Office review·March 20, 2025

Facility Type: RCFE Application Type: Initial Capacity: 6 Census (if any clients in care): none COMP II Participants: Mohamed El Habib Jacifi Interview Method: Telephone interview On March 20, 2025, 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 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 following areas: 1. Facility operation: License type, client/resident populations, and program 2. Transportation/Activities/Medications 3. Staffing requirements & Training 4. General provisions 5. Pre-licensing readiness