Office review·July 2, 2024

COMP II by CAB successfully completed Facility Type: RCFE Application Type: CHOW Capacity: 6 Census: 2 Method: Telephone call with CAB COMP II Participants: Midori Kakuta (Administrator), Khaula Nixon (Licensee) & Tammy Edwards, (Analyst). Licensee & administrator participated in COMP II at CAB via telephone call with analyst at CAB. Identification of the Licensee and administrator was verified by confirming driver’s license number. During COMP II, licensee and administrator confirmed the understanding of Title 22. Component II was successfully completed. Licensee and administrator were advised to email signed LIC 809 with copy of photo ID to CAB. During COMP II, CAB analyst confirmed Licensee & Administrator’s understanding of following areas: 1. Facility operation: License type, client/resident populations, and program 2. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readiness It was also discussed that due to Ambulatory only fire clearance, that the licensees/administrators are not authorized to care for residents with dementia.