.

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

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