Facility Evaluation Report

COMP II Participants: Ginger Burnett & John Burnett (Licensees/Administrator) & Tammy Edwards, (Analyst)

Licensees/administrator participated in COMP II via Telephone call with CAB Analyst. Identification of licensees/administrator was verified by confirming driver’s license numbers. During COMP II, licensees/ administrator confirmed the understanding of Title 22. Component II was successfully completed. Licensees/administrator were advised to email signed LIC 809 with copy of photo ID to CAB.

During COMP II, CAB analyst confirmed licensees/administrator’s understanding of following areas:

1. Facility operation: License type, client/resident populations, and program

4. Restrictive/Prohibited Health Conditions