Senior Care Records.

Facility Evaluation Report

Loving Hearts Care Home 111, Fairfield04/19/2023Licence 486804154

Capacity6
Census4
Date signed04/20/2023 09:04:24 AM
The inspector’s account

COMP II Participants: Rose Marie B Devera- CEO/Administrator

On April 19, 2023, 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/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 Applicant/Administrator’s understanding of the 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