Office review·February 24, 2025

Component II completion: Successful Facility Type: RCFE Application Type: CHOW Capacity: 18 Census (if any clients in care): 12 COMP II Participants: Umesh Pandey (CEO) & Angeline Singh (Administrator) Interview Method: Virtual interview via Microsoft Teams On February 24, 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. Admission Policies 3. Staffing requirements & Training 4. Restrictive/Prohibited Health Conditions 5. General provisions 6. Emergency Preparedness 7. Complaints & Reporting 8. Pre-licensing readiness