Senior Care Records.

Facility Evaluation Report

Good Samaritan Care Home LLC, Vallejo02/02/2022Licence 486890081

Capacity6
Census0
Date signed02/04/2022 01:39:20 PM
The inspector’s account

Facility Type: Adult Residential Facility

COMP II Participants: Rosie and Troy Skillman

On February 2, 2022, applicant/administrator participated in COMP II.

Identification of the applicant/administrator was verified by LPA Canela During COMP II, applicant/administrator confirmed the understanding of the California Code Title 22 Regulations.

During COMP II, LPA confirmed Applicant/Administrator’s understanding of following areas:

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

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