Senior Care Records.

Facility Evaluation Report

Guiding Path Home, Simi Valley07/02/2024Licence 565850521

Capacity4
Census0
Date signed08/06/2024 11:59:25 AM
The inspector’s account

COMP II Participants: Jolly Padayao & Betsy Insular (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

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