Office review·June 18, 2024

Component II completion: Unsuccessful Facility Type: Residential Care Facility for Elderly (RCFE) Application Type: Initial Capacity: 5 Census (if any clients in care): none COMP II Participants: Sitina Inukihaangana, Applicant/Administrator Interview Method: Telephone interview On June 18, 2024 at 10:00 AM, applicant/administrator participated in COMP II. Identification of the applicant/administrator was verified through interview questions based on photo ID and other identifying personal information. During the COMP II, applicant/administrator did not provide sufficient knowledge of the program and/or community care facility licensing laws included in the Health and Safety Codes and the California Code of Regulations Title 22. Component II will be rescheduled once applicant/administrator is ready. Exit interview conducted with applicant/administrator. Report sent via email and request to return sign copy by end of business day. Applicant plans to contact CAB within 2 weeks to reschedule COMPONENT II interview.