Senior Care Records.

Facility Evaluation Report

Homelife Senior Living 5, Thousand Oaks07/19/2023Licence 565850372

Capacity6
Date signed10/09/2023 12:56:58 PM
The inspector’s account

Facility Type: Residential Care Facility for the Elderly

COMP II Participants: Sherry Nazari, Debi Cassar

On July 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 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

Component II conducted on facility # 565850371, Homelife Senior Living 7

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