Senior Care Records.

Facility Evaluation Report

Rose Renee Residential Care Facility, Vallejo06/20/2022Licence 486804074

Capacity3
Date signed06/20/2022 11:05:42 AM
The inspector’s account

Facility Type: Adult Residential Facility

COMP II Participants: Anthony Fraser, Felicia Fraser

On June 20, 2022, 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 and administrator confirmed the understanding of the California Code Title 22 Regulations. Signed LIC 809 with copy of photo ID have been obtained.

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

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

4. Restricted/Prohibited Health Conditions

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