Office review·October 24, 2022

Component II completion: Unsuccessful Facility Type: Residential Care Facility for Elderly (RCFE) Application Type: Initial Capacity: 6 Census (if any clients in care): none COMP II Participants: Bernardette Vargas, Administrator Interview Method: Telephone interview On October 24, 2022, Administrator participated in COMP II. Identification of the Administrator was verified through interview questions based on photo ID and other identifying personal information. Administrator did not provide sufficient knowledge the program and the California Code Title 22 Regulations. Component II will be rescheduled once LIC 809 is signed and return back to CAB. Exit interview conducted with Administrator. PDF copy sent via email to Administrator.