Senior Care Records.

Facility Evaluation Report

Melos Care Home II, Thousand Oaks05/16/2023Licence 565850338

Capacity6
Census0
Date signed05/19/2023 03:38:09 PM
The inspector’s account

COMP II Participants: Edwin Oyasan Applicant /Edwin Paul E Oyasan Administrator

On May 16, 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/ administrator confirmed that they have read and understand community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Signed LIC 809 with copy of photo ID have been obtained.

During COMP II, CAB analyst confirmed Applicant/Administrator’s understanding of the 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